This book brings together a comprehensive set of chapters that cover the basic principles of fast track surgery, clinical enhancements, but also important aspects of project management and change management in Hip and Knee Arthroplasty.
Although the value of care pathways and fast track surgery are probably well known by almost everyone, there are still too many differences in arthroplasty care not only around the world, but also within countries. How can it be that the fast track principles are implemented so poorly? Probably because it looks so simple, yet it’s so complex that many doctors don’t know where to start.
This handy book, published in collaboration with ESSKA, provides an easy-to-consult guide that summarize the most important notions in a concise, accessible way.
Inhoudsopgave
51 chapters
General section. Why Orthopedic Surgeons should be very cautious with Quality Improvement without proper instruments; Quality systems are not your enemy.- We need leaders to lead progress; How to be successful in change management within a hospital environment.- The importance and History of Care pathways.- Patient Engagement Platforms in Fast Track surgery; streamline the process, reduce unnecessary costs and improve patient outcomes.- How does Computer Assisted surgery fit in the Fast Track philosophy?.- The era of Data driven Health Care.- PROMs/PREMs/PROMIS.- The efficient operating room; OR-efficiency.- Daycare surgery, the holy grail of Fast Track surgery?.- Fast track in challenging markets; local setting should not be a limitation.- Sustainable health care. Pre OR. Targeted Patient Information & Shared decision making in arthroplasty.- Quantifying and managing patient expectations in arthroplasty.- Pre-op planning of THA (conventional software, PSI, RAS).- Pre-op planning of TKA (conventional software, PSI, RAS).- Correlation of ASA scale with complications, outcomes and revision.- Nutritional status & arthroplasty: Malnutrituion and obesity.- Smoking, alcohol consumption and drug abuse in arthroplasty patients.- Mental status and arthroplasty.- Diabetes and arthroplasty.- Renal disease, dialysis and transplantation in arthroplasty patients.- Pre-operative considerations in rheumatoid arthrtitis and other inflammatory arthrides.- Cardiopulmonary disease and arthroplasty.- Preoperative management of anti-coagulation in arthroplasty.- Preoperative anemia and blood management strategies.- Hepatic disease and transplantation in arthroplasty patients.- Screening and optimization for prevention of infection: Eradication of distant infection, bacterial carriers, antiseptic body wash.- Steroid injections prior to arthroplasty.- Preoperative physiotherapy in arthroplasty.- Influence of patient demographicson the outcome of arthroplasty (age, gender, socio-economic status, insurance).- Considerations for arthroplasty in secondary arthritis : Sickle cell disease, Paget’s disease, Parkinson’s disease, post-traumatic arthritis and chronic neurological disorders.- Workup of patient with suspected metal hypersensitivity.- Workup of patient with hip spine syndrome.Peri-operative. Preemptive analgesia in total joint arthroplasty.- The role of regional and general anesthesia in Hip and Knee Arthroplasty.- Local infiltration analgesia (LIA): techniques, efficacy and safety.- Reducing blood transfusions: a multimodal surgeon-anesthesiologist approach.- Urinary catheter protocols and intravenous homeostasis support.- Antibiotic prophylaxis protocols in 2021.- Operating room environment.- Wound management from incision to closure: antibiofilm strategies.- Total knee arthroplasty surgical technique between tradition and innovation.- Total hip arthroplasty surgical approaches: optimizing the outcome. Post operative. The importance of (early)Mobilisation protocol.- Is there a role of Continous Passive Motion (CPM) in Fast Track surgery?.- Should we use Cryotherapy?.- Role of Physical Therapy in the postoperative phase after arthroplasty.- The postoperative Knee function and mobilization under anesthesia.- How to deal with Wound leakage.- The importance of Discharge criteria.- (Extend) thromboprophylaxis in fast track surgery.- In conclusion.
Over de auteur
Nanne Kort is an orthopedic surgeon and medical director of Corto Clinics. Corto Clinics is the first orthopedic clinic in Europe dedicated exclusively to hip and knee osteoarthritis. He was born in Curacao, he attended medical school at the University of Utrecht and did his orthopedic residency at Groningen. In 2007 he defended his Ph D on unicompartmental knee arthroplasty. He is a board-certified orthopedic surgeon specializing in adult hip and knee reconstruction. Dr. Kort is active within ISAKOS, ESSKA and European Knee Associates, which he chaired from 2018-2020. Dr Nanne Kort is an authority on the conservative and operative treatment of hip and knee osteoarthritis. He also gives lectures throughout Europe on digitization in orthopedic healthcare and optimizing care plans. In 2018, he realized his dream of establishing his orthopedic center: Corto Clinics.
Michael T. Hirschmann is an affiliated professor at Basel University and head of orthopaedic surgery and traumatology at Kantonsspital Baselland, Bruderholz, Switzerland. He is also the medical director of the center of musculoskeletal diseases at Bruderholz and serves as head of a research group at department of clinical research (DKF) at University of Basel, Switzerland focusing on the knee joint. He has published over 300 academic publications in knee surgery as well as several textbooks focused on knee related research. His research focus has been on diagnostics and treatment of knee injuries involving the cartilage, meniscus or ligaments, diagnostics and treatment of patients with OA and in particular on unhappy patients after knee arthroplasty surgery. Another major research focus lies on the evaluation and development of 3D imaging such as CT, MRI and SPECT/CT on orthopaedic purposes. He is considered a leading authority on knee injuries and degenerative knee problems as this is a substantial portion of his clinical practice. He has spoken widely across the globe on evidence-based approaches to diagnose and treat knee related problems such as knee injuries or osteoarthritis. For his research and contributions Prof. Hirschmann has received more than 50 national and international awards among those the Swiss Quality Award, the ESSKAR or AAOS best scientific exhibit award.
Rafael Sierra is an orthopedic surgeon and Chair, Division of Adult Reconstruction, at Mayo Clinic where he has won awards and currently serves on several committees. He attended medical school in Colombia, performed a research fellowship at the University of Miami, completed his residency at Mayo Clinic, and completed a European fellowship in hip reconstruction. He is a board-certified orthopedic surgeon specializing in adult hip and knee reconstruction, reimplantation, and infection. Dr. Sierra is a member of Advanced Network for Conservation of Hip Outcomes Research, American Academy of Orthopaedic Surgeons, American Association of Hip & Knee Surgeons, American Medical Association, Colombian Orthopedic Society and SCCOT, Maurice E. Muller Foundation of North America, and Mid-America Orthopaedic Association. His research interests are femoroacetabular impingement, osteonecrosis of the femoral head, young hip disorders, and prospective randomized trials in hip arthroplasty on which he has written several papers and given talks around the world. Dr. Sierra currently resides in Rochester, Minnesota, with his wife and two children.
Martin Thaler works at the Medical University of Innsbruck at the Department of Orthopedics. He is the deputy director of the Orthopaedic and Trauma department, the largest one in Austria. He is an orthopedic and trauma surgeon, specialized on hip pathologies and oncology. As an Associate Professor of Orthopedic Surgery at the Medical University of Innsbruck, Martin Thaler trains residents and colleagues from all over the world in hip courses held in Innsbruck. He is incharge for student education in orthopedics at the University. Martin Thaler has a background in financing, having received a Master’s degree in managing from the University of Krems. He finished also a Master´s degree in Business Administration from the Middlesex University London. His areas of expertise include minimally invasive total hip replacements, complex revision surgery, femuroacetabular impingement surgery, oncologic surgery as well as fracture treatment of the hip. As the head of the certified arthroplasty center Innsbruck and the hip and tumor team. He is the treasurer of the European Hip Society (EHS) and member of other important orthopaedic societies (AAOS, AAHKS, EMSOS, AMSOS, ÖGO, ICJR, ISOLS). He published around 100 peer reviewed papers and contributed to many orthopaedic books. He is an international well known speaker for arthroplasty.
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