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Fast track in hip arthroplasty.

Torben Bæk Hansen¹

¹Aarhus University and The Lundback Centre for Hip and Knee Arthroplasty, Denmark.

EFORT Open Reviews

|June 21, 2017

Summary

This summary is machine-generated.

Fast-track surgery, a coordinated peri-operative approach, enhances recovery after total hip arthroplasty (THA). This method reduces hospital stays and speeds functional recovery without increasing risks for standard patients.

Keywords:

morbidity total hip arthroplasty ‘fast-track’ surgery

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Area of Science:

Orthopedic Surgery
Peri-operative Care

Background:

Fast-track surgery, established over 20 years ago, aims to minimize surgical stress and improve post-operative recovery.
Its principles have been applied to total hip arthroplasty (THA), demonstrating reduced length of stay and faster functional recovery.

Purpose of the Study:

To review the principles, implementation, and future perspectives of fast-track THA surgery.
To highlight the importance of tailoring fast-track pathways for patients with special needs or high comorbidity.

Main Methods:

This is a narrative review presenting established principles and current status.
It synthesizes information on the implementation of fast-track THA programs.

Main Results:

Fast-track THA has proven effective in standard patients, leading to shorter hospital stays and quicker functional recovery.
The approach requires multidisciplinary collaboration and specialized organizational setups.

Conclusions:

Fast-track THA surgery is a successful model for typical patients.
Further refinement is needed to optimize pathways for patients with complex medical histories or specific needs.