Successful Initial Experience with a Novel Outpatient Total Hip Arthroplasty Program in a Public Health System in Chile

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2018 Mar 23

PMID 29564492

Citations 7

Authors

Orlando Paredes

Rodrigo Nunez

Ianiv Klaber

Affiliations

Soon will be listed here.

Abstract

Purpose: The aim of the present study was to assess the first experience with outpatient total hip arthroplasty (THA) in a public health environment in Chile.

Methods: Prospective series of the first 69 patients/72 hips. Surgery was performed in a public university-affiliated hospital. The patients were 64 (31-84) years old and healthy (ASA I-II) candidates for a primary hip arthroplasty.

Results: The outpatient track had 52.2% of arthroplasty candidates included and 94.4% (68/72 hips) were successfully discharged the same day. There were no emergency room visits during the first week after surgery. Two patients had single dislocation episodes, one requiring stem revision. There was one deep vein thrombosis. There were no other complications. All the patients reported to be satisfied with the outpatient track.

Interpretation: An outpatient track can be developed in a safe manner in this healthcare setting and population. This track of care was well accepted by the patients.

Citing Articles

Same-day discharge to home is feasible and safe in up to 75% of unselected total hip and knee arthroplasty.

Verdier N, Boutaud B, Ragot P, Leroy P, Saffarini M, Nover L Int Orthop. 2022; 46(5):1019-1027.

PMID: 35234998 DOI: 10.1007/s00264-022-05348-7.

Perioperative gait analysis after total hip arthroplasty: Does outpatient surgery compromise patient outcomes?.

Zomar B, Bryant D, Hunter S, Howard J, Lanting B Can J Surg. 2021; 64(4):E407-E413.

PMID: 34296768 PMC: 8410462. DOI: 10.1503/cjs.008620.

Postoperative morbidity and mortality in total joint arthroplasty: Exploring the limits of early discharge.

Gutierrez Rodriguez C, Asmar Murgas M, Uribe A, Barrios Diaz V, Bonilla Leon G, Llinas Volpe A J Clin Orthop Trauma. 2021; 14:1-7.

PMID: 33717890 PMC: 7919967. DOI: 10.1016/j.jcot.2020.10.048.

Day-case total hip arthroplasty: a literature review and development of a hospital pathway.

Thompson J, Wignadasan W, Ibrahim M, Beasley L, Konan S, Plastow R Bone Jt Open. 2021; 2(2):93-102.

PMID: 33573396 PMC: 7925215. DOI: 10.1302/2633-1462.22.BJO-2020-0170.R1.

Outpatient surgery in patients with ankle fractures minimises hospital admissions and utilisation of healthcare resources.

Bullock T, Gutierrez-Naranjo J, Delbello R, Karia R, Zelle B Int Orthop. 2020; 45(9):2395-2400.

PMID: 32770348 PMC: 7414283. DOI: 10.1007/s00264-020-04768-7.

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