CJRC Series: Old School v. New School Perspectives on Rapid Recovery

In this episode of HSS Presents, Dr. Peter K. Sculco, MD sits down with his colleague Dr. Gwo-Chin Lee, MD, to explore rapid recovery protocols for revision arthroplasty. They compare the well-established, outpatient-focused pathways used in primary joint replacement with the unique challenges of revision surgery—procedures that are longer, more complex, and less predictable. The discussion covers how preoperative optimization and intraoperative techniques must be tailored for revision patients, who often require a more cautious postoperative strategy. They also delve into discharge planning, noting that only a minority of revision patients are ready to go home within 24 hours, and share insights on postoperative care, including protocols for early mobilization, soft tissue healing with temporary knee immobilizers, and the selective use of rescue steroids. Tune in to learn how evolving rapid recovery strategies are being adapted to meet the needs of revision joint replacement patients while maintaining optimal outcomes.