[Results and lessons learned in fast-track arthroplasty].

Abstract

Fast-track concepts in arthroplasty are understood as programs to optimize and homogenize perioperative procedures. With few exceptions, the literature reports areduction in hospitalization time, adecrease in mortality and complications, earlier mobilization, and increased patient satisfaction through fast-track programs. The implementation of afast-track concept requires the involvement and motivation of the entire treatment team, as the implementation of only individual components of afast-track program does not lead to the desired goal. Country-specific regulations must be taken into account when evaluating fast-track programs. In particular, long-term results are also lacking. For Germany, ascientific review is still pending. Modified perioperative measures but also ashortening of an inpatient stay must not reduce the currently existing high quality of care in arthroplasty. Apossible reduction in the length of inpatient stay implies acompression, but not necessarily areduction in the perioperative care required for apatient. For this reason, the surrounding conditions must also be created at apolitical level in the future to enable the achievement of the desired high quality.