Patient Safety in Fast-Track Total Hip and Knee Replacement

摘要

The multi-modal fast-track programmes have decreased hospital stay to 2-4 days after hip and knee replacement without increasing re-admissions. However, significant challenges exist to improve post-discharge safety regarding risk of general medical complications, cognitive dysfunction, rehabilitation, persistent pain, falls, dislocation, knee stiffness and infections. An increased understanding of the pathogenic mechanisms leading to individual post-discharge morbidities is required to improve outcomes.