Abstract
Purpose: The NHS continues to adopt ways to safely reduce the length of stay (LOS) following surgery. This audit assesses the impact of the introduction of an innovative pathway for total knee replacement (TKR) allowing early mobilisation and a timely discharge. This followed the success of a similar pathway for unicompartmental knee replacement (UKR) which successfully reduced the LOS with no increase in complications (Jenkins et al., 2019). This new TKR pathway would be compared to previous standard care in terms of day of discharge and post-operative range of movement. In our centre we perform approximately 850 knee replacements a year, so any improvements in LOS would bring significant benefits for patients and the service. We were conscious that increasing our productivity and reducing the LOS would not be at the expense of increased readmission rates or adverse events and these were closely monitored over this period.
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