This case controlled study will evaluate patients who have been operated for unilateral UKA and followed the Rapid Recovery- or the Day Care Surgery pathway, all operated by one single experienced knee arthroplasty surgeon (NK). All data will be obtained from the patient records.
Conditions
Interventions
As part of the pathway, 6 weeks before surgery patients visit the “Joint school” to get familiar with the postoperative exercises, the training program and walking (stairs) with crutches under the s
Signature, Biomet, Warsaw INC) without tourniquete and received the uncemented Oxford partial knee implant (Biomet, Warsaw INC). Intra operatively, a long acting analgesia (150ml Ropivacaine (2mg/ml)
Sponsors
non to be reported
Eligibility
Inclusion criteria
Inclusion criteria: Completed the full follow up (1Y) Complete data Patient who followed the Day Care Surgery- or the Rapid Recovery pathway
Exclusion criteria
Exclusion criteria: Patients who did not complete the full follow up (1Y) Incomplete data Patient did not follow the Day Care Surgery- or the Rapid Recovery pathway
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety Complications and readmissions are recorded in the patients record. Complications are classified as surgical related (infection), patient related (trombo embolic complication and wound problems) or prosthesis related (loosening). | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy Pain Pain is measured using a visual analog scale (VAS; 0 to 100, 100 being most pain). VAS is obtained before and after the first mobilization. Post operative nausea and vomiting are recorded (PONV) in the patients clinical report. VAS pain score and PONV are measured direct post operatively and 3 times daily at 8:00, 16:00 and 22:00 hours over the first 48 hours post operatively using pain and PONV diaries for each patient. Early mobilization will be evaluated. Exercises started within six hours post operative. Under supervision of a physiotherapist, individual physiotherapy is appplied. Length of hospital stay (in minutes and days) is registered. All patients are familiar with the discharge criteria. If these criteria are achieved, they were discharged. Discharge criteria are examined by the ward doctor. During the practice sessions each patient is evaluated if the discharge criteria were achieved. If there is any deterioration or a lack of progress in the function occurs, the ward doctor or operating surgeon is consulted. Before discharge from the hospital, all patients received instructions for wound care and self learning administering syringes against thrombosis. All patients are discharged to their home environment. Questionnaires During the full follow up patients had to fill in 3 different questionnaires; The Western Ontario And McMaster Universities Arthritis Index (WOMAC) 0 to 100, 100 being the best outcome Pain Visual Analogue Scale (Pain VAS) 0 to 10, 10 being most pain The Oxford Knee Score (OHS)0 to 48, 48 being the best outcome | — |
Contacts
Public ContactM.G.M. Schotanus
Department of Orthopedic Surgery, Orbis Medisch Centrum dr H vd Hoffplein 1
Outcome results
None listed