Total hip and total knee replacement: preoperative nursing management

Area of Science:

• Orthopedic Surgery
• Rheumatology
• Patient Care

Background:

• Osteoarthritis frequently necessitates surgical intervention for pain relief.
• Total hip replacement (THR) and total knee replacement (TKR) are common procedures.
• Effective patient preparation is crucial for successful surgical outcomes.

Purpose of the Study:

• To outline diverse prosthetic options for lower limb joint replacement.
• To detail essential physical, psychological, and social preparation for THR and TKR patients.
• To examine service organization within the patient pathway for optimal preparation.

Main Methods:

• Literature review of current THR and TKR implant technologies.
• Analysis of patient preparation protocols, encompassing biopsychosocial aspects.
• Exploration of integrated healthcare service models for joint replacement surgery.

Main Results:

• Various prosthetic designs exist for hip and knee joint replacements.
• Comprehensive patient preparation involves addressing physical, psychological, and social determinants.
• Optimized service pathways and defined nursing roles enhance patient preparedness.

Conclusions:

• Understanding implant types is key for effective joint replacement surgery.
• Holistic patient preparation significantly impacts surgical outcomes.
• Integrated care pathways and nursing support are vital for THR and TKR patients.