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Vol. 1 No. 2 (2024)

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March 2, 2026
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December 31, 2024

Copyright (c) 2024 Faisal Mohammed Mohammed Hakami, Zakaria Othman Mahdi Masmal, Faisal Ali Ali mujarrbi, Raja Awadh Rajaa Alharbi, Hind Falh Alharabi, Obadallah Mohammad Alreshidi, Nadia Mohammed Alrashidy, Maha Nadi Alanizi, Malak Abdulrahman Alsaidalani, Norah Abdullah Saleh Al-Jumah, Ghazi Owaidah Aljohani

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The Symphony of Recovery: A Narrative Review of the Interdisciplinary Perioperative Pathway for Major Joint Arthroplasty

https://doi.org/10.64483/202412674
Faisal Mohammed Mohammed Hakami
Al-Ardah General Hospital,Ministry of Health, Saudi Arabia
Zakaria Othman Mahdi Masmal
Jazin General Hospital, Jazin,Ministry of Health, Saudi Arabia
Faisal Ali Ali mujarrbi
Rejal Alma General Hospital,Ministry of Health, Saudi Arabia
Raja Awadh Rajaa Alharbi
Al‑Khubaib Primary Health Care Center, Buraidah Central Hospital,Ministry of Health, Saudi Arabia
Hind Falh Alharabi
Health Affairs Compliance Department, Ministry of Health, Saudi Arabia
Obadallah Mohammad Alreshidi
Alghazalh General Hospital,Ministry of Health, Saudi Arabia
Nadia Mohammed Alrashidy
Alghazalh General Hospital,Ministry of Health, Saudi Arabia
Maha Nadi Alanizi
Hail Health Cluster,Ministry of Health, Saudi Arabia
Malak Abdulrahman Alsaidalani
Alsheen centre,Ministry of Health, Saudi Arabia
Norah Abdullah Saleh Al-Jumah
Primary Health Care Center – Salhiyah, King Saud Hospital, Gaqssim Health Cluster, Qassim, Saudi Arabia,Ministry of Health, Saudi Arabia
Ghazi Owaidah Aljohani
Yanbu Hospital,Ministry of Health, Saudi Arabia

Corresponding Author(s) : Faisal Mohammed Mohammed Hakami

FAMHAKAMI@moh.gov.sa

Saudi Journal of Medicine and Public Health, Vol. 1 No. 2 (2024)

Abstract

Background: Total hip and knee arthroplasty (THA/TKA) are highly successful yet resource-intensive procedures, with outcomes deeply influenced by the coordination of care across the entire perioperative continuum. Siloed approaches can lead to delays, complications, and suboptimal patient experiences. Aim: This narrative review aims to synthesize evidence on optimizing the interdisciplinary workflow for major joint replacement, from pre-habilitation through to post-operative imaging, by examining the specific and integrated roles of physiotherapy, nursing, operating room technicians, anesthesia technology, and medical imaging. Methods: A comprehensive literature search was conducted in PubMed, CINAHL, Scopus, and Cochrane Library databases (2010-2024). Results: The review identifies optimal practices at each phase: structured pre-hab improves strength and outcomes; nurse-led education and standardized order sets enhance preparedness; OR technician efficiency and instrument standardization reduce surgical time; regional anesthesia with technology-managed catheters optimizes pain control and mobility; and protocol-driven imaging ensures accurate placement without delays. Success hinges on shared protocols, continuous communication, and data feedback loops between all disciplines. Conclusion: The arthroplasty pathway is an interdependent sequence where each discipline's performance directly impacts the next. Optimizing workflow requires a systems-based, interdisciplinary approach embedded within an Enhanced Recovery After Surgery (ERAS) framework. Institutional commitment to integrated care pathways, supported by ongoing team training and audit, is essential for achieving superior clinical and operational outcomes.

Keywords

Perioperative Pathway; Joint Arthroplasty; Interdisciplinary Care; Enhanced Recovery After Surgery; Workflow Optimization.
Hakami, F. M. M., Zakaria Othman Mahdi Masmal, Faisal Ali Ali mujarrbi, Raja Awadh Rajaa Alharbi, Hind Falh Alharabi, Obadallah Mohammad Alreshidi, … Ghazi Owaidah Aljohani. (2024). The Symphony of Recovery: A Narrative Review of the Interdisciplinary Perioperative Pathway for Major Joint Arthroplasty. Saudi Journal of Medicine and Public Health, 1(2), 2410–2416. https://doi.org/10.64483/202412674
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