Sijbrandij, W. (Wiljo) (2018) FAST-Track protocol bij totale heup prothese : Reductie opnameduur en pijn bij combineren Fast-Track protocol met de direct superior approach. thesis, Medicine.
Full text available on request.Abstract
Introduction and objectives - In the last few years, many Fast-Track protocols have been successfully introduced in total hip arthroplasty (THA). However, not in combination with the direct superior approach (DSA). Recently an optimisation of the posterolateral approach, the DSA has been introduced. The DSA seems to provide more hip stability and faster postoperative recovery. The aim of this study was to evaluate the introduction of a Fast-Track method combined with a DSA compared to the standard protocol in THA. Methods - This retrospective cohort study includes a Fast-Track and a matched control group. 31 Fast-Track patients and 31 controls were included. We compared; postoperative pain (NRS), postoperative nausea, urinary retention on the elimination of CAD use in Fast-Tracking, length of stay in hospital and patient satisfaction. Results - The mean pain of the Fast-Track group in rest and action on day 0 were; 1,6 and 2,0. This was significantly lower than the control group (2,3; p=0.015 and 3,7; p=0.003). In this cohort, 46,7% had postoperative nausea in both groups. 6,7% of the Fast-Track group developed postoperative urinary retention. Length of stay of the Fast-Track group was 1,7 days. That was significantly shorter compared to the control group (2,4 days; p =0.009). The mean patient satisfaction of the Fast-Track group was 8,7. That was significant shorter compared to the control group (8,9; p=0.430). Conclusions - The effect of Fast-Track implementation combined with a DSA versus standard protocol combined with a posterolateral approach in THA demonstrates significantly better outcome in pain on the day of surgery and length of hospital stay. With low incidence of postoperative urinary retention and a high patient satisfaction. We found no differences in postoperative nausea.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultair begeleider: and Zijlstra, Dr. W.P. and orthopedisch chirurg, Medisch Centrum Leeuwarden |
| Supervisor name: | Tweede begeleider: and Dijkstra, Drs. B. onderzoekscoördinator |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:47 |
| Last Modified: | 25 Jun 2020 10:47 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/822 |
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