手术准备

Overview

• Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
• A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
• Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
• Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
• Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
• Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
• A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
• Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].

Anatomy & Pathophysiology

• Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
• A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
• Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with the unique 'ripple effects' of same-day discharge [3].
• Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
• Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
• Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
• A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
• Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
• Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Classification

• Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
• A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
• Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
• Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
• Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
• Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
• A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
• Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
• Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Clinical Presentation

• Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
• A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
• Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
• Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
• Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
• Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
• A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
• Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
• Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Investigations

• Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
• A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
• Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
• Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
• Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
• Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
• A pilot randomized controlled trial is evaluating the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
• Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
• Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Treatment

• Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies were small, evidence quality was poor, and data were limited [1].
• A formal preoperative educational program can help to lower a patient's length of stay following hip or knee arthroplasty [2].
• Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
• Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
• Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
• Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
• A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
• Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
• Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Complications

• Preoperative opioid education showed some indication of favourable outcomes, though the number of studies was small, evidence quality was poor, and data were limited [1].
• A formal preoperative educational program can help lower a patient's length of stay following hip or knee arthroplasty [2].
• Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
• Patients' preoperative expectations of recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
• Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
• Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
• A pilot randomized controlled trial is evaluating the feasibility and satisfaction of the PREPS program for individuals undergoing shoulder replacement [7].
• Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction regarding femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
• Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Recovery

• Preoperative opioid education shows some indication of favourable outcomes following elective hand surgery, though the number of studies was small, evidence quality was poor, and data were limited [1].
• A formal preoperative educational program can help lower a patient's length of stay following hip or knee arthroplasty [2].
• Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with same-day discharge [3].
• Patients' preoperative expectations of their recovery from total hip arthroplasty (THA) or total knee arthroplasty (TKA) can be modified by preoperative educational classes [4].
• Maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust [5].
• Underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class during a surgical mission trip [6].
• A pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement [7].
• Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to femoroacetabular impingement (FAI) when compared with the use of CT imaging alone [8].
• Preoperative video counseling significantly decreased opioid consumption within the first week after total knee arthroplasty [9].

Key Evidence

• [L1] There was some indication of favourable outcomes following preoperative opioid education; however, the number of studies were small, the evidence quality was poor, and data were limited. [1] (10.1177/17589983241301449)
• [L3] A formal preoperative educational program can indeed help to lower a patient's length of stay. [2] (10.1016/j.arth.2009.03.012)
• [L5] Enhanced office and staff protocols that are proactive rather than reactive can provide a safe and successful outpatient experience by anticipating potential postoperative pitfalls associated with the unique 'ripple effects' of same-day discharge. [3] (10.1016/j.arth.2019.01.001)
• [L1] Patients' preoperative expectations of their recovery from THA or TKA can be modified by preoperative educational classes. [4] (10.1007/s11999-007-0052-z)
• [L5] The author emphasizes that maximizing opportunities to improve communication, learning from others, and treating patients as more than their radiographic findings can help improve patient outcomes and trust. [5] (10.2106/jbjs.24.01274)
• [L4] On this surgical mission trip, underserved patients' knowledge about total joint arthroplasty increased only modestly after taking a preoperative class. [6] (10.1016/j.arth.2020.04.084)
• [L2] This pilot randomized controlled trial will evaluate the feasibility and satisfaction of the PREPS program for individuals undergoing a shoulder replacement. [7] (10.1177/17589983251345393)
• [L2] Preoperative counseling with haptic 3D hip models does not appear to favorably affect patient-reported understanding or satisfaction with regard to FAI when compared with the use of CT imaging alone. [8] (10.1177/2325967118794645)
• [L1] This study found significantly decreased opioid consumption within the first week after TKA in patients who received preoperative video counseling. [9] (10.1016/j.arth.2024.02.027)

References

[1] The effect of preoperative interventions on postoperative outcomes following elective hand surgery: A systematic review. Hand Therapy. 2024. DOI: 10.1177/17589983241301449 [2] Patient Education Before Hip or Knee Arthroplasty Lowers Length of Stay. The Journal of Arthroplasty. 2010. DOI: 10.1016/j.arth.2009.03.012 [3] Considerations for Office and Staff Protocols for Outpatient Joint Replacement. The Journal of Arthroplasty. 2019. DOI: 10.1016/j.arth.2019.01.001 [4] Randomized Trials to Modify Patients' Preoperative Expectations of Hip and Knee Arthroplasties. Clinical Orthopaedics & Related Research. 2008. DOI: 10.1007/s11999-007-0052-z [5] What’s Important: Treat the Patient Instead of the Disease. Journal of Bone and Joint Surgery. 2025. DOI: 10.2106/jbjs.24.01274 [6] Preoperative Patient Education Class During an Orthopedic Mission Trip: Effects on Knowledge, Anxiety, and Informed Consent. The Journal of Arthroplasty. 2020. DOI: 10.1016/j.arth.2020.04.084 [7] Preoperative rehabilitation and education program for surgery (PREPS): A pilot randomized control trial protocol. Hand Therapy. 2025. DOI: 10.1177/17589983251345393 [8] Patient-Specific 3-Dimensional Modeling and Its Use for Preoperative Counseling of Patients Undergoing Hip Arthroscopy. Orthopaedic Journal of Sports Medicine. 2018. DOI: 10.1177/2325967118794645 [9] The Efficacy of Preoperative Video-Based Opioid Counseling on Postoperative Opioid Consumption After Total Knee Arthroplasty: A Prospective Randomized Controlled Trial. The Journal of Arthroplasty. 2024. DOI: 10.1016/j.arth.2024.02.027