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Rapid Recovery TM enables you to address todays healthcare challenges

The Rapid Recovery Programme optimises all aspects of a patient’s orthopaedic journey, from pre-operative assessment to discharge – and beyond with evidence based clinical protocols. The programme is designed to improve outcomes, quality of treatment and economic performance – minimising complications and delivering patient-centered care1. Standardising and minimising variance is an important part of the process leading to more predictable outcomes.

Medical and organisational advanced pathway redesign has enabled healthcare professionals to address today’s challenges in orthopaedics by helping hospitals reproducibly and sustainably achieve: 

  • No increase in readmissions and complications2-7
  • Improved quality of life8,9,10
  • Reduced post-discharge pain, morbidity and rehabilitation1,8,10-15
  • Lower rate of mortality6,16
  • Better functional outcomes1,8,17,18
  • Higher patient satisfaction, engagement and education8,11,12,19-24
  • Multidisciplinary team engagement and staff enthusiasm6,25
  • Optimised Length of Stay (LOS)1,6,9,22,23,26-32
  • Potential to reduce waiting lists9,19,33
  • Reduced treatment costs and improved efficiency6,8,9,18,26

The 2021 Rapid Recovery White paper is out!


Rapid Recovery aims to optimize all aspects of patient care. Over the past 20 years, the program has delivered impactful and sustainable change across Europe, through multidisciplinary collaboration and clearly defined standards.

The 2021 Rapid Recovery White Paper is designed to support Rapid Recovery implementations. It covers the most important features of fast-track total hip arthroplasty (THA) and total knee arthroplasty (TKA) processes and clinical approaches. It aims to provide an overview on where to focus, which clinical enhancements to implement, and what the barriers to improvement are. The evidence-based clinical summary content has been written, reviewed and validated as a consensus statement by the Zimmer Biomet Rapid Recovery Advisory Board members. The other parts of the document have been written by the Zimmer Biomet Connect team.

Are you interested in our white paper? Please contact us to find out what the options are.

Or are you interested in

finding out more and talking to our experienced customers and their teams?

  1. Den Hartog A et al. Pathway-controlled fast-track rehabilitation after total knee arthroplasty: a randomized prospective clinical study evaluating the recovery pattern, drug consumption, and length of stay. Arch Orthop Trauma Surg 2012;132:1153–1163.
  2. Husted H, Otte KS, Kristensen BB, Orsnes T, Kehlet. H. Readmissions after fast-track hip and knee arthroplasty. Arch Orthop Trauma Surg 2010 Sep;130(9):1185-91. Epub 2010 Jun 10.
  3. Husted H, Otte KS, Kristensen BB, Ørsnes T, Wong C, Kehlet H. Low risk of thromboembolic complications after fast-track hip and knee arthroplasty. Acta Orthop 2010;81:599–605.
  4. Barbieri A, Vanhaecht K, Van Herck P, Sermeus W, Faggiano F, Marchisio S, M Panella M. Effects of clinical pathways in the joint replacement: a meta-analysis. BMC Medicine 2009;7:32.
  5. Stambough JB, Nunley RM, Curry MC, Steger-May K, Clohisy JC. Rapid Recovery Protocols for Primary Total Hip Arthroplasty Can Safely Reduce Length of Stay Without Increasing Readmissions. The Journal of Arthroplasty 2015;30:521–526.
  6. Khan SK, Malviya A, Muller SD, Carluke I, Partington PF et al. Reduced short-term complications and mortality following Enhanced Recovery primaryhip and knee arthroplasty: results from 6,000 consecutive procedures. Acta Orthopaedica 2014;85(1):26–31.
  7. Rotter T, Kugler J, Koch R, Gothe H, Twork S, van Oostrum J.M., Steyerberg E.W. A systematic review and meta-analysis of the effects of clinical pathways on length of stay, hospital costs and patient outcomes. BMC Health Services Research 2008;8:265.
  8. Larsen K, Hansen TB, Thomsen B, Christiansen T, Soballe K. Cost-effectiveness of accelerated perioperative care and rehabilitation after total hip and knee arthroplasty. The Journal of Bone & Joint Surgery 2009;91:761-72.
  9. Brunenberg DE, Steyn MJ, Sluimer JC, Bekebrede  LL, Bulstra SK, Joore MA. Joint recovery programme versus usual care: An economic evaluation of a clinical pathway for joint replacement surgery. Medical Care 2005;43:1018-1026.
  10. Winther SB, Foss OA, Wik TS, Davis SP, Engdal M, Jessen V, Husby OS. 1–year follow–up of 920 hip and knee arthroplasty patients after implementing fast–track. Acta Orthop. 2015 Feb;86(1):78-85.
  11. Husted H, Holm G, Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients. Acta Orthop 2008;79:168-73.
  12. Husted H, Solgaard S, Hansen TB, Soballe K, Kehlet H. Care principles at four fast-track arthroplasty departments in Denmark. Dan Med Bul 2010;57(7):A4166.
  13. Husted H, Jensen C M, Solgaard S, Kehlet H. Reduced length of stay following hip and knee arthroplasty in Denmark 2000-2009: from research to implementation. Arch Orthop Trauma Surg 2012;32(1):101-4.
  14. Schneider M, Kawahara I, Ballantyne G, McAuley C, Macgregor K, Garvie R, McKenzie A, et al. Predictive factors influencing fast track rehabilitation following primary total hip and knee arthroplasty. Arch Orthop Trauma Surg. 2009 Dec;129(12):1585-91.
  15. Kehlet H, Thienpont E.Fast-track knee arthroplasty status and future challenges. Knee. 2013 Sep;20 Suppl 1:S29-33.
  16. Savaridas T, Serrano-Pedraza I, Khan SK, Martin  K, Malviya A, Reed MR. Reduced medium-term mortality following primary total hip and knee arthroplasty with an enhanced recovery program. A study of 4,500 consecutive procedures. Acta Ortho 2013;84(1):4.
  17. Husted H, Troelsen A, Otte KS, Kristensen BB, Holm G, Kehlet H. Fast-track surgery for bilateral total knee replacement. J Bone Joint Surg Br 2011;93:351–6.
  18. Köksal I, Tahta M, Şimşek ME, Doğan M, Bozkurt M. Efficacy of rapid recovery protocol for total knee arthroplasty: a retrospective study. Acta Orthop Traumatol Turc 2015;49(4):382–386.
  19. Houlihan-Burne D.G., Akhtar K.S. N. Optimization of the Patient Undergoing Total Knee Arthroplasty – The Rapid Recovery Program. The UK, Hillingdon hospital & Mount Vernon hospital. Journal of clinical rheumatology & musculoskeletal medicine 2010;1:2.
  20. Specht K, Kjaersgaard-Andersen P, Kehlet H, WedderKopp N, Pedersen BD. High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement. Acta Orthop. 2015 Jun;24:1-6[Epub ahead of print].
  21. Jones EL, Wainwright TW, Foster JD, Smith JR, Middleton RG, Francis NK. A systematic review of patient reported outcomes and patient experience in enhanced recovery after orthopaedic surgery. Ann R Coll Surg Engl 2014;96(2):89-94.
  22. Dawson-Bowling SJ, Jha S, Chettiar KK, East DJ,  Gould GC, Apthorp HD. A multidisciplinary enhanced recovery programme allows discharge within two days of total hip replacement; three- to five-year results of 100 patients. Hip Int. 2014;24(2):167-174.
  23. Gordon D, Malhas A, Guberan A, Subramanian P, Messer C, Houlihan-Burne D. Implementing the Rapid Recovery Program in primary hip and knee arthroplasty in a UK state run hospital. Eur J Orthop Surg Traumatol 2011;21:151–158.
  24. Yoon RS, Nellans KW, Geller JA, Kim AD, Jacobs MR, Macaulay W. Patient education before hip or knee arthroplasty lowers length of stay. Journal of Arthroplasty 2010 Jun;25(4):547-51. Epub 2009 May 8.
  25. Jonsson G and Bergh Lundgren S. Rapid Recovery – improves the work satisfaction of the staff. Presented at the 3rd European Rapid Recovery Symposium, London, 2012.
  26. Husted H, Andersen SH, Kehlet H. Economic consequences of accelerated care pathways in total knee arthroplasty. Ugeskr Laeger 2009 Nov 2;171(45):3276-80.
  27. Husted H, Jensen C M, Solgaard S, Kehlet H. Reduced length of stay following hip and knee arthroplasty in Denmark 2000-2009: from research to implementation. Arch Orthop Trauma Surg 2012;132(1):101-4.
  28. den Hartog YM, Mathijssen NM, Hannink G, Vehmeijer SB. Which patient characteristics influence length of hospital stay after primary total hip arthroplasty in a ‘fast-track’ setting? Bone Joint J. 2015 Jan;97-B(1):19-23.
  29. Kort NP, Bemelmans YF, Schotanus MG. Outpatient surgery for unicompartmental knee arthroplasty  is effective and safe. Knee Surg Sports Traumatol Arthrosc. 2015 Jul 1 [Epub ahead of print].
  30. den Hartog YM, Mathijssen NM, Vehmeijer SB. Total hip arthroplasty in an outpatient setting in 27 selected patients. Acta Orthop. 2015 Jul 2:1-4 [Epub ahead of print].
  31. den Hartog YM, Mathijssen NM, Hannink G, Vehmeijer SB. Which patient characteristics influence length of hospital stay after primary total hip arthroplasty in a ‘fast-track’ setting? Bone Joint J. 2015 Jan;97-B(1):19-23.
  32. den Hartog YM, Mathijssen NM, Vehmeijer SB. Reduced length of hospital stay after the introduction of a rapid recovery protocol for primary THA procedures. Acta Orthop. 2013 Oct;84(5):444-7.
  33. Multidisciplinary rapid-recovery approach improves pain management and mobilization, reduces wait lists. Orthopaedics Today Europe, November/ December 2010. ORTHOSuperSite.
All content herein is protected by copyright, trademarks and other intellectual property rights owned by or licensed to Zimmer Biomet or its affiliates unless otherwise indicated, and must not be redistributed, duplicated or disclosed, in whole or in part, without the express written consent of Zimmer Biomet.
Results are not necessarily typical, indicative, or representative of all recipient patients. Results will vary due to health, weight, activity and other variables. Only a medical professional can determine the treatment appropriate for your specific condition. Appropriate post-operative activities and restrictions will differ from patient to patient. Talk to your surgeon about whether joint replacement is right for you and the risks of the procedure, including the risk of implant wear, infection, loosening, breakage or failure.