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Master Thesis

Retour sur expérience après deux ans d'exercice du protocole de réhabilitation accélérée après arthroplastie totale de genou au CHU de Caen : le PRACAN

Abstract : Introduction: the objective was to study the implementation of a fast-track procedure in the orthopaedic department. The main judgement factor was the quality and safety of care. Secondary judgment factors included MDS, functional results and satisfaction. Material and methods: historical-prospective, monocentric, multioperator cohort. That is 216 TKAs completed between January 2017 and December 2018. Surgery was usually performed in the usual way, an injection combining ropivacaine®, profenid® and adrenalin® was performed intraoperatively and on D+1 by a catheter. The walk was restarted at H4. Results: 138 women for 78 men, the average age was 69.23 years (± 7.80), the average BMI was 30.15 kg/m2 (± 4.79). On D28 there was 1.39% rehospitalization and 0.93% surgical resumption. On D90 there was 3.24% readmission for 2.78% recovery. The average hospital MDS was 3.17 days (± 1.59). The average VAS at D0 was 1.56 and 2.38 at D1; the average exit mobility was 97.59° (± 14.35°). 89.60% of patients advised their relatives about the protocol, 93% of caregivers. Conclusion: the PRACAN allows to keep the quality and safety of care while optimizing the performance and efficiency of the TKA procedure.
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https://dumas.ccsd.cnrs.fr/dumas-02330590
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Submitted on : Thursday, October 24, 2019 - 9:53:40 AM
Last modification on : Friday, April 10, 2020 - 4:51:51 PM
Long-term archiving on: : Saturday, January 25, 2020 - 1:12:50 PM

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  • HAL Id : dumas-02330590, version 1

Citation

Baptiste Picart. Retour sur expérience après deux ans d'exercice du protocole de réhabilitation accélérée après arthroplastie totale de genou au CHU de Caen : le PRACAN. Médecine humaine et pathologie. 2019. ⟨dumas-02330590⟩

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