[Day-case outpatient endoprosthetics-"Ultra-Fast-Track"]

Area of Science:

• Orthopedic Surgery
• Surgical Innovation

Background:

• Fast-track surgical procedures are increasingly adopted in general surgery.
• One-day surgery for knee and hip replacement is gaining traction in Europe and the USA.

Purpose of the Study:

• To highlight the importance of comprehensive prehabilitation for safe one-day joint replacement surgery.
• To establish the necessary components for successful outpatient arthroplasty procedures.

Main Methods:

• Review of current fast-track protocols in general surgery.
• Analysis of prehabilitation strategies for elective orthopedic procedures.
• Evaluation of behavioral measures for outpatient surgical recovery.

Main Results:

• Detailed prehabilitation concepts, including training and behavioral instructions, are crucial for safe one-day surgery.
• Minimally invasive techniques are essential for successful one-day hip and knee arthroplasty.
• Established fast-track programs facilitate the implementation of one-day surgery models.

Conclusions:

• One-day surgery for hip and knee arthroplasty is a logical progression of fast-track surgery.
• Robust prehabilitation and clear patient guidance are prerequisites for safe and effective outpatient joint replacement.
• Further development of prehabilitation protocols is needed to support the expansion of one-day surgery.