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Kent M, Calvert N, Blades K, et al. Enhanced recovery principles applied to revision hip and knee arthroplasty reduces length of stay and blood transfusion. J Orthop. 2017;14(4):555-560doi: 10.1016/j.jor.2017.08.012.
Kent, M., Calvert, N., Blades, K., Swann, A., & Yates, P. (2017). Enhanced recovery principles applied to revision hip and knee arthroplasty reduces length of stay and blood transfusion. Journal of orthopaedics, 14(4), 555-560. https://doi.org/10.1016/j.jor.2017.08.012
Kent, Michael, et al. "Enhanced recovery principles applied to revision hip and knee arthroplasty reduces length of stay and blood transfusion." Journal of orthopaedics vol. 14,4 (2017): 555-560. doi: https://doi.org/10.1016/j.jor.2017.08.012
Kent M, Calvert N, Blades K, Swann A, Yates P. Enhanced recovery principles applied to revision hip and knee arthroplasty reduces length of stay and blood transfusion. J Orthop. 2017 Aug 12;14(4):555-560. doi: 10.1016/j.jor.2017.08.012. eCollection 2017 Dec. PMID: 28878516; PMCID: PMC5581381.
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J Orthop. 2017 Aug 12;14(4):555-560. doi: 10.1016/j.jor.2017.08.012. eCollection 2017 Dec.

Enhanced recovery principles applied to revision hip and knee arthroplasty reduces length of stay and blood transfusion.

Journal of orthopaedics

Michael Kent, Nick Calvert, Kevin Blades, Alex Swann, Piers Yates

Affiliations

  1. Torbay Hospital, Lowes Bridge, Torquay, Devon TQ2 7AA, United Kingdom.
  2. St John of God Hospital Murdoch, Murdoch Drive, Murdoch, Perth, Western Australia 6159, Australia.
  3. The University of Western Australia, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia.

PMID: 28878516 PMCID: PMC5581381 DOI: 10.1016/j.jor.2017.08.012

Abstract

INTRODUCTION: This is the first study reporting the application of Enhanced Recovery Principles (ERP) to revision arthroplasty.

METHOD: Retrospective series of 132 revision hip and knee replacements treated with ERP.

RESULTS: Infiltration was associated with reduced LOS in knees (6 vs 8.5 days), lower PCA usage and incidence of transfusion in knees (2 vs 3 days) and hips (1 vs 6 days). Revisions for infection had a longer LOS (5.4 vs 11.5 days p = 0.001), a greater use of PCA and a higher incidence of transfusion (5 vs 0) in both knees and hips.

DISCUSSION: The application of ERPs to revision arthroplasty is safe. Infiltration appears to be an important factor in improving outcome measures.

Keywords: Blood transfusion; Enhanced recovery; Length of stay; Pain control; Revision hip replacement; Revision knee replacement

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