Enhanced Recovery After Hip or Knee Replacement Surgery

Enhanced recovery after surgery (ERAS) is a programme that aims to improve the care of elective surgical patients. ERAS was initially developed for major gastro-intestinal procedures but have been adjusted for major Orthopaedic procedures.It has been utilised at many units.

Accelerated care pathways are delivered using a multidisciplinary approach, leading to reduced lengths of hospital stay, improved quality of treatment, and better outcomes.

The patient-centred Enhanced Recovery After Surgery (ERAS) pathway was established to improve clinical outcomes aims to ensure:


  • patients are in the best possible condition for surgery
  • best possible management during and after operations for patients
  • best possible rehabilitation after surgery.
  • faster recovery and return to home, sport and work earlier.

The patient is encouraged to be a partner in his or her own care and recovery.

The approach starts when it is first decided a person needs surgery and continues through to their rehabilitation at home, return to sport or work. A significant body of evidence indicates that ERAS protocols lead to improved outcomes and that has also been the experience in hip and knee operations.

The multidisciplinary team consist of the surgeon, anaesthetist, physiotherapist, nursing staff and general practitioner as well as patient and family.

The patient is informed on expectations, anaesthetic and surgical techniques focus on early mobilisationand accelerated recovery.

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