REPORT ON 52 CASES OF TOTAL HIP REPLACEMENT WITH THE OPERATION WALK FLORIDA (USA) AT HO CHI MINH CITY ORTHOPEDIC AND REHABILITATION HOSPITAL

Abstract

Introduction: This report presents 52 total hip replacement (THR) cases performed safely at Ho Chi Minh City Orthopedic and Rehabilitation Hospital (1A Hospital) under limited operating room and resource conditions and shares an organizational model for ERAS implementation in clinical practice.

Objectives: To assess the outcomes of hip replacement surgery implemented at Ho Chi Minh City Orthopedic and Rehabilitation Hospital, focusing on the application of the ERAS (Enhanced Recovery After Surgery) protocol in hip arthroplasty, and to share the organizational strategies adopted under constrained resources. Subjects: Fifty-two patients undergoing total hip replacement at 1A Hospital in August 2024. Methods: A cross-sectional descriptive study with analytical components.

Results: Among the 52 cases, 51 patients underwent general spinal anesthesia. Blood transfusions were required in 9 cases (17.31%). A total of 57.69% of patients did not require urinary catheterization, and for those who did, the catheter was removed immediately after being transferred to the ward. Surgical drains were used in 9.62% of cases. Antibiotics were administered as prophylaxis in all cases, with 3 doses every 8 hours. Post-operative pain management primarily included intra-articular bupivacaine injection, aspirin, celecoxib, gabapentin, and paracetamol. The mean time to mobilization after surgery was 7.98 ± 2.98 hours, and the mean time to resume oral intake was 7.66 ± 1.59 hours. The average hospital stay was 13.18 ± 2.88 days. No early complications were recorded within the first 24 hours of post-surgery. Finally, 100% of patients were discharged safely.

Conclusions: Patients undergoing total hip arthroplasty were safely treated with spinal anesthesia in conjunction with the ERAS protocol, despite limitations in personnel and equipment. These findings support the ongoing development and wider adoption of ERAS in routine clinical settings.