Which patient characteristics influence length of hospital stay after primary total hip arthroplasty in a ‘fast-track’ setting?

2015 ◽  
Vol 97-B (1) ◽  
pp. 19-23 ◽  
Author(s):  
Y. M. den Hartog ◽  
N. M. C. Mathijssen ◽  
G. Hannink ◽  
S. B. W. Vehmeijer
Keyword(s):  
Total Hip Arthroplasty ◽  
Hospital Stay ◽  
Hip Arthroplasty ◽  
Fast Track ◽  
Length Of Hospital Stay ◽  
Patient Characteristics ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

scholarly journals Early recovery trajectories after fast-track primary total hip arthroplasty: the role of patient characteristics

2018 ◽  
Vol 89 (6) ◽  
pp. 597-602 ◽  
Author(s):  
Jarry T Porsius ◽  
Nina M C Mathijssen ◽  
Lisette C M Klapwijk-Van Heijningen ◽  
Jeroen C Van Egmond ◽  
Marijke Melles ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Fast Track ◽  
Patient Characteristics ◽  
Early Recovery ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

Decreasing Length of Hospital Stay and Postoperative Complications After Primary Total Hip Arthroplasty: A Decade Analysis From 2006 to 2016

2019 ◽  
Vol 34 (3) ◽  
pp. 422-425 ◽  
Author(s):  
Matthew J. Grosso ◽  
Alexander L. Neuwirth ◽  
Venkat Boddapati ◽  
Roshan P. Shah ◽  
H. John Cooper ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Total Hip Arthroplasty ◽  
Hospital Stay ◽  
Hip Arthroplasty ◽  
Length Of Hospital Stay ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

scholarly journals Comparison of short-term outcomes of anterolateral supine approach and posterolateral approach for primary total hip arthroplasty: a retrospective study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Taku Ukai ◽  
Goro Ebihara ◽  
Masahiko Watanabe
Keyword(s):  
Total Hip Arthroplasty ◽  
Hospital Stay ◽  
Clinical Outcomes ◽  
Hip Arthroplasty ◽  
External Rotation ◽  
Posterolateral Approach ◽  
Level Of Evidence ◽  
Total Hip ◽  
Hip Flexion ◽  
Primary Total Hip Arthroplasty

Abstract Background This study aims to evaluate postoperative pain and functional and clinical outcomes of anterolateral supine (ALS) and posterolateral (PL) approaches for primary total hip arthroplasty. Materials and methods We retrospectively examined the joints of 110 patients who underwent primary total hip arthroplasty (THA). The ALS group was compared with the PL group using the pain visual analog scale (VAS) and narcotic consumption as pain outcomes. Functional outcomes included postoperative range of motion (ROM) of hip flexion, day on which patients could perform straight leg raising (SLR), day on which patients began using a walker or cane, duration of hospital stay, rate of transfer, and strength of hip muscles. Clinical outcomes included pre and postoperative Harris Hip Scores. Results No significant differences were found in the pain VAS scores or narcotic consumption between the two groups. The PL group could perform SLR earlier than the ALS group (P < 0.01). The ALS group started using a cane earlier (P < 0.01) and had a shorter hospital stay (P < 0.01) than the PL group. Degrees of active ROM of flexion at postoperative day (POD) 1 were significantly lower in the ALS group than in the PL group (P < 0.01). Regarding hip muscle strength, hip flexion was significantly weaker in the ALS group than in the PL group until 1-month POD (P < 0.01). External rotation from 2 weeks to 6 months postoperatively was significantly weaker in the PL group than in the ALS group (P < 0.01). Conclusion The ALS approach was more beneficial than the PL approach because ALS enabled better functional recovery of the strength of external rotation, improved rehabilitation, and involved a shorter hospital stay. Level of Evidence Level IV retrospective observational study.

scholarly journals The first 6 weeks of recovery after primary total hip arthroplasty with fast track

2017 ◽  
Vol 89 (1) ◽  
pp. 140-140 ◽  
Author(s):  
Lisette C M Klapwijk ◽  
Nina M C Mathijssen ◽  
Jeroen C van Egmond ◽  
Bianca M Verbeek ◽  
Stephan B W Vehmeijer
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Fast Track ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

scholarly journals Comparative prospective randomized study of minimally invasive transpiriformis approach versus conventional posterolateral approach in total hip arthroplasty as measured by biology markers

2021 ◽  
Author(s):  
Cong Xiao ◽  
Zhixiang Gao ◽  
Shaoyun Zhang ◽  
Nengji Long ◽  
Kai Yao ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Hip Arthroplasty ◽  
Controlled Trial ◽  
Randomized Study ◽  
Length Of Hospital Stay ◽  
Posterolateral Approach ◽  
Harris Hip Score ◽  
Total Hip

Abstract Background Minimally invasive surgery is becoming increasingly common, but evidence of the advantages of the minimally invasive transpiriformis approach in total hip arthroplasty is limited. Therefore, our single-centre randomized controlled trial evaluated the benefits of this approach versus the posterolateral approach. Methods Forty-nine patients undergoing the minimally invasive transpiriformis approach and 57 patients undergoing the posterolateral approach total hip arthroplasty were analyzed. The operative time, length of hospital stay, incision length, and peri-operative data related to the surgery were recorded. In both groups, serum CRP, IL-6, HGb, Hct, MB, CK-MB, and CK levels, Harris hip scores, and VAS scores were recorded. Results Patients who underwent the minimally invasive transpiriformis approach had a smaller surgical incision (9.10 ± 0.94 vs. 15.56 ± 1.20 cm, P = 0.00) and shorter hospital stay (6.20 ± 1.54 vs. 12.26 ± 2.97 days, P = 0.00) than those who underwent the posterolateral approach. Serum levels of CRP, IL-6, MB, CK-MB, and CK were also lower. According to the Harris hip score, the minimally invasive transpiriformis group showed significant improvement at one week and one month after surgery. Conclusion Compared to the posterolateral approach, the minimally invasive transpiriformis approach for total hip arthroplasty provided rapid functional recovery, elicited a significantly reduced post-operative inflammatory response, and caused less muscle damage.

scholarly journals Identification and Treatment of Anaemia in Patients Awaiting Hip Replacement

2008 ◽  
Vol 90 (6) ◽  
pp. 504-507 ◽  
Author(s):  
BA Rogers ◽  
A Cowie ◽  
C Alcock ◽  
JW Rosson
Keyword(s):  
Total Hip Arthroplasty ◽  
Blood Transfusion ◽  
Hospital Stay ◽  
Hip Arthroplasty ◽  
Length Of Hospital Stay ◽  
Waiting List ◽  
Transfusion Rate ◽  
Total Hip ◽  
Postoperative Blood Transfusion ◽  
Entire Patient Cohort

INTRODUCTION The correction of anaemia prior to total hip arthroplasty reduces surgical risk, hospital stay and cost. This study considers the benefits of implementing a protocol of identifying and treating pre-operative anaemia whilst the patient is on the waiting list for surgery. PATIENTS AND METHODS From a prospective series of 322 patients undergoing elective total hip arthroplasty (THA), patients identified as anaemic (haemoglobin (Hb) < 12 g/dl) when initially placed upon the waiting list were appropriately investigated and treated. Pre- and postoperative Hb levels, need for transfusion, and length of hospital stay were collated for the entire patient cohort. RESULTS Of the cohort, 8.8% of patients were anaemic when initially placed upon the waiting list for THA and had a higher transfusion rate (23% versus 3%; P < 0.05) and longer hospital stay (7.5 days versus 6.6 days; P < 0.05). Over 40% of these patients responded to investigation and treatment whilst on the waiting list, showing a significant improvement in Hb level (10.1 g/dl to 12.7 g/dl) and improved transfusion rate. CONCLUSIONS Quantifying the haemoglobin level of patients when initially placed on the waiting list helps highlight those at risk of requiring a postoperative blood transfusion. Further, the early identification of anaemia allows for the utilisation of the waiting-list time to investigate and treat these patients. For patients who respond to treatment, there is a significant reduction in the need for blood transfusion with its inherent hazards.

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