Factors Affect Successful Fast-track Total Knee Arthroplasty
Article Sidebar
Published:
Feb 18, 2019
Keywords:
Fast-track total knee arthroplasty TKA length of stay LOS
Main Article Content
Abstract
Fast-track total knee arthroplasty (TKA) has been reported to improve patient’s clinical outcome, and decrease cost of treatment related to hospital stay. However, some drawbacks of early patient’s discharge have been reported, which caused surgeons to hesitate whether or not to apply the fast-track protocol in their practices. Literature has shown that besides patient’s factor which a decent patient selection played key role for successful fast-track TKA, other factors, including anesthesia factors and surgical factor, could facilitate the consistency of clinical outcome. The purpose of this review was to update and to determine factors which affected the fast-track protocol.
Article Details
Section
Review Articles
References
1. Rissanen P, Aro S, Paavolainen P. Hospital- and patient-related characteristics determining length of hospital stay for hip and knee replacements. Int J Technol Assess Health Care. 1996; 12(2): 325-35.
2. Jain NB, Higgins LD, Ozumba D, Guller U, Cronin M, Pietrobon R, et al. Trends in epidemiology of knee arthroplasty in the United States, 1990-2000. Arthritis Rheum. 2005; 52(12): 3928-33.
3. Husted H, Holm G. Fast track in total hip and knee arthroplasty--experiences from Hvidovre University Hospital, Denmark. Injury. 2006; 37 Suppl 5: S31-5.
4. Husted H, Holm G, Rud K, Bach-Dal C, Hansen HC, Andersen KL, et al. Length of stay after primary total hip and knee arthroplasty in Denmark, 2001-2003[Abstract]. Ugeskr Laeger. 2006; 168(3): 276-9.
5. Jørgensen CC, Kehlet H; Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group. Role of patient characteristics for fast-track hip and knee arthroplasty. Br J Anaesth. 2013; 110(6): 972-80.
6. Lovald ST, Ong KL, Malkani AL, Lau EC, Schmier JK, Kurtz SM, et al. Complications, mortality, and costs for outpatient and short-stay total knee arthroplasty patients in comparison to standard-stay patients. J Arthroplasty. 2014; 29(3): 510-5.
7. Bjerregaard LS, Bogo S, Raaschou S, Troldborg C, Hornum U, Poulsen AM, et al. Incidence of and risk factors for postoperative urinary retention in fast-track hip and knee arthroplasty. Acta Orthop. 2015; 86(2): 183-8.
8. Husted H, Jørgensen CC, Gromov K, Troelsen A; Collaborative Group of the Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement. Low manipulation prevalence following fast-track total knee arthroplasty. Acta Orthop. 2015; 86(1): 86-91.
9. Wied C, Thomsen MG, Kallemose T, Myhrmann L, Jensen LS, Husted H, et al. The risk of manipulation under anesthesia due to unsatisfactory knee flexion after fast-track total knee arthroplasty. Knee. 2015; 22(5): 419-23.
10. Barad SJ, Howell SM, Tom J. Is a shortened length of stay and increased rate of discharge to home associated with a low readmission rate and cost-effectiveness after primary total knee arthroplasty?. Arthroplast Today. 2018; 4(1): 107-12.
11. Glassou EN, Pedersen AB, Hansen TB. Risk of re-admission, reoperation, and mortality within 90 days of total hip and knee arthroplasty in fast-track departments in Denmark from 2005 to 2011. Acta Orthop. 2014; 85(5): 493-500.
12. Hirschmann MT, Kort N, Kopf S, Becker R. Fast track and outpatient surgery in total knee arthroplasty: beneficial for patients, doctors and hospitals. Knee Surg Sports Traumatol Arthrosc. 2017; 25(9): 2657-8.
13. Gromov K, Kristensen BB, Jorgensen CC, Hansen TB, Kehlet H, Husted H. Fast-track total knee arthroplasty[Abstract]. Ugeskr Laeger. 2017; 179(38).
14. Husted H, Hansen HC, Holm G, Bach-Dal C, Rud K, Andersen KL, et al. What determines length of stay after total hip and knee arthroplasty? A nationwide study in Denmark. Arch Orthop Trauma Surg. 2010; 130(2): 263-8.
15. Husted H, Holm G, Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients. Acta Orthop. 2008; 79(2): 168-73.
16. Phruetthiphat OA, Gao Y, Vasta S, Zampogna B, Piperno A, Noiseux NO. Preoperative risk factors for, and incidence of delayed surgery in elective primary total knee arthroplasty after hospital admission: The ACS-NSQIP. J Arthroplasty. 2016; 31(7): 1413-6.
17. Hansen VJ, Gromov K, Lebrun LM, Rubash HE, Malchau H, Freiberg AA. Does the risk assessment and prediction tool predict discharge disposition after joint replacement? Clin Orthop Relat Res. 2015; 473(2): 597-601.
18. Jans Ø, Jørgensen C, Kehlet H, Johansson PI; Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group. Role of preoperative anemia for risk of transfusion and postoperative morbidity in fast-track hip and knee arthroplasty. Transfusion. 2014; 54(3): 717-26.
19. Chan FJ, Schwartz AM, Wong J, Chen C, Tiwari B, Kim SJ. Use of chronic methadone before total knee arthroplasty. J Arthroplasty. 2017; 32(7): 2105-7.
20. Sing DC, Barry JJ, Cheah JW, Vail TP, Hansen EN. Long-acting opioid use independently predicts perioperative complication in total joint arthroplasty. J Arthroplasty. 2016; 31(9 Suppl): 170-4.
21. Rozell JC, Courtney PM, Dattilo JR, Wu CH, Lee GC. Preoperative opiate use independently predicts narcotic consumption and complications after total joint arthroplasty. J Arthroplasty. 2017; 32(9): 2658-62.
22. Sjoling M, Nordahl G, Olofsson N, Asplund K. The impact of preoperative information on state anxiety, postoperative pain and satisfaction with pain management. Patient Educ Couns. 2003; 51(2): 169-76.
23. Huang SW, Chen PH, Chou YH. Effects of a preoperative simplified home rehabilitation education program on length of stay of total knee arthroplasty patients. Orthop Traumatol Surg Res. 2012; 98(3): 259-64.
24. Topp R, Swank AM, Quesada PM, Nyland J, Malkani A. The effect of prehabilitation exercise on strength and functioning after total knee arthroplasty. PM R. 2009; 1(8): 729-35.
25. Harsten A, Kehlet H, Toksvig-Larsen S. Recovery after total intravenous general anaesthesia or spinal anaesthesia for total knee arthroplasty: a randomized trial. Br J Anaesth. 2013; 111(3): 391-9.
26. Harsten A, Kehlet H, Ljung P, Toksvig-Larsen S. Total intravenous general anaesthesia vs. spinal anaesthesia for total hip arthroplasty: a randomised, controlled trial. Acta Anaesthesiol Scand. 2015; 59(3): 298-309.
27. Tanavalee A, Thiengwittayaporn S, Itiravivong P. Progressive quadriceps incision during minimally invasive surgery for total knee arthroplasty: the effect on early postoperative ambulation. J Arthroplasty. 2007; 22(7): 1013-8.
28. Lloyd JM, Wainwright T, Middleton RG. What is the role of minimally invasive surgery in a fast track hip and knee replacement pathway?. Ann R Coll Surg Engl. 2012; 94(3): 148-51.
29. Gromov K, Troelsen A, Stahl Otte K, Orsnes T, Husted H. Morbidity and mortality after bilateral simultaneous total knee arthroplasty in a fast-track setting. Acta Orthop. 2016; 87(3): 286-90.
30. Kulshrestha V, Kumar S, Datta B, Sinha VK, Mittal G. Ninety-day morbidity and mortality in risk-screened and optimized patients undergoing two-team fast-track simultaneous bilateral TKA compared with unilateral TKA-A prospective study. J Arthroplasty. 2018; 33(3): 752-60.
31. Husted H, Otte KS, Kristensen BB, Kehlet H. Fast-track revision knee arthroplasty. A feasibility study. Acta Orthop. 2011; 82(4): 438-40.
32. Tanavalee A, Thiengwittayaporn S. Multimodal pain management following minimally invasive total knee arthroplasty: an experience in 3-dose parecoxib. J Med Assoc Thai. 2009; 92 Suppl 6: S11-8.
33. Nophakhun P, Yindee A, Amornpiyakij P, Hlekmon N, Tanavalee A. The efficiency of the patient care team on 3-day protocol for early ambulation after MIS-TKA. J Med Assoc Thai. 2012; 95(4): 537-43.
34. Kampitak W, Tanavalee A, Ngarmukos S, Amarase C, Apihansakorn R, Vorapalux P. Does adductor canal block have a synergistic effect with local infiltration analgesia for enhancing ambulation and improving analgesia after total knee arthroplasty?. Knee Surg Relat Res. 2018; 30(2): 133-41.
35. Kampitak W, Tanavalee A, Ngarmukos S, Amarase C, Songthamwat B, Boonshua A. Comparison of adductor canal block versus local infiltration analgesia on postoperative pain and functional outcome after total knee arthroplasty: A randomized controlled trial. Malays Orthop J. 2018; 12(1): 7-14.
36. Leownorasate M, Ruangsillapanu N. Post-op pain and blood loss in total knee arthroplasty: an RCT using periarticular injection with diclofenac-based multimodal drugs. J Med Assoc Thai. 2014; 97(12): 1332-7.
37. Pinsornsak P, Nangnual S, Boontanapibul K. Multimodal infiltration of local anaesthetic in total knee arthroplasty; is posterior capsular infiltration worth the risk? a prospective, double-blind, randomised controlled trial. Bone Joint J. 2017; 99-B(4): 483-8.
38. Luansritisakul C. Quality of life after total knee replacement at Siriraj Hospital, Thailand. Siriraj Med J. 2016; 68(2): 7.
2. Jain NB, Higgins LD, Ozumba D, Guller U, Cronin M, Pietrobon R, et al. Trends in epidemiology of knee arthroplasty in the United States, 1990-2000. Arthritis Rheum. 2005; 52(12): 3928-33.
3. Husted H, Holm G. Fast track in total hip and knee arthroplasty--experiences from Hvidovre University Hospital, Denmark. Injury. 2006; 37 Suppl 5: S31-5.
4. Husted H, Holm G, Rud K, Bach-Dal C, Hansen HC, Andersen KL, et al. Length of stay after primary total hip and knee arthroplasty in Denmark, 2001-2003[Abstract]. Ugeskr Laeger. 2006; 168(3): 276-9.
5. Jørgensen CC, Kehlet H; Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group. Role of patient characteristics for fast-track hip and knee arthroplasty. Br J Anaesth. 2013; 110(6): 972-80.
6. Lovald ST, Ong KL, Malkani AL, Lau EC, Schmier JK, Kurtz SM, et al. Complications, mortality, and costs for outpatient and short-stay total knee arthroplasty patients in comparison to standard-stay patients. J Arthroplasty. 2014; 29(3): 510-5.
7. Bjerregaard LS, Bogo S, Raaschou S, Troldborg C, Hornum U, Poulsen AM, et al. Incidence of and risk factors for postoperative urinary retention in fast-track hip and knee arthroplasty. Acta Orthop. 2015; 86(2): 183-8.
8. Husted H, Jørgensen CC, Gromov K, Troelsen A; Collaborative Group of the Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement. Low manipulation prevalence following fast-track total knee arthroplasty. Acta Orthop. 2015; 86(1): 86-91.
9. Wied C, Thomsen MG, Kallemose T, Myhrmann L, Jensen LS, Husted H, et al. The risk of manipulation under anesthesia due to unsatisfactory knee flexion after fast-track total knee arthroplasty. Knee. 2015; 22(5): 419-23.
10. Barad SJ, Howell SM, Tom J. Is a shortened length of stay and increased rate of discharge to home associated with a low readmission rate and cost-effectiveness after primary total knee arthroplasty?. Arthroplast Today. 2018; 4(1): 107-12.
11. Glassou EN, Pedersen AB, Hansen TB. Risk of re-admission, reoperation, and mortality within 90 days of total hip and knee arthroplasty in fast-track departments in Denmark from 2005 to 2011. Acta Orthop. 2014; 85(5): 493-500.
12. Hirschmann MT, Kort N, Kopf S, Becker R. Fast track and outpatient surgery in total knee arthroplasty: beneficial for patients, doctors and hospitals. Knee Surg Sports Traumatol Arthrosc. 2017; 25(9): 2657-8.
13. Gromov K, Kristensen BB, Jorgensen CC, Hansen TB, Kehlet H, Husted H. Fast-track total knee arthroplasty[Abstract]. Ugeskr Laeger. 2017; 179(38).
14. Husted H, Hansen HC, Holm G, Bach-Dal C, Rud K, Andersen KL, et al. What determines length of stay after total hip and knee arthroplasty? A nationwide study in Denmark. Arch Orthop Trauma Surg. 2010; 130(2): 263-8.
15. Husted H, Holm G, Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients. Acta Orthop. 2008; 79(2): 168-73.
16. Phruetthiphat OA, Gao Y, Vasta S, Zampogna B, Piperno A, Noiseux NO. Preoperative risk factors for, and incidence of delayed surgery in elective primary total knee arthroplasty after hospital admission: The ACS-NSQIP. J Arthroplasty. 2016; 31(7): 1413-6.
17. Hansen VJ, Gromov K, Lebrun LM, Rubash HE, Malchau H, Freiberg AA. Does the risk assessment and prediction tool predict discharge disposition after joint replacement? Clin Orthop Relat Res. 2015; 473(2): 597-601.
18. Jans Ø, Jørgensen C, Kehlet H, Johansson PI; Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group. Role of preoperative anemia for risk of transfusion and postoperative morbidity in fast-track hip and knee arthroplasty. Transfusion. 2014; 54(3): 717-26.
19. Chan FJ, Schwartz AM, Wong J, Chen C, Tiwari B, Kim SJ. Use of chronic methadone before total knee arthroplasty. J Arthroplasty. 2017; 32(7): 2105-7.
20. Sing DC, Barry JJ, Cheah JW, Vail TP, Hansen EN. Long-acting opioid use independently predicts perioperative complication in total joint arthroplasty. J Arthroplasty. 2016; 31(9 Suppl): 170-4.
21. Rozell JC, Courtney PM, Dattilo JR, Wu CH, Lee GC. Preoperative opiate use independently predicts narcotic consumption and complications after total joint arthroplasty. J Arthroplasty. 2017; 32(9): 2658-62.
22. Sjoling M, Nordahl G, Olofsson N, Asplund K. The impact of preoperative information on state anxiety, postoperative pain and satisfaction with pain management. Patient Educ Couns. 2003; 51(2): 169-76.
23. Huang SW, Chen PH, Chou YH. Effects of a preoperative simplified home rehabilitation education program on length of stay of total knee arthroplasty patients. Orthop Traumatol Surg Res. 2012; 98(3): 259-64.
24. Topp R, Swank AM, Quesada PM, Nyland J, Malkani A. The effect of prehabilitation exercise on strength and functioning after total knee arthroplasty. PM R. 2009; 1(8): 729-35.
25. Harsten A, Kehlet H, Toksvig-Larsen S. Recovery after total intravenous general anaesthesia or spinal anaesthesia for total knee arthroplasty: a randomized trial. Br J Anaesth. 2013; 111(3): 391-9.
26. Harsten A, Kehlet H, Ljung P, Toksvig-Larsen S. Total intravenous general anaesthesia vs. spinal anaesthesia for total hip arthroplasty: a randomised, controlled trial. Acta Anaesthesiol Scand. 2015; 59(3): 298-309.
27. Tanavalee A, Thiengwittayaporn S, Itiravivong P. Progressive quadriceps incision during minimally invasive surgery for total knee arthroplasty: the effect on early postoperative ambulation. J Arthroplasty. 2007; 22(7): 1013-8.
28. Lloyd JM, Wainwright T, Middleton RG. What is the role of minimally invasive surgery in a fast track hip and knee replacement pathway?. Ann R Coll Surg Engl. 2012; 94(3): 148-51.
29. Gromov K, Troelsen A, Stahl Otte K, Orsnes T, Husted H. Morbidity and mortality after bilateral simultaneous total knee arthroplasty in a fast-track setting. Acta Orthop. 2016; 87(3): 286-90.
30. Kulshrestha V, Kumar S, Datta B, Sinha VK, Mittal G. Ninety-day morbidity and mortality in risk-screened and optimized patients undergoing two-team fast-track simultaneous bilateral TKA compared with unilateral TKA-A prospective study. J Arthroplasty. 2018; 33(3): 752-60.
31. Husted H, Otte KS, Kristensen BB, Kehlet H. Fast-track revision knee arthroplasty. A feasibility study. Acta Orthop. 2011; 82(4): 438-40.
32. Tanavalee A, Thiengwittayaporn S. Multimodal pain management following minimally invasive total knee arthroplasty: an experience in 3-dose parecoxib. J Med Assoc Thai. 2009; 92 Suppl 6: S11-8.
33. Nophakhun P, Yindee A, Amornpiyakij P, Hlekmon N, Tanavalee A. The efficiency of the patient care team on 3-day protocol for early ambulation after MIS-TKA. J Med Assoc Thai. 2012; 95(4): 537-43.
34. Kampitak W, Tanavalee A, Ngarmukos S, Amarase C, Apihansakorn R, Vorapalux P. Does adductor canal block have a synergistic effect with local infiltration analgesia for enhancing ambulation and improving analgesia after total knee arthroplasty?. Knee Surg Relat Res. 2018; 30(2): 133-41.
35. Kampitak W, Tanavalee A, Ngarmukos S, Amarase C, Songthamwat B, Boonshua A. Comparison of adductor canal block versus local infiltration analgesia on postoperative pain and functional outcome after total knee arthroplasty: A randomized controlled trial. Malays Orthop J. 2018; 12(1): 7-14.
36. Leownorasate M, Ruangsillapanu N. Post-op pain and blood loss in total knee arthroplasty: an RCT using periarticular injection with diclofenac-based multimodal drugs. J Med Assoc Thai. 2014; 97(12): 1332-7.
37. Pinsornsak P, Nangnual S, Boontanapibul K. Multimodal infiltration of local anaesthetic in total knee arthroplasty; is posterior capsular infiltration worth the risk? a prospective, double-blind, randomised controlled trial. Bone Joint J. 2017; 99-B(4): 483-8.
38. Luansritisakul C. Quality of life after total knee replacement at Siriraj Hospital, Thailand. Siriraj Med J. 2016; 68(2): 7.