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Related Experiment Video

Updated: May 5, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

Developing a pathway for high-value, patient-centered total joint arthroplasty.

Aricca D Van Citters¹, Cheryl Fahlman, Donald A Goldmann

¹Institute for Healthcare Improvement, Hanover, NH, USA.

Clinical Orthopaedics and Related Research

|December 4, 2013

Summary

This summary is machine-generated.

This study developed a clinical care pathway for total joint arthroplasty (TJA) to standardize care and improve patient outcomes. The pathway focuses on enhancing efficiency, communication, and patient engagement for better TJA experiences.

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Area of Science:

Orthopedic Surgery
Healthcare Management
Patient-Centered Care

Background:

Total joint arthroplasty (TJA) is a common elective surgery with significant variations in cost and quality across healthcare facilities.
Optimizing TJA delivery requires addressing system-level inefficiencies and patient-specific needs.

Purpose of the Study:

To develop a generalizable clinical care pathway for primary TJA.
To identify system- and patient-level processes for safe, effective, efficient, and patient-centered TJA care.

Main Methods:

A mixed-methods approach combining quantitative and qualitative data from 16 hospitals.
A 32-member multistakeholder panel refined the pathway through a 1-day workshop.
Pathway development spanned 14 months, from presurgical visits to 12 months post-discharge.

Main Results:

The pathway includes 40 suggested processes for care improvement, 37 for waste reduction, and 55 for enhanced communication.
Key themes include standardization, interdisciplinary collaboration, and patient/family engagement.
Recommendations involve standardizing protocols, aligning information flow, defining accountability, managing expectations, and stratifying patient care.

Conclusions:

A multidisciplinary clinical care pathway for TJA was developed based on high-value care principles.
The pathway is prepared for clinical testing and adaptation to specific healthcare contexts.