Orthopedic prosthesis is widely used to restore joint function, relieve pain and improve the patient’s quality of life. Endoprosthesis are used in reconstructive
orthopedic surgery of large joints and in orthopedic surgical oncology after tumor resection (bone cancer). Enhanced Recovery after Surgery pathways (ERAS)
are applied to oncology patients undergoing primary THA or TKA; and through evidenced practices are used by the multidisciplinary team, with the aim of
reducing the length of stay (LOS) in hospital. ERAS pathways have been reported to reduce postoperative stress, to promote fast recovery, without increasing
complications or re-admissions. At the same time, ERAS pathways have been reported to increase patient satisfaction and surgical outcomes and reduce
Aim: Implementing ERAS pathways for oncology patients with bone cancer who will undergo primary hip or knee arthroplasty, using large endoprosthesis.
Methods: Review in databases: PubMed, Elsevier, Cochrane and Google Scholar using keywords.
Conclusion: A lot of studies have shown that ERAS pathways are associated with reduced LOS in hospital, decreased complications, lower perioperative
stress levels, and better surgical outcomes, at lower in-hospital cost. ERAS pathways are involving the surgeon, the anesthesiologist, the perioperative nurse,
the physiotherapist, and when is needed the psychologist and the nutritionist as a multidisciplinary team. ERAS pathways include various techniques in three
phases, preoperative, intraoperative and postoperative. However, anesthesia plays a key-role as it affects immediate recovery, patient satisfaction, postoperative
complications such as delirium and nausea-vomiting (PONV), and in some cases with serious results.