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Implementation of an accelerated mobilization protocol following primary total hip arthroplasty: impact on length of stay and disposition.在初次全髋关节置换术后实施加速康复方案:对住院时间和去向的影响。
Curr Rev Musculoskelet Med. 2011 Sep;4(3):84-90. doi: 10.1007/s12178-011-9091-x.
2
Cost-effectiveness of accelerated perioperative care and rehabilitation after total hip and knee arthroplasty.全髋关节和膝关节置换术后加速围手术期护理与康复的成本效益
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Outpatient Robotic-Arm Total Hip Arthroplasty Surgical Technique.
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A multidisciplinary total hip arthroplasty protocol with accelerated postoperative rehabilitation: does the patient benefit?一种采用加速术后康复的多学科全髋关节置换方案:患者是否从中受益?
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Implementation of a Total Hip Arthroplasty Care Pathway at a High-Volume Health System: Effect on Length of Stay, Discharge Disposition, and 90-Day Complications.在高容量医疗体系中实施全髋关节置换术护理路径:对住院时间、出院去向和 90 天并发症的影响。
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Rapid recovery following hip and knee arthroplasty using local infiltration analgesia: length of stay, rehabilitation protocol and cost savings.髋关节和膝关节置换术后采用局部浸润镇痛快速康复:住院时间、康复方案和成本节约。
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Fast-track hip and knee arthroplasty: clinical and organizational aspects.快速康复髋膝关节置换术:临床与组织学方面
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[Accelerated versus conventional hospital stay in total hip and knee arthroplasty II: organizational and clinical differences].[全髋关节和膝关节置换术中加速康复与传统住院治疗的对比研究II:组织学和临床差异]
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Effectiveness of accelerated perioperative care and rehabilitation intervention compared to current intervention after hip and knee arthroplasty. A before-after trial of 247 patients with a 3-month follow-up.与髋关节和膝关节置换术后当前干预措施相比,加速围手术期护理与康复干预的有效性。一项针对247例患者的前后对照试验,随访3个月。
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What is the multifactorial efficacy of day-zero ambulation post-total hip replacement surgery: A systematic review.全髋关节置换术后零日活动的多因素疗效如何:一项系统综述。
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The number of stairs into home do not impact discharge disposition and patient reported outcomes after total joint arthroplasty.楼梯数量对全关节置换术后出院处置和患者报告结果无影响。
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Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial.经皮辅助囊上入路全髋关节置换术与传统后入路全髋关节置换术的比较:一项前瞻性随机对照试验。
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Multi- and univariate analyses of the weekend effect for elective lower-limb joint replacements.择期下肢关节置换术周末效应的多因素和单因素分析。
Ann R Coll Surg Engl. 2018 Jan;100(1):42-46. doi: 10.1308/rcsann.2017.0116. Epub 2017 Aug 3.
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Early mobilisation after total hip or knee arthroplasty: A multicentre prospective observational study.全髋关节或膝关节置换术后的早期活动:一项多中心前瞻性观察研究。
PLoS One. 2017 Jun 27;12(6):e0179820. doi: 10.1371/journal.pone.0179820. eCollection 2017.
7
Timing of rehabilitation on length of stay and cost in patients with hip or knee joint arthroplasty: A systematic review with meta-analysis.髋关节或膝关节置换术患者康复时机对住院时间和费用的影响:一项荟萃分析的系统评价
PLoS One. 2017 Jun 2;12(6):e0178295. doi: 10.1371/journal.pone.0178295. eCollection 2017.
8
Perioperative Pain Management in Total Hip Arthroplasty: Korean Hip Society Guidelines.全髋关节置换术中的围手术期疼痛管理:韩国髋关节协会指南
Hip Pelvis. 2016 Mar;28(1):15-23. doi: 10.5371/hp.2016.28.1.15. Epub 2016 Mar 31.
9
In-hospital cost comparison between the standard lateral and supercapsular percutaneously-assisted total hip surgical techniques for total hip replacement.全髋关节置换术中标准外侧与经皮辅助的囊上入路全髋关节手术技术的院内成本比较。
Int Orthop. 2016 Mar;40(3):481-5. doi: 10.1007/s00264-015-2878-4. Epub 2015 Jul 9.

本文引用的文献

1
Local infiltration analgesia in joint replacement: the evidence and recommendations for clinical practice.关节置换术中局部浸润镇痛:证据与临床实践推荐。
Acta Anaesthesiol Scand. 2011 Aug;55(7):778-84. doi: 10.1111/j.1399-6576.2011.02429.x. Epub 2011 Apr 4.
2
Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs for the reduction in morphine-related side-effects after major surgery: a systematic review.扑热息痛与选择性和非选择性非甾体抗炎药用于减少大手术后与吗啡相关的副作用:系统评价。
Br J Anaesth. 2011 Mar;106(3):292-7. doi: 10.1093/bja/aeq406. Epub 2011 Feb 1.
3
Systematic review and meta-analysis of the use of tranexamic acid in total hip replacement.氨甲环酸在全髋关节置换术中应用的系统评价与荟萃分析
J Bone Joint Surg Br. 2011 Jan;93(1):39-46. doi: 10.1302/0301-620X.93B1.24984.
4
Improving cup positioning using a mechanical navigation instrument.使用机械导航仪器改善杯位。
Clin Orthop Relat Res. 2011 Feb;469(2):423-8. doi: 10.1007/s11999-010-1553-8.
5
A rapid recovery program: early home and pain free.一个快速康复计划:早日回家且无疼痛。
Orthopedics. 2010 Sep 7;33(9):656. doi: 10.3928/01477447-20100722-38.
6
Preoperative therapeutic exercise in frail elderly scheduled for total hip replacement: a randomized pilot trial.拟行全髋关节置换术的虚弱老年患者的术前治疗性运动:一项随机试点试验。
Clin Rehabil. 2010 Oct;24(10):901-10. doi: 10.1177/0269215510371427. Epub 2010 Jun 16.
7
Outpatient total hip arthroplasty.门诊全髋关节置换术。
J Arthroplasty. 2010 Jun;25(4):501-6. doi: 10.1016/j.arth.2009.06.005. Epub 2009 Jul 28.
8
THA with a minimally invasive technique, multi-modal anesthesia, and home rehabilitation: factors associated with early discharge?采用微创技术、多模式麻醉和家庭康复的全髋关节置换术:与早期出院相关的因素?
Clin Orthop Relat Res. 2009 Jun;467(6):1412-7. doi: 10.1007/s11999-009-0785-y. Epub 2009 Mar 20.
9
Prevention of symptomatic pulmonary embolism in patients undergoing total hip or knee arthroplasty.全髋关节或膝关节置换术患者症状性肺栓塞的预防
J Am Acad Orthop Surg. 2009 Mar;17(3):183-96. doi: 10.5435/00124635-200903000-00007.
10
Newer anesthesia and rehabilitation protocols enable outpatient hip replacement in selected patients.更新的麻醉和康复方案使部分患者能够在门诊进行髋关节置换手术。
Clin Orthop Relat Res. 2009 Jun;467(6):1424-30. doi: 10.1007/s11999-009-0741-x. Epub 2009 Feb 28.

在初次全髋关节置换术后实施加速康复方案:对住院时间和去向的影响。

Implementation of an accelerated mobilization protocol following primary total hip arthroplasty: impact on length of stay and disposition.

机构信息

Department of Orthopaedic Surgery, Duke University Medical Center, Box 3447, Durham, NC, 27710, USA,

出版信息

Curr Rev Musculoskelet Med. 2011 Sep;4(3):84-90. doi: 10.1007/s12178-011-9091-x.

DOI:10.1007/s12178-011-9091-x
PMID:21755283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3261249/
Abstract

With improvements in surgical techniques, implant design, and patient caremaps, surgeons have sought to accelerate early rehabilitation after total hip arthroplasty. Many authors have reported results of fundamentally similar protocols to achieve this end. These protocols focus on multi-modal pain management, early therapy, tissue-preserving surgical technique, and careful blood management. We present the implementation and results of such a protocol involving a different surgical approach, and highlight the published literature on this topic.

摘要

随着手术技术、植入物设计和患者护理图的改进,外科医生一直在寻求加速全髋关节置换术后的早期康复。许多作者已经报告了基本相似的方案来实现这一目标,这些方案侧重于多模式疼痛管理、早期治疗、保留组织的手术技术和仔细的血液管理。我们介绍了涉及不同手术方法的此类方案的实施和结果,并重点介绍了该主题的已发表文献。