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Fast-track hip and knee replacement
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Center Management

Fast-track hip and knee replacement
The concept is based on information, motivation and logistics, as well as the use of available evidence-based interventions within all sub-areas of treatment, care, rehabilitation, anesthesia pain management etc.

The main results show that hospitalization periods without the supply of resources can be reduced to approximately 1-2 days - while maintaining a very high patient satisfaction, and few complications.

In The Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement- an interdisciplinary organization-, we conduct multimodal interventions to further optimize the outcome for knee and hip replacement patients. We focus especially on pain management, transfusion strategy, effect of physiotherapy, postoperative cognitive dysfunction, optimised thromboembolic prophylaxis, safety and morbidity monitoring and evaluation of hip dislocation and loosening of the prosthesis.

The outlined research will have far-reaching perspectives in other surgical populations.

They aim ultimately at a reduced need for hospitalization for 1-2 days, with concomitant increased security and fewer complications and rehabilitation needs.

Definition of fast-track
Fast-track is defined as a hospitalization, which provide the best possible evidence-based treatment pre-, intra- and postoperatively.

 

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Latest publications
Postoperative cognitive dysfunction is rare after fast-track hip- and knee arthroplasty - But potentially related to opioid use
Awada HN, Luna IE, Kehlet H, Wede HR, Hoevsgaard SJ, Aasvang EK
Simultaneous vs staged bilateral total knee arthroplasty: a propensity-matched case-control study from nine fast-track centres
Lindberg-Larsen M, Pitter FT, Husted H, Kehlet H, Jørgensen CC; Lundbeck Foundation Centre for Fast-Track Hip and Knee Replacement Collaborative Group
Enhanced Recovery After Surgery in the United States: From Evidence-Based Practice to Uncertain Science?
Memtsoudis SG, Poeran J, Kehlet H

Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement..
Rigshospitalet, Section for Surgical Pathophysiology, Blegdamsvej 9, DK-2100 Copenhagen Ø Tel.: +45 3545 4074
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