Application of enhanced recovery after surgery in total knee arthroplasty in patients with haemophilia A: A pilot study.
Yan Wu, Haipeng Xue, Wenqiang Zhang and 3 others
PMID 33318814WHAT IT FOUND
Patients with haemophilia A recovering from knee replacement had shorter hospital stays, less pain, and better joint function scores when receiving enhanced recovery protocols compared to routine nursing.
Key findings
01Enhanced recovery protocols reduced postoperative hospital stay from 16.6 days to 14.2 days.
02Patients receiving enhanced recovery reported lower pain scores and required fewer analgesic administrations.
03Joint function scores were significantly better at 3 and 7 days post-surgery in the enhanced recovery group.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPsWhat it means for RNs
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What it does not show
The study was a single-center pilot with a small sample size (32 patients). Surgeons and nurses were not blinded to the intervention, which could influence care delivery and outcome assessment. The study only assessed short-term hospitalization indicators and did not evaluate long-term outcomes. Patients undergoing simultaneous hip and knee replacement were excluded, limiting generalizability to more complex cases.
Declared interests
The authors declare no competing interests.
The easy way to misread this
Do not interpret the lack of significant differences in haemoglobin levels or complication rates as proof that enhanced recovery is equally safe for all bleeding risks, as the study was underpowered to detect rare adverse events or small differences in bleeding outcomes.