Abstract：
Recent guidelines have produced a consensus statement for perioperative care in hip and knee replacement. However, there is still a need for reanalysis of the evidence and recommendations. Therefore, we retrieved and reanalyzed the evidence of each recommended components of enhanced recovery after surgery (ERAS) based on the guidelines of total joint arthroplasty. For each one, we included for the highest levels of evidence and those systematic reviews and meta-analyses were preferred. The full texts were analyzed and the evidence of all components were summarized. We found that most of the recommended components of ERAS are supported by evidence, however, the implementation details of each recommended components need to be further optimized. Therefore, implementation of a full ERAS program may maximize the benefits of our clinical practice but this combined effect still needs to be further determined.
摘要：
最近的指南为髋关节和膝关节置换术的围手术期护理提供了共识。然而,仍然需要重新分析证据和建议。因此,我们根据全关节置换术的指南,检索并重新分析了关于术后加速恢复(ERAS)的每个推荐组成部分的证据.对于每一个,我们纳入了最高水平的证据,首选系统综述和荟萃分析.分析了全文，并总结了所有成分的证据。我们发现ERAS的大多数推荐组件都有证据支持，然而,每个推荐组件的实施细节需要进一步优化。因此,实施完整的ERAS计划可能会使我们的临床实践获益最大化,但这种综合效应仍需进一步确定.
