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Related Concept Videos

Knee Joint01:23

Knee Joint

2.4K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Related Experiment Video

Updated: Oct 1, 2025

Tissue Collection and RNA Extraction from the Human Osteoarthritic Knee Joint
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Hip and Knee Arthroplasty.

Ellen M Soffin1, Thomas W Wainwright2

  • 1Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.

Anesthesiology Clinics
|March 3, 2022
PubMed
Summary
This summary is machine-generated.

Enhanced recovery pathways for total joint arthroplasty (TJA) may succeed despite variation in protocol details. Focusing on core elements, rather than strict standardization, is key for patient and healthcare outcomes in TJA.

Keywords:
AnalgesiaERASEnhanced recovery after surgeryPathwaysPeripheral nerve blocksTotal hip arthroplastyTotal joint arthroplastyTotal knee arthroplasty

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Area of Science:

  • Orthopedic surgery
  • Healthcare management
  • Clinical pathways

Background:

  • Variation in care correlates with differing outcomes in total joint arthroplasty (TJA).
  • Research has focused on standardization within enhanced recovery pathways (ERPs) for TJA to improve outcomes.
  • The efficacy of ERPs in TJA is a significant area of study.

Purpose of the Study:

  • To review recent literature on enhanced recovery pathways for TJA.
  • To explore the role of variation within core protocol elements of TJA ERPs.
  • To determine if adherence to core elements is more critical than strict standardization.

Main Methods:

  • Literature review of recent advances in enhanced recovery pathways for TJA.
  • Analysis of studies investigating the impact of variation in protocol elements.
  • Synthesis of evidence on the association between core elements and patient/system outcomes.

Main Results:

  • Recent evidence suggests that variation within a set of core protocol elements may not be detrimental to TJA enhanced recovery.
  • Providing the essential core elements within ERPs appears more critical than rigid standardization.
  • Successful TJA pathways may accommodate variation in the specific implementation of core elements.

Conclusions:

  • Enhanced recovery pathways for TJA can be successful even with variation in non-core protocol details.
  • The presence of core elements within TJA ERPs is linked to benefits for patients and the healthcare system.
  • Future research should consider the flexibility within ERPs for TJA.