Fast-track revision knee arthroplasty.

Ctr Fast-track Hip; Knee Replacement Collaborating Grp

doi:10.1016/j.knee.2021.09.001

Fast-track revision knee arthroplasty.

Ctr Fast-track Hip, Knee Replacement Collaborating Grp

Research output: Contribution to journal › Journal article › Research › peer-review

5 Citations (Scopus)

18 Downloads (Pure)

Abstract

Background: Limited data exist on fast-track protocols in relation to revision knee arthroplasty. Hence, the aim of this study was to report length of stay (LOS), risk of LOS > 5 days and readmission

Methods: An observational cohort study from the Centre for Fast-track Hip and Knee Replacement and the Danish Knee Arthroplasty Register. We included elective aseptic major component revision knee arthroplasties consecutively from 6 dedicated fast-track centers from 2010 to 2018.

Results: 1439 revision knee arthroplasties were analyzed, including 900 total revisions, 171 large partial revisions (revision of either femoral or tibia component) and 368 revisions of unicompartmental knee arthroplasty (UKA) to total knee arthroplasty (TKA). Mean age was 65 years (SD 10.9) and 66% were females. Mean LOS was 3.7 days (SD 3.9) in the study period, but decreased to 2.4 days (SD 1.3) in 2018. Risk factors for LOS > 5 days was >= 1 previous revision, use of walking aid, BMI > 35, ages < 50, 70-79 and >= 80 years, whereas revision of UKA to TKA and large partial revision were negatively associated. The 90-day readmission and mortality risk was 9.1% and 0.5%. Cardiac disease and use of walking aid were associated with increased risk of readmission

Conclusion: Elective aseptic major component revision knee arthroplasty using similar fast-track protocols as in primary TKA is safe with short and decreasing LOS. (C) 2021 The Authors. Published by Elsevier B.V.

Original language	English
Journal	Knee
Volume	34
Pages (from-to)	24-33
Number of pages	10
ISSN	0968-0160
DOIs	https://doi.org/10.1016/j.knee.2021.09.001
Publication status	Published - Jan 2022

Keywords

Revision knee arthroplasty
Knee replacement
Fast-track
Rapid recovery
Safety
Readmissions
LENGTH-OF-STAY
POSTOPERATIVE MORBIDITY
HIP-ARTHROPLASTY
REGISTRY

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10.1016/j.knee.2021.09.001Licence: CC BY

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Cite this

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title = "Fast-track revision knee arthroplasty.",

abstract = "Background: Limited data exist on fast-track protocols in relation to revision knee arthroplasty. Hence, the aim of this study was to report length of stay (LOS), risk of LOS > 5 days and readmissionMethods: An observational cohort study from the Centre for Fast-track Hip and Knee Replacement and the Danish Knee Arthroplasty Register. We included elective aseptic major component revision knee arthroplasties consecutively from 6 dedicated fast-track centers from 2010 to 2018.Results: 1439 revision knee arthroplasties were analyzed, including 900 total revisions, 171 large partial revisions (revision of either femoral or tibia component) and 368 revisions of unicompartmental knee arthroplasty (UKA) to total knee arthroplasty (TKA). Mean age was 65 years (SD 10.9) and 66% were females. Mean LOS was 3.7 days (SD 3.9) in the study period, but decreased to 2.4 days (SD 1.3) in 2018. Risk factors for LOS > 5 days was >= 1 previous revision, use of walking aid, BMI > 35, ages < 50, 70-79 and >= 80 years, whereas revision of UKA to TKA and large partial revision were negatively associated. The 90-day readmission and mortality risk was 9.1% and 0.5%. Cardiac disease and use of walking aid were associated with increased risk of readmissionConclusion: Elective aseptic major component revision knee arthroplasty using similar fast-track protocols as in primary TKA is safe with short and decreasing LOS. (C) 2021 The Authors. Published by Elsevier B.V.",

keywords = "Revision knee arthroplasty, Knee replacement, Fast-track, Rapid recovery, Safety, Readmissions, LENGTH-OF-STAY, POSTOPERATIVE MORBIDITY, HIP-ARTHROPLASTY, REGISTRY",

author = "Martin Lindberg-Larsen and Petersen, {Pelle Baggesgaard} and Yasemin Corap and Kirill Gromov and Jorgensen, {Christoffer Calov} and Henrik Kehlet and {Ctr Fast-track Hip} and {Knee Replacement Collaborating Grp}",

year = "2022",

month = jan,

doi = "10.1016/j.knee.2021.09.001",

language = "English",

volume = "34",

pages = "24--33",

journal = "Knee",

issn = "0968-0160",

publisher = "Elsevier",

}

TY - JOUR

T1 - Fast-track revision knee arthroplasty.

AU - Lindberg-Larsen, Martin

AU - Petersen, Pelle Baggesgaard

AU - Corap, Yasemin

AU - Gromov, Kirill

AU - Jorgensen, Christoffer Calov

AU - Kehlet, Henrik

AU - Ctr Fast-track Hip

AU - Knee Replacement Collaborating Grp

PY - 2022/1

Y1 - 2022/1

N2 - Background: Limited data exist on fast-track protocols in relation to revision knee arthroplasty. Hence, the aim of this study was to report length of stay (LOS), risk of LOS > 5 days and readmissionMethods: An observational cohort study from the Centre for Fast-track Hip and Knee Replacement and the Danish Knee Arthroplasty Register. We included elective aseptic major component revision knee arthroplasties consecutively from 6 dedicated fast-track centers from 2010 to 2018.Results: 1439 revision knee arthroplasties were analyzed, including 900 total revisions, 171 large partial revisions (revision of either femoral or tibia component) and 368 revisions of unicompartmental knee arthroplasty (UKA) to total knee arthroplasty (TKA). Mean age was 65 years (SD 10.9) and 66% were females. Mean LOS was 3.7 days (SD 3.9) in the study period, but decreased to 2.4 days (SD 1.3) in 2018. Risk factors for LOS > 5 days was >= 1 previous revision, use of walking aid, BMI > 35, ages < 50, 70-79 and >= 80 years, whereas revision of UKA to TKA and large partial revision were negatively associated. The 90-day readmission and mortality risk was 9.1% and 0.5%. Cardiac disease and use of walking aid were associated with increased risk of readmissionConclusion: Elective aseptic major component revision knee arthroplasty using similar fast-track protocols as in primary TKA is safe with short and decreasing LOS. (C) 2021 The Authors. Published by Elsevier B.V.

AB - Background: Limited data exist on fast-track protocols in relation to revision knee arthroplasty. Hence, the aim of this study was to report length of stay (LOS), risk of LOS > 5 days and readmissionMethods: An observational cohort study from the Centre for Fast-track Hip and Knee Replacement and the Danish Knee Arthroplasty Register. We included elective aseptic major component revision knee arthroplasties consecutively from 6 dedicated fast-track centers from 2010 to 2018.Results: 1439 revision knee arthroplasties were analyzed, including 900 total revisions, 171 large partial revisions (revision of either femoral or tibia component) and 368 revisions of unicompartmental knee arthroplasty (UKA) to total knee arthroplasty (TKA). Mean age was 65 years (SD 10.9) and 66% were females. Mean LOS was 3.7 days (SD 3.9) in the study period, but decreased to 2.4 days (SD 1.3) in 2018. Risk factors for LOS > 5 days was >= 1 previous revision, use of walking aid, BMI > 35, ages < 50, 70-79 and >= 80 years, whereas revision of UKA to TKA and large partial revision were negatively associated. The 90-day readmission and mortality risk was 9.1% and 0.5%. Cardiac disease and use of walking aid were associated with increased risk of readmissionConclusion: Elective aseptic major component revision knee arthroplasty using similar fast-track protocols as in primary TKA is safe with short and decreasing LOS. (C) 2021 The Authors. Published by Elsevier B.V.

KW - Revision knee arthroplasty

KW - Knee replacement

KW - Fast-track

KW - Rapid recovery

KW - Safety

KW - Readmissions

KW - LENGTH-OF-STAY

KW - POSTOPERATIVE MORBIDITY

KW - HIP-ARTHROPLASTY

KW - REGISTRY

U2 - 10.1016/j.knee.2021.09.001

DO - 10.1016/j.knee.2021.09.001

M3 - Journal article

C2 - 34894588

VL - 34

SP - 24

EP - 33

JO - Knee

JF - Knee

SN - 0968-0160

ER -