Opioid Free and Therapy Minimized Advantages Using HANA Table for Total Hip Arthroplasty

Opioid Free and Therapy Minimized Advantages Using HANA Table for Total Hip Arthroplasty

To prove that anterior approach total hip arthroplasty using the HANA table can be performed with little, if any, need for opioids using a combination of education, optimized pre op and post op pain protocols and optimized recovery tools.

Methods:

Data Collection:

• pre-op assessment/physical therapy evaluation
• post op assessment - PACU, phase II (Prior to discharge)
• phone calls after discharge (post op day 1, 2, 3)
• follow up assessment in surgeon's office (3 and 6 weeks post op)
• Ortech
• Swiftpath
• HOOS jr

Pre-optimization:

• All patients enroll in SwiftPath education program
• Optimized BMI, hemoglobin, albumin, glucose control, A1C and blood pressure control

Total Joint procedure:

-anterior approach using the HANA table THA preformed with intra-articular block

Pain Management regimen:

• Pre op PT teaching
• post op multimodal pain regimen

Inclusion Criteria:

• Elective total hip arthroplasty
• unilateral
• patient surgeries scheduled to be performed at the hospital and surgery center
• patients must enroll in SwiftPath
• Ability to read and understand English

Exclusion Criteria:

• Patient diagnosis of schizophrenia, bipolar disease, dementia
• previous burn to affected extremity
• BMI > 40
• Hemoglobin <12 female, <13 male
• Albumin less than 3.5
• A1C >8.0