{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:14:30Z","timestamp":1792592070389,"version":"4.5.0"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T00:00:00Z","timestamp":1710028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This literature review aims to present evidence\u2010based clinical recommendations for the eight most debated topics related to perioperative management in total knee arthroplasty: counselling, prehabilitation, transfusion risk, tranexamic acid, drainage, analgesia, urinary catheter\u00a0and compression stockings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multidisciplinary team conducted a systematic review on these topics. The study followed the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines for the literature review and result presentation. The research encompassed articles from 1 January 2009 to 28 February 2023, retrieved through the MEDLINE database via PubMed, Embase database\u00a0and Cochrane Library.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010five articles were selected. Preoperative counselling has limited evidence for its impact on postoperative outcomes;\u00a0yet, it can help alleviate surgery\u2010related anxiety and manage postoperative symptoms. Prehabilitation can also prepare patients for surgery, reducing hospital stays and improving postsurgery functionality. Numerous studies suggest that preoperative Hb levels are independently linked to transfusion risk, with a recommended level of 13\u2009g\/dL. Combining intravenous and local tranexamic acid administration is strongly advised to reduce perioperative blood loss, while drainage after primary total knee arthroplasty offers no functional advantages. Employing a multimodal analgesia approach yields better results with reduced opioid usage. Indwelling urinary catheters provide no benefit and avoiding them can lower the risk of urinary tract infections. As for compression stockings, there is insufficient evidence in the literature to support their efficacy in preventing venous thromboembolism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The best\u2010track protocol has demonstrated its efficacy in reducing hospitalisation time and perioperative\/postoperative complications. It is success relies on a collaborative, resource\u2010adaptive approach led by a multidisciplinary team. Both patients and hospitals benefit from this approach, as it enhances care quality and lowers costs. Several studies have highlighted the significance of a patient\u2010centred approach in achieving high\u2010quality care. Creating a novel treatment protocol could be a prospective goal in the near future.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level III.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12122","type":"journal-article","created":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T05:24:07Z","timestamp":1710048247000},"page":"963-977","source":"Crossref","is-referenced-by-count":14,"title":["Optimised fast\u2010track protocols in total knee arthroplasty determine shorter hospitalisation time and lower perioperative\/postoperative complications"],"prefix":"10.1002","volume":"32","author":[{"given":"Riccardo","family":"Compagnoni","sequence":"first","affiliation":[{"name":"U.O.C. 1\u00b0 Clinica Ortopedica ASST Gaetano Pini\/CTO Milan Italy"},{"name":"Department of Biomedical, Surgical and Dental Sciences Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4886-4233","authenticated-orcid":false,"given":"Francesco","family":"Puglia","sequence":"additional","affiliation":[{"name":"U.O.C. 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Chirurgia della mano e microchirurgia ricostruttiva ASST Gaetano Pini\/CTO Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond","family":"Klumpp","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery ASST Bergamo Ovest Treviglio Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Ferrua","sequence":"additional","affiliation":[{"name":"U.O.C. 1\u00b0 Clinica Ortopedica ASST Gaetano Pini\/CTO Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Calanna","sequence":"additional","affiliation":[{"name":"U.O.C. 1\u00b0 Clinica Ortopedica ASST Gaetano Pini\/CTO Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo Francesco","family":"Minoli","sequence":"additional","affiliation":[{"name":"U.O.C. Ortopedia Traumatologia Week Surgery ASST Gaetano Pini\/CTO Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Genco","sequence":"additional","affiliation":[{"name":"U.O.C. Anestesia e rianimazione ASST Gaetano Pini\/CTO Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Menon","sequence":"additional","affiliation":[{"name":"U.O.C. 1\u00b0 Clinica Ortopedica ASST Gaetano Pini\/CTO Milan Italy"},{"name":"Laboratory of Applied Biomechanics, Department of Biomedical Sciences for Health Universit\u00e0 degli Studi di Milano Milan Italy"},{"name":"Scuola di Specializzazione in Statistica Sanitaria e Biometria, Dipartimento di Scienze Cliniche e di Comunit\u00e0 Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro Simone","family":"Randelli","sequence":"additional","affiliation":[{"name":"U.O.C. 1\u00b0 Clinica Ortopedica ASST Gaetano Pini\/CTO Milan Italy"},{"name":"Laboratory of Applied Biomechanics, Department of Biomedical Sciences for Health Universit\u00e0 degli Studi di Milano Milan Italy"},{"name":"Research Center for Adult and Pediatric Rheumatic Diseases (RECAP\u2010RD), Department of Biomedical Sciences for Health Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"SIAGASCOT Guidelines Working Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000001098"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aet030"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12147"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-020-01652-1"},{"issue":"4","key":"e_1_2_12_6_1","article-title":"Indwelling urinary catheterisation may increase risk of complications in hip and knee arthroplasty","volume":"66","author":"Bjerregaard LS","year":"2019","journal-title":"Dan Med 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