title: Fast-track revision knee arthroplasty. A feasibility study.
abstract: OBJECTIVE
  Fast-track surgery has reduced the length of hospital stay (LOS), morbidity, and convalescence in primary hip and knee arthroplasty (TKA). We assessed whether patients undergoing revision TKA for non-septic indications might also benefit from fast-track surgery.
  
  
  METHODS
  29 patients were operated with 30 revision arthroplasties. Median age was 67 (34-84) years. All patients followed a standardized fast-track set-up designed for primary TKA. We determined the outcome regarding LOS, morbidity, mortality, and satisfaction.
  
  
  RESULTS
  Median LOS was 2 (1-4) days excluding 1 patient, who was transferred to another hospital for logistical reasons (10 days). None of the patients died within 3 months, and 3 patients were re-admitted (2 for suspicion of DVT, which was not found, and 1 for joint mobilization). Patient satisfaction was high.
  
  
  CONCLUSIONS
  Patients undergoing revision TKA for non-septic reasons may be included in fast-track protocols. Outcome appears to be similar to that of primary TKA regarding LOS, morbidity, and satisfaction. Our findings call for larger confirmatory studies and studies involving other indications (revision THA, 1-stage septic revisions).
authors.affiliation: Department of Orthopedic Surgery. Hvidovre University Hospital, Copenhagen, Denmark. henrikhusted@dadlnet.dk
authors.forename: Henrik
authors.initials: H
authors.lastname: Husted
authors.forename: Kristian S
authors.initials: KS
authors.lastname: Otte
authors.forename: Billy B
authors.initials: BB
authors.lastname: Kristensen
authors.forename: Henrik
authors.initials: H
authors.lastname: Kehlet
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011475:Prosthesis Failure; D012086:Reoperation