Fast-Track Hip & Knee Arthroplasty

Fast-track Hip and Knee Arthroplasty (TKA) focuses on reducing the length of stay (LOS) in hospitals by utilizing the best available evidence-based practices. This approach allows for a hospital stay of just 2-4 days. Despite its benefits, many orthopedic surgeons have been slow to adopt fast-track procedures, primarily due to concerns about potential risks in elderly patients, those with comorbidities, and other special cases.

Fast-Track Knee Arthroplasty

Fast-Track Knee Arthroplasty involves resurfacing the arthritic surfaces of the knee joint with a new metal prosthetic implant. Fast-track protocols have been implemented in various surgical methods, leading to higher patient satisfaction and lower morbidity rates. Over recent years, the number of knee arthroplasty surgeries has increased significantly. This review focuses on the key aspects of fast-track knee arthroplasty.

Why is Knee Arthroplasty Needed?

Fast-track knee arthroplasty is commonly performed on patients with severe arthritis. While traditionally performed on individuals over 65, younger patients with severe knee pain are now also undergoing this procedure. Knee arthroplasty may be considered for patients who experience:

Persistent joint pain that interferes with daily activities.

• Pain that worsens with normal activity.
• Stiffness in the knee joint.
• Altered walking patterns due to knee discomfort.

Goals of Fast-Track Knee Arthroplasty

• Relief from joint pain.
• Pain-free walking and standing.
• To Improved knee functionality.
• Rapid pain relief and recovery.

Fast-Track Hip Arthroplasty

Fast-track protocols have also been introduced into Total Hip Arthroplasty (THA), aiming to shorten post-operative hospital stays, accelerate recovery, and reduce complications. This approach relies on a multidisciplinary team working in a specially organized "fast-track" unit, designed to deliver a streamlined pre- and post-operative process for THA.

Why is Hip Arthroplasty Needed?

Fast-track hip arthroplasty is often recommended for patients suffering from severe arthritis, resulting in:

• a Swelling and regular pain in the hip.
• Limited range of motion.
• Pain during or after activity.
• Stiffness in the hip, especially after lying down or resting.

Goals of Fast-Track Hip Arthroplasty

• Pain relief in the hip.
• Ability to walk and lie down without pain.
• Improved muscle motion.
• Rapid pain relief and recovery.
• Discharge from the hospital within 2-4 days.

For further information or a second opinion on Fast-Track Hip and Knee Arthroplasty, please contact Dr. R.K. Mathur.