Hip and Knee Arthroplasty

Ellen M Soffin; Thomas W Wainwright

doi:10.1016/j.anclin.2021.11.003

Hip and Knee Arthroplasty

Anesthesiol Clin. 2022 Mar;40(1):73-90. doi: 10.1016/j.anclin.2021.11.003. Epub 2022 Feb 11.

Authors

Ellen M Soffin¹, Thomas W Wainwright²

Affiliations

¹ Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. Electronic address: soffine@hss.edu.
² Orthopaedic Research Institute, Bournemouth University, 89 Holdenhurst Road, Bournemouth, Dorset BH8 8FT, UK.

PMID: 35236584
DOI: 10.1016/j.anclin.2021.11.003

Abstract

Variation in care is associated with variation in outcomes after total joint arthroplasty (TJA). Accordingly, much research into enhanced recovery efficacy for TJA has been devoted to linking standardization with better outcomes. This article focuses on recent advances suggesting that variation within a set of core protocol elements may be less important than providing the core elements within enhanced recovery pathways for TJA. Provided the core elements are associated with benefits for patients and health care system outcomes, variation in the details of their provision may contribute to a pathway's success. This article provides an updated review of the literature.

Keywords: Analgesia; ERAS; Enhanced recovery after surgery; Pathways; Peripheral nerve blocks; Total hip arthroplasty; Total joint arthroplasty; Total knee arthroplasty.

Publication types

Review

MeSH terms

Arthroplasty, Replacement, Hip* / methods
Arthroplasty, Replacement, Knee* / methods
Humans