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The Preoperative Clinical Pathway

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Rapid Recovery in Total Joint Arthroplasty

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Abstract

Total joint arthroplasty (TJA) remains one of the most common and successful procedures performed in the United States. Improving outcomes, decreasing complications, and minimizing costs have been increasingly emphasized with the shift to alternative payment models. Rapid recovery clinical pathways have led to decreased hospital length of stay, decreased readmissions, increased patient satisfaction, and decreased costs. The preoperative pathway is critical to the success of rapid recovery after total joint arthroplasty. This pathway involves the proper selection of patients suitable for rapid recovery, optimization of modifiable risk factors, and preoperative education. Successful participation in rapid recovery protocols involves a multidisciplinary approach and is critical to the success of total joint arthroplasty.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    Asa Shnaekel, Jeffrey Stambough, Paul Edwards, C. Lowry Barnes & Simon Mears

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  1. Asa Shnaekel
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  2. Jeffrey Stambough
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  3. Paul Edwards
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Correspondence to Simon Mears .

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  1. Northwell Orthopedic Institute, New York, NY, USA

    Giles R. Scuderi

  2. The Orthopaedic Center of New Jersey, Somerset, NJ, USA

    Alfred J. Tria

  3. Hospital for Special Surgery, New York, NY, USA

    Fred D. Cushner

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Shnaekel, A., Stambough, J., Edwards, P., Barnes, C.L., Mears, S. (2020). The Preoperative Clinical Pathway. In: Scuderi, G., Tria, A., Cushner, F. (eds) Rapid Recovery in Total Joint Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-41223-4_9

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