ERAS | Conventional | |
---|---|---|
Preoperative | ||
Gait training with crutches | X | - |
Etoricoxib 90 mg | X | - |
Anesthesia | spinal anesthesia | psoas-compartment-block and proximal sciatic-nerve-block |
Surgery | ||
Medial parapatellar approach | X | X |
DePuy P.F.C.™ Implant | X | X |
Tourniquet | - | X |
Local infiltration analgesia & Tranexamic acid application | X | - |
Suction drains | - | X |
Postoperative | ||
WHO pain management | X and 10 mg oxycodone for 3 days | X |
Full weight bearing | X | X |
First Mobilization | 1–2 h after surgery | first postoperative day |
Physiotherapy concept | twice daily | once daily |
Motor splint | twice daily | once daily |
Exercise parcour | X | - |