Abstract:

BACKGROUND: In recent years, some domestic hospitals focus on the research and application of fast track surgery. 
OBJECTIVE: To study the clinical effect of fast track surgery in patients with total knee replacement.
METHODS: Totally 45 cases with knee osteoarthritis were treated with total knee replacement, and then preoperative, intraoperative and postoperative measures were taken in accordance with the concept of fast track surgery. Knee function and pain were evaluated using HSS, range of motion and visual analog scale pain scores.
RESULTS AND CONCLUSION: The average postoperative range of motion and HSS score were significantly higher than the preoperative levels, while the postoperative visual analog scale pain scores were evidently lower than the preoperative ones, which demonstrating the knee function recovery and pain relief were rapid and well. There were no complications in infection, deep vein thrombosis and pulmonary embolism. The application of fast track surgery in total knee replacement can improve the score of HSS, range of motion and visual analog scale, decrease the complication and surgical stress, accelerate rehabilitation of patients and enhance the therapeutic effect.