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Related Experiment Video

Updated: Mar 1, 2026

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

Enhanced Recovery After Surgery for Hip and Knee Replacements.

David P Gwynne-Jones¹, Ginny Martin, Chris Crane

¹David P. Gwynne-Jones, MA, FRACS (Orth), Associate Professor, Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand; and Consultant Orthopaedic Surgeon, Dunedin Public Hospital, Southern District Health Board Dunedin, New Zealand. Ginny Martin, PGDip, RN, Registered Nurse, Dunedin Public Hospital, Southern District Health Board Dunedin, New Zealand. Chris Crane, PGDip (Public Health), BSc, Program Manager, Southern District Health Board Dunedin, New Zealand.

Orthopedic Nursing

|May 25, 2017

Summary

Implementing Enhanced Recovery After Surgery (ERAS) programs for hip and knee replacements significantly reduces hospital stays. This approach improves patient outcomes and satisfaction without increasing complications.

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Area of Science:

Orthopedic surgery
Patient recovery protocols
Healthcare management

Background:

Enhanced Recovery After Surgery (ERAS) programs streamline patient care for hip and knee replacements.
These programs aim to shorten hospital stays and improve patient outcomes without increasing complications or mortality.

Purpose of the Study:

To compare patient outcomes after implementing an institutional ERAS program for hip and knee replacements.
The study evaluated outcomes against a historical patient cohort.

Main Methods:

ERAS protocols were developed, focusing on pre-admission, patient education, anemia management, anesthesia, mobilization, and discharge planning.
Outcomes of 528 ERAS patients were compared to 507 historical control patients over 18-month periods.

Main Results:

Average length of stay (ALOS) decreased significantly for both hip (5.6 to 4.3 days) and knee (5.7 to 4.8 days) replacements (p < .001).
Six-month Oxford knee scores improved in the ERAS group (39.8 vs. 36.3, p = .03), with no increase in mortality or early revision rates.
The 30-day readmission rate saw a slight, non-significant increase (3.2% to 5.5%, p = .065).

Conclusions:

ERAS protocols can substantially reduce ALOS in public hospital settings.
High patient satisfaction and no increase in complications were observed.
Successful implementation requires a multidisciplinary approach and strong clinical input.