Nag DS, Swain A, Sahu S, Sahoo A, Wadhwa G. Multidisciplinary approach toward enhanced recovery after surgery for total knee arthroplasty improves outcomes. World J Clin Cases 2024; 12(9): 1549-1554 [PMID: 38576736 DOI: 10.12998/wjcc.v12.i9.1549]
Corresponding Author of This Article
Deb Sanjay Nag, MBBS, MD, Doctor, Department of Anaesthesiology, Tata Main Hospital, C Road West, Northern Town, Bistupur, Jamshedpur 831001, India. ds.nag@tatasteel.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Deb Sanjay Nag, Amlan Swain, Seelora Sahu, Gunjan Wadhwa, Department of Anaesthesiology, Tata Main Hospital, Jamshedpur 831001, India
Ayaskant Sahoo, Department of Anaesthesiology, Manipal Tata Medical College, Jamshedpur 831001, India
Author contributions: Nag DS, Swain A, Sahu S, Sahoo A, Wadhwa G contributed to this paper; Nag DS and Swain A designed the overall concept and outline of the manuscript; Sahu S, Sahoo A and Wadhwa G contributed to the discussion and design of the manuscript; Nag DS, Swain A, Sahu S, Sahoo A and Wadhwa G contributed to the writing, and editing the manuscript and review of literature.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Deb Sanjay Nag, MBBS, MD, Doctor, Department of Anaesthesiology, Tata Main Hospital, C Road West, Northern Town, Bistupur, Jamshedpur 831001, India. ds.nag@tatasteel.com
Received: November 30, 2023 Peer-review started: November 30, 2023 First decision: January 17, 2024 Revised: January 26, 2024 Accepted: February 28, 2024 Article in press: February 28, 2024 Published online: March 26, 2024
Abstract
Knee osteoarthritis is a degenerative disorder of the knee, which leads to joint pain, stiffness, and inactivity and significantly affects the quality of life. With an increased prevalence of obesity and greater life expectancies, total knee arthroplasty (TKA) is now one of the major arthroplasty surgeries performed for knee osteoarthritis. When enhanced recovery after surgery (ERAS) was introduced in TKA, clinical outcomes were enhanced and the economic burden on the healthcare system was reduced. ERAS is an evidence-based scientific protocol aimed at ameliorating the surgical stress response. ERAS aims to enhance the recovery phase, which encompasses multidisciplinary strategies at every step of perioperative care, including the rehabilitation phase. Implementation of ERAS in TKA aids in reducing the length of hospital stay, improving pain management, reducing perioperative complications, and enhancing patient satisfaction. Multidisciplinary collaboration, integrating the expertise of anesthesiologists, orthopedic surgeons, nursing personnel, and other healthcare professionals, is the cornerstone of ERAS in patients undergoing TKA.
Core Tip: Current evidence shows that a protocolized approach toward enhanced recovery after surgery with multidisciplinary collaboration improves outcomes following total knee arthroplasty (TKA). As healthcare professionals continue to refine and evolve enhanced recovery after surgery (ERAS) protocols in patients undergoing TKA, the integration of multidisciplinary teams in ERAS implementation is critical to achieving optimal patient outcomes.
