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Implementation of an accelerated mobilization protocol following primary total hip arthroplasty: impact on length of stay and disposition

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Abstract

With improvements in surgical techniques, implant design, and patient caremaps, surgeons have sought to accelerate early rehabilitation after total hip arthroplasty. Many authors have reported results of fundamentally similar protocols to achieve this end. These protocols focus on multi-modal pain management, early therapy, tissue-preserving surgical technique, and careful blood management. We present the implementation and results of such a protocol involving a different surgical approach, and highlight the published literature on this topic.

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Acknowledgements

To George Babikian, MD of Orthopedic Associates of Portland, Portland ME, and to Nora Bowne, RN of Maine Medical Center, Portland, ME.

Disclosure

S. Wellman: none; A. Murphy: none; D. Gulczynski: none; S. Murphy: Consultant to Ceramtec, GmbH; patents and royalties from Wright Medical Technology, Inc.; holds stock/stock options in Surgical Planning Associates, Inc.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Duke University Medical Center, Box 3447, Durham, NC, 27710, USA

    Samuel S. Wellman

  2. The Center for Computer Assisted and Reconstructive Surgery, New England Baptist Hospital, Tufts University School of Medicine, Boston, MA, USA

    Andrew C. Murphy, Diane Gulcynski & Stephen B. Murphy

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  1. Samuel S. Wellman
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  2. Andrew C. Murphy
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  3. Diane Gulcynski
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  4. Stephen B. Murphy
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Correspondence to Samuel S. Wellman.

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Wellman, S.S., Murphy, A.C., Gulcynski, D. et al. Implementation of an accelerated mobilization protocol following primary total hip arthroplasty: impact on length of stay and disposition. Curr Rev Musculoskelet Med 4, 84–90 (2011). https://doi.org/10.1007/s12178-011-9091-x

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  • DOI: https://doi.org/10.1007/s12178-011-9091-x

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