Implementation of an accelerated mobilization protocol following primary total hip arthroplasty: impact on length of stay and disposition
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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.
KeywordsTotal hip arthroplasty Rehabilitation Accelerated mobilization protocol
To George Babikian, MD of Orthopedic Associates of Portland, Portland ME, and to Nora Bowne, RN of Maine Medical Center, Portland, ME.
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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