Navigating the Pathway: An Interdisciplinary Narrative Review of the Peri-Procedural Journey in Complex Joint Arthroplasty
Abstract
Background: Total joint arthroplasty (TJA), a high-volume and high-value procedure, has evolved into a complex clinical pathway whose success hinges on flawless interdisciplinary coordination. The transition from a decision for surgery to full recovery is no longer a linear, siloed process but a meticulously choreographed journey involving multiple clinical and administrative disciplines. Aim: This narrative review aims to synthesize current evidence on the peri-procedural pathway for complex joint replacement, using total knee arthroplasty (TKA) as a paradigm. Methods: A systematic literature search (2010-2024) was conducted across PubMed, CINAHL, Scopus, and Embase. Pertinent literature was analyzed and synthesized into a narrative structured around the five core fields. Results: The review identifies that a seamless pathway is predicated on standardized protocols, proactive patient optimization, and deliberate information transfer. Key findings underscore the critical importance of multimodal analgesia, structured pre-operative education, precise surgical planning via advanced imaging, administrative orchestration of logistics, and immediate post-operative mobilization. Gaps persist in digital interoperability and the consistent application of Enhanced Recovery After Surgery (ERAS) principles. Conclusion: Optimizing the TJA pathway requires a system-level reconceptualization of care as a continuous, patient-centered continuum. Success is achieved through the rigorous integration of clinical protocols, empowered patient participation, and robust communication frameworks that bridge disciplinary divides, ultimately enhancing efficiency, safety, and functional recovery.
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Authors
Copyright (c) 2024 Yahya Mudiesh Mudiesh Bajawi, Ahmed Mutlab Al-Enezi, Yahya Mudiesh Mudiesh Bajawi, Ibrahim Yahya Ali Almutabi, Mater Abdullah Al Mutiri, Mohammed Shaya Alshammari, Ali Saad Mubarak Aldosari, Elham Ali Alshumrani, Waleed Majed Almutiri, Ghalib Mohammed Abdu Arar, Abeer Ali Bitali, Bshayer Saleh Alrushud
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