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Moderne Fast-Track-Konzepte in der Knieendoprothetik: Wie kommen wir zu guten Ergebnissen?

Authors :
von Schulze-Pellengahr, Christoph
Teske, Wolfram
Source :
OUP - Orthopädische und Unfallchirurgische Praxis. 2024, Vol. 13 Issue 5, p218-224. 7p.
Publication Year :
2024

Abstract

These concepts aim to accelerate postoperative recovery, reduce hospital stay duration, and increase patient satisfaction. But how do we achieve good results with these approaches? A central aspect of fast-track concepts is preoperative preparation. This includes comprehensive patient education about the entire treatment process, including realistic expectations for the postoperative phase. Good prehabilitation care, which includes physiotherapy exercises and nutritional counseling, can improve patients' physical condition before surgery and thus speed up postoperative recovery. Intraoperatively, minimally invasive techniques and the use of modern anesthesia methods play a crucial role. These techniques reduce tissue trauma and minimize postoperative pain, leading to faster patient mobilization. The use of tranexamic acid to reduce blood loss and the application of local anesthetics also contribute to improved postoperative outcomes. Postoperatively, multimodal pain management is essential. By combining different analgesics and early mobilization, pain can be effectively controlled, and knee joint functionality can be quickly restored. Close collaboration between surgeons, anesthetists, physiotherapists, and nursing staff is crucial in this regard. Another important factor is structured follow-up care. Regular physiotherapy sessions and continuous monitoring of the healing process help to detect and treat complications early. Involving patients in the rehabilitation process and promoting self-responsibility are also key to long-term success. In conclusion, modern fast-track concepts in knee arthroplasty lead to good results through interdisciplinary collaboration, comprehensive preoperative preparation, minimally invasive surgical techniques, and effective pain management. The continuous development of these concepts and their adaptation to individual patient needs are the keys to successful treatment. [ABSTRACT FROM AUTHOR]

Details

Language :
German
ISSN :
21935785
Volume :
13
Issue :
5
Database :
Academic Search Index
Journal :
OUP - Orthopädische und Unfallchirurgische Praxis
Publication Type :
Academic Journal
Accession number :
180413283
Full Text :
https://doi.org/10.53180/oup.2024.0218-0224