[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-228447-en":3,"doc-seo-228447-105":30,"detail-sidebar-cat-0-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},228447,2336475104736,"วิน","https://ap-avatar.wpscdn.com/avatar/22000c4c5e0e5b17e70?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786591360781797222",8,"Research & Report","Optimizing Fast-Track Protocols for Primary Total Knee Arthroplasty - Thesis","This thesis investigates how to optimize fast-track protocols for primary total knee arthroplasty to improve recovery and functional outcomes. It includes qualitative early follow-up work with rapid recovery concepts, a diary study capturing the first six weeks after surgery, and large-scale register analyses assessing short-term function and distinct recovery trajectories. The program further evaluates perioperative components such as anesthesia dosing, systemic corticosteroids, and preoperative carbohydrate loading through systematic review and randomized controlled trial evidence.","OPTIMIZING FAST-TRACK PROTOCOLS FOR PRIMARY TOTAL KNEE ARTHROPLASTY  \nJeroen Cornelis van Egmond  \nOptimizing Fast-Track Protocols for Primary Total Knee Arthroplasty  \nJeroen Cornelis van Egmond  \nColofon  \nOptimizing fast-track protocols for primary total knee arthroplasty  \nThe work described in this thesis was performed at the Department of Orthopaedics, Reinier de Graaf, Del昀琀, the Netherlands and the Department of Orthopaedics, Reinier Haga Orthopedisch Centrum, Zoetermeer, the Netherlands.  \nCover design: Jeroen van Egmond en Olof Borgwit (Optima Gra昀椀sche Communicatie, Rotterdam)  \nLay-out and printing: Optima Gra昀椀sche Communicatie, [www.ogc. nl](www.ogc. nl), Rotterdam, the  \nNetherlands  \nISBN: 978-94-6361-726-0  \nPrinting of this thesis was 昀椀nancially supported by (in no particular order): ChipSo昀琀, Centrum Orthopedie Rotterdam, Stichting Research Orthopedie Del昀琀, Wetenschapsraad Reinier de Graaf Stichting, Anna Fonds|NOREF, afdeling Orthopedie & Sportgeneeskunde Erasmus Medisch Centrum, Bauerfeind, Nederlandse Orthopaedische Vereniging (NOV) en Link Lima Nederland.  \nCopyright © 2022 J.C. van Egmond, Rotterdam, the Netherlands  \nAll rights reserved. No part of this thesis may be reproduced or transmitted in any way or by any means, without the prior permission of the copyright holder.  \nOptimizing Fast-Track Protocols for Primary Total Knee Arthroplasty  \nOptimalisatie van fast-track protocollen voor primaire totale knieprothesiologie  \nProefschri昀琀  \nter verkrijging van de graad van doctor aan de Erasmus Universiteit Rotterdam op gezag van de rector magni昀椀cus  \nProf.dr. A. L. Bredenoorden volgens besluit van het College voor Promoties.  \nDe openbare verdediging zal plaatsvinden op dinsdag 18 oktober 2022 om 15:30 uur  \ndoor  \nJeroen Cornelis van Egmond  \ngeboren te Bergschenhoek  \nPrOmOTiECOmmissiE  \nPromotor: Prof.dr. J.A. N. Verhaar  \nOverige leden: Prof.dr. S. M.A. Bierma-Zeinstra Prof.dr. R.J. Stolker  \nProf.dr. T. P. M. Vliet Vlieland  \nCopromotor: Dr. N. M.C. Mathijssen  \nTAblE OF COnTEnTs  \nChapter 1 General introduction 7  \nPart i – Opening the black box  \nChapter 2 Early follow-up a昀琀er primary total knee and total hip arthroplasty 25 with rapid recovery: focus groups  \nChapter 3 The 昀椀rst 6 weeks of recovery a昀琀er total knee arthroplasty with fast 39 track: a diary study of 30 patients  \nPart II – Recovery a昀琀er total knee arthroplasty  \nChapter 4 Short-term functional outcome a昀琀er fast-track primary total knee 57 arthroplasty: analysis of 623 patients  \nChapter 5 Three distinct recovery patterns following primary total knee 73  \narthroplasty: Dutch arthroplasty register study of 809 patients  \nPart iii – Optimizing fast-track protocols for total knee arthroplasty  \nChapter 6 Optimal dose of intrathecal isobaric bupivacaine in total knee 97 arthroplasty  \nChapter 7 Perioperative systemic corticosteroids in primary unilateral total 111 knee arthroplasty: a systematic review  \nChapter 8 Preoperative carbohydrate drink in fast-track primary total knee 129 arthroplasty: a randomized controlled trial  \nPart iV – General discussion and appendices  \nChapter 9 General discussion and future perspectives 145  \nAppendices  \nSummary 167  \nNederlandse samenvatting 171  \nList of publications 175  \nPhD Portfolio 177  \nDankwoord 179  \nAbout the author 183  \nChapter 1  \nGeneral introduction","cbCaimX5JKkfWelZ","https://ap.wps.com/l/cbCaimX5JKkfWelZ","pdf",2089811,1,186,"English","en",105,"# Chapter 1 - General introduction\n# Part i – Opening the black box\n## Chapter 2 - Early follow-up after primary total knee and total hip arthroplasty with rapid recovery: focus groups\n## Chapter 3 - The first 6 weeks of recovery after total knee arthroplasty with fast track: a diary study of 30 patients\n# Part II – Recovery after total knee arthroplasty\n## Chapter 4 - Short-term functional outcome after fast-track primary total knee arthroplasty: analysis of 623 patients\n## Chapter 5 - Three distinct recovery patterns following primary total knee arthroplasty: Dutch arthroplasty register study of 809 patients\n# Part iii – Optimizing fast-track protocols for total knee arthroplasty\n## Chapter 6 - Optimal dose of intrathecal isobaric bupivacaine in total knee arthroplasty\n## Chapter 7 - Perioperative systemic corticosteroids in primary unilateral total knee arthroplasty: a systematic review\n## Chapter 8 - Preoperative carbohydrate drink in fast-track primary total knee arthroplasty: a randomized controlled trial\n# Part iV – General discussion and appendices\n## Chapter 9 - General discussion and future perspectives\n## Appendices - Summary; Nederlandse samenvatting; List of publications; PhD Portfolio; Dankwoord; About the author","[{\"question\":\"What topics does the thesis cover regarding fast-track care after primary total knee arthroplasty?\",\"answer\":\"It covers early follow-up experiences, recovery over the first six weeks, short-term functional outcomes, and distinct recovery patterns. It also examines specific perioperative protocol elements.\"},{\"question\":\"How are the first weeks of recovery studied in the thesis?\",\"answer\":\"The thesis includes a diary study of 30 patients to characterize recovery during the first six weeks after total knee arthroplasty with fast track.\"},{\"question\":\"Which perioperative interventions are evaluated to optimize fast-track protocols?\",\"answer\":\"The thesis evaluates intrathecal isobaric bupivacaine dosing, perioperative systemic corticosteroids via a systematic review, and preoperative carbohydrate drink through a randomized controlled trial.\"}]","Optimizing Fast-Track Protocols for Primary Total Knee Arthroplasty - Thesis | PDF",1789025483,469,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":87,"head_meta":89,"extra_data":91,"updated_unix":28},"optimizing-fast-track-protocols-for-primary-total-knee-arthroplasty-thesis","",{"@graph":36,"@context":86},[37,54,69],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":50},"https://docshare.wps.com/document/research-report/",3,{"item":52,"name":13,"@type":43,"position":53},"https://docshare.wps.com/document/optimizing-fast-track-protocols-for-primary-total-knee-arthroplasty-thesis/228447/",4,{"url":52,"name":13,"@type":55,"author":56,"headline":13,"publisher":58,"fileFormat":61,"inLanguage":23,"description":14,"dateModified":62,"datePublished":63,"encodingFormat":61,"isAccessibleForFree":64,"interactionStatistic":65},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":41,"name":59,"@type":60},"DocShare","Organization","application/pdf","2026-09-11","2026-09-10",true,{"@type":66,"interactionType":67,"userInteractionCount":20},"InteractionCounter",{"@type":68},"ViewAction",{"@type":70,"mainEntity":71},"FAQPage",[72,78,82],{"name":73,"@type":74,"acceptedAnswer":75},"What topics does the thesis cover regarding fast-track care after primary total knee arthroplasty?","Question",{"text":76,"@type":77},"It covers early follow-up experiences, recovery over the first six weeks, short-term functional outcomes, and distinct recovery patterns. It also examines specific perioperative protocol elements.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"How are the first weeks of recovery studied in the thesis?",{"text":81,"@type":77},"The thesis includes a diary study of 30 patients to characterize recovery during the first six weeks after total knee arthroplasty with fast track.",{"name":83,"@type":74,"acceptedAnswer":84},"Which perioperative interventions are evaluated to optimize fast-track protocols?",{"text":85,"@type":77},"The thesis evaluates intrathecal isobaric bupivacaine dosing, perioperative systemic corticosteroids via a systematic review, and preoperative carbohydrate drink through a randomized controlled trial.","https://schema.org",{"og:url":52,"og:type":88,"og:title":13,"og:site_name":59,"og:description":14},"article",{"robots":90,"canonical":52},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":93},[94,98,102,106,111,116,121,124,129,132,136],{"id":20,"doc_module":4,"doc_module_name":46,"category_name":95,"show_sort_weight":96,"slug":97},"Story & Novel",90,"story-novel",{"id":47,"doc_module":4,"doc_module_name":46,"category_name":99,"show_sort_weight":100,"slug":101},"Literature",80,"literature",{"id":53,"doc_module":4,"doc_module_name":46,"category_name":103,"show_sort_weight":104,"slug":105},"Exam",70,"exam",{"id":107,"doc_module":4,"doc_module_name":46,"category_name":108,"show_sort_weight":109,"slug":110},5,"Comic",60,"comic",{"id":112,"doc_module":4,"doc_module_name":46,"category_name":113,"show_sort_weight":114,"slug":115},6,"Technology",50,"technology",{"id":117,"doc_module":4,"doc_module_name":46,"category_name":118,"show_sort_weight":119,"slug":120},7,"Healthcare",40,"healthcare",{"id":11,"doc_module":4,"doc_module_name":46,"category_name":12,"show_sort_weight":122,"slug":123},30,"research-report",{"id":125,"doc_module":4,"doc_module_name":46,"category_name":126,"show_sort_weight":127,"slug":128},9,"Religion & Spirituality",20,"religion-spirituality",{"id":127,"doc_module":4,"doc_module_name":46,"category_name":130,"show_sort_weight":127,"slug":131},"World Cup","world-cup",{"id":133,"doc_module":4,"doc_module_name":46,"category_name":134,"show_sort_weight":133,"slug":135},10,"Lifestyle","lifestyle",{"id":137,"doc_module":4,"doc_module_name":46,"category_name":138,"show_sort_weight":107,"slug":139},19,"General","general"]