how to How to conduct the joint replacement surgery in many patients during “Happy Walk Operation Project” by New Joint for Life Foundation.
Keywords:
Happy walk operation project, Joint replacement, New joint for life foundationAbstract
Abstract
Background: New Joint for Life Foundation (NJFL) was founded since 2014 and provided the joint replacement surgery regularly with using the project name as "Happy walk operation ". In each project, many patients were recruited and underwent the joint replacement operation. So the most important thing to concern was the safety and good outcomes of the patients.
Objective: To review the working process, outcomes and problems that arise during the 12th and 13th happy walk operation projects at Srisangworn Sukhothai Hospital. And then took the information gathered to analyze and learn for development of the further project.
Material and methods: Data was collected from the 12th and 13th happy walk operation projects in 25th-27th February 2021 and 19th September 2021, respectively. The 30 patients (47 procedures) and 11 patients (16 procedures) were retrospectively reviewed from the projects, respectively. The collected data was examined using a quantitative approach descriptive-analytical design.
Results: Surgery for many patients at once like the foundation done has the benefit of reducing the waiting rate for surgery. From both projects, reducing the hospital joint replacement surgery waiting list by about 10 months. The mean age of the patients was 60.4 ± 9.1 years, 75.61%of them had underlying disease. The most common procedure was simultaneous bilateral TKA (51.2%) followed by unilateral TKA (22.0%) and unilateral THA (22.0%). One bilateral THA and one revision tibial component of TKA were performed in this study. There were no serious complications. No incidences related to patient identification. 90.48% of simultaneous bilateral total knee arthroplasty and 66.67% of total hip arthroplasty in this study required blood transfusion while in 22.22% of single total knee arthroplasty need blood transfusion. After finished surgery in one patient, it was able to start the operation in the next patient in 34.85 minutes on average.
Conclusion: The HWO project of the NJFL is the great project that helps many patients to have a better quality of life. It also gives the coordinating hospital the benefit of learning to improve their work. A successful project implementation requires good planning and patient preparation taking into account the patient safety.
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