{"id":"https://openalex.org/W2328568264","doi":null,"title":"A MULTIMODAL REGIME ALLOWING EARLY MOBILISATION AND DISCHARGE FOLLOWING TOTAL KNEE ARTHROPLASTY","display_name":"A MULTIMODAL REGIME ALLOWING EARLY MOBILISATION AND DISCHARGE FOLLOWING TOTAL KNEE ARTHROPLASTY","publication_year":2012,"publication_date":"2012-03-01","ids":{"openalex":"https://openalex.org/W2328568264","mag":"2328568264"},"language":"en","primary_location":{"id":"mag:2328568264","doi":null,"is_oa":false,"landing_page_url":"http://bjjprocs.boneandjoint.org.uk/content/94-B/SUPP_XXI/18.e-letters","pdf_url":null,"source":{"id":"https://openalex.org/S4387287184","display_name":"Orthopaedic Proceedings","issn_l":"1358-992X","issn":["1358-992X","2049-4416"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Orthopaedic Proceedings","raw_type":null},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069372532","display_name":"Deborah J. MacDonald","orcid":"https://orcid.org/0000-0003-2682-1408","observed_orcids":["https://orcid.org/0000-0003-2682-1408"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Deborah J. MacDonald","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-2682-1408","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034418383","display_name":"David A. McDonald","orcid":"https://orcid.org/0000-0002-9805-7720","observed_orcids":["https://orcid.org/0000-0002-9805-7720"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David McDonald","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-9805-7720","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089163559","display_name":"R. Siegmeth","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"R. Siegmeth","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083935713","display_name":"Heather Monaghan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Heather Monaghan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102883370","display_name":"A.H. Deakin","orcid":"https://orcid.org/0000-0003-2993-5355","observed_orcids":["https://orcid.org/0000-0003-2993-5355"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A.H. Deakin","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-2993-5355","affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Neil Scott","orcid":"https://orcid.org/0000-0002-8067-9660","observed_orcids":["https://orcid.org/0000-0002-8067-9660"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Neil Scott","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-8067-9660","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5109969896","display_name":"Andrew W.G. Kinninmonth","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A.W.G. Kinninmonth","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"003","last_page":"003"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.7900000214576721,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.7900000214576721,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.20059999823570251,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":1.0},{"id":"https://openalex.org/keywords/multimodal-analgesia","display_name":"multimodal analgesia","score":0.9269999861717224},{"id":"https://openalex.org/keywords/early-mobilization","display_name":"early mobilization","score":0.8759999871253967},{"id":"https://openalex.org/keywords/early-hospital-discharge","display_name":"early discharge","score":0.7609999775886536},{"id":"https://openalex.org/keywords/postoperative-pain-management","display_name":"postoperative pain management","score":0.6669999957084656},{"id":"https://openalex.org/keywords/epidural-analgesia","display_name":"epidural analgesia","score":0.7680000066757202},{"id":"https://openalex.org/keywords/propofol-sedation","display_name":"propofol sedation","score":0.9409999847412109},{"id":"https://openalex.org/keywords/preemptive-analgesia","display_name":"preemptive analgesia","score":0.8360000252723694},{"id":"https://openalex.org/keywords/wound-infiltration","display_name":"wound infiltration","score":0.6200000047683716},{"id":"https://openalex.org/keywords/knee-flexion","display_name":"knee flexion","score":0.6169999837875366},{"id":"https://openalex.org/keywords/oxford-score","display_name":"Oxford score","score":0.7059999704360962},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.875},{"id":"https://openalex.org/keywords/postoperative-nausea-and-vomiting","display_name":"postoperative nausea and vomiting","score":0.7440000176429749},{"id":"https://openalex.org/keywords/postoperative-infection","display_name":"postoperative infection","score":0.5839999914169312},{"id":"https://openalex.org/keywords/deep-vein-thrombosis","display_name":"deep vein thrombosis","score":0.8820000290870667},{"id":"https://openalex.org/keywords/pulmonary-embolism","display_name":"pulmonary embolism","score":0.9549999833106995}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9373345375061035},{"id":"https://openalex.org/C2780580376","wikidata":"https://www.wikidata.org/wiki/Q186889","display_name":"Nausea","level":2,"score":0.6942526698112488},{"id":"https://openalex.org/C2779091618","wikidata":"https://www.wikidata.org/wiki/Q1366695","display_name":"Urinary retention","level":2,"score":0.6411250829696655},{"id":"https://openalex.org/C2780852908","wikidata":"https://www.wikidata.org/wiki/Q127076","display_name":"Vomiting","level":2,"score":0.5951541066169739},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.5847072601318359},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.5475167632102966},{"id":"https://openalex.org/C2780269707","wikidata":"https://www.wikidata.org/wiki/Q279504","display_name":"Ropivacaine","level":2,"score":0.5434039831161499},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5207141041755676},{"id":"https://openalex.org/C2776814716","wikidata":"https://www.wikidata.org/wiki/Q574801","display_name":"Sedation","level":2,"score":0.515070378780365},{"id":"https://openalex.org/C2781267111","wikidata":"https://www.wikidata.org/wiki/Q652297","display_name":"Catheter","level":2,"score":0.42658331990242004}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:2328568264","doi":null,"is_oa":false,"landing_page_url":"http://bjjprocs.boneandjoint.org.uk/content/94-B/SUPP_XXI/18.e-letters","pdf_url":null,"source":{"id":"https://openalex.org/S4387287184","display_name":"Orthopaedic Proceedings","issn_l":"1358-992X","issn":["1358-992X","2049-4416"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Orthopaedic Proceedings","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2522708383","https://openalex.org/W2544167121","https://openalex.org/W2944419555","https://openalex.org/W2792921703","https://openalex.org/W4406654575","https://openalex.org/W1984007641","https://openalex.org/W2904496969","https://openalex.org/W2155361784","https://openalex.org/W7165917604","https://openalex.org/W7162118267"],"abstract_inverted_index":{"Patients":[0],"undergoing":[1,43],"total":[2],"knee":[3],"arthroplasty":[4],"(TKA)":[5],"experience":[6],"significant":[7],"post-operative":[8,74,144,156,265],"pain.":[9],"We":[10],"report":[11],"the":[12,92,168,249,298],"results":[13],"of":[14,31,40,94,139,164,170,174,196,213,222,300],"a":[15,55,216],"new":[16],"comprehensive":[17],"patient":[18,60],"care":[19],"plan":[20],"to":[21,108,141,237,286],"manage":[22],"peri-operative":[23],"pain,":[24],"enable":[25],"early":[26,85,268,281],"mobilisation":[27,151],"and":[28,48,84,112,127,131,160,172,205,248,251,256,271,292],"reduce":[29],"length":[30],"hospital":[32],"stay":[33],"in":[34,194,218],"TKA.":[35],"A":[37],"prospective":[38],"audit":[39],"1081":[41],"patients":[42,53,165,175,180,214],"primary":[44,88],"TKA":[45],"during":[46],"2008":[47],"2009":[49],"was":[50,91,143,152,188,192,201,246],"completed.":[51],"All":[52],"followed":[54],"planned":[56],"programme":[57],"including":[58],"pre-operative":[59],"education,":[61],"pre-emptive":[62],"analgesia,":[63,122],"spinal/epidural":[64],"anaesthesia":[65],"with":[66,80,280,297],"propofol":[67],"sedation,":[68],"intra-articular":[69,82,301],"soft":[70],"tissue":[71],"wound":[72],"infiltration,":[73],"high":[75],"volume":[76],"intermittent":[77],"ropivacaine":[78],"boluses":[79],"an":[81],"catheter":[83],"mobilisation.":[86],"The":[87,136,243],"outcome":[89],"measure":[90],"day":[93,138,145,158,161,169],"discharge":[95,126,140,204,272,282],"from":[96,234,273],"hospital.":[97,274],"Secondary":[98],"outcomes":[99],"were":[100,254],"verbal":[101],"rating":[102],"pain":[103,148],"scores":[104],"on":[105,150,167,203],"movement,":[106],"time":[107],"first":[109,155],"mobilisation,":[110],"nausea":[111,183],"vomiting":[113],"scores,":[114],"urinary":[115],"catheterisation":[116],"for":[117,120,154],"retention,":[118],"need":[119],"rescue":[121],"maximum":[123,199,219],"flexion":[124,200,220,287],"at":[125,207,226,239,289],"six":[128,208,227,240,290],"weeks":[129,209,241,291],"post-operatively,":[130],"Oxford":[132,230],"score":[133,149,231],"improvement.":[134],"median":[137],"home":[142],"four.":[146],"Median":[147,198,229],"three":[153],"night,":[157],"one":[159],"two.":[162],"35%":[163],"ambulated":[166],"surgery":[171],"95%":[173],"within":[176],"24":[177],"hours.":[178],"79%":[179],"experienced":[181],"no":[182],"or":[184],"vomiting.":[185],"Catheterisation":[186],"rate":[187,245],"6.9%.":[189],"Rescue":[190],"analgesia":[191,266],"required":[193],"5%":[195],"cases.":[197],"85\u00b0":[202],"93\u00b0":[206],"post-operatively.":[210,242],"Only":[211],"6.6%":[212],"had":[215,232],"reduction":[217],"(loss":[221],"more":[223],"than":[224],"5\u00b0)":[225],"weeks.":[228],"improved":[233],"42":[235],"pre-operatively":[236],"27":[238],"infection":[244,293],"0.7%":[247],"DVT":[250],"PTE":[252],"rates":[253,294],"0.6%":[255],"0.5%":[257],"respectively.":[258],"This":[260],"multidisciplinary":[261],"approach":[262],"provides":[263],"satisfactory":[264],"allowing":[267],"safe":[269],"ambulation":[270],"Anticipated":[275],"problems":[276],"did":[277],"not":[278,283,295],"arise,":[279],"being":[284],"detrimental":[285],"achieved":[288],"increasing":[296],"use":[299],"catheters.":[302]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2016-06-24T00:00:00"}