Outpatient Total Knee Arthroplasty: Are We There Yet? (Part 1)

Orthop Clin North Am. 2018 Jan;49(1):1-6. doi: 10.1016/j.ocl.2017.08.002. Epub 2017 Oct 27.

Abstract

Recent trends in total joint care have moved toward outpatient surgery. Total knee arthroplasty (TKA) remains a definitive management for end-stage osteoarthritis and has experienced increased utilization over the past several decades. The method by which surgeons conduct outpatient total knee procedures has yet to be fully elucidated as different institutions report different experiences from their pathways. This article will discuss current data and recommendations for implementing successful TKA and unicompartmental knee arthroplasty outpatient protocols. Specifically, this review will provide information regarding cost reduction, patient selection criteria, and preoperative medical optimization.

Keywords: Early discharge; Length of stay; Outpatient total joint arthroplasty; Total knee arthroplasty; Unicompartmental knee arthroplasty.

Publication types

  • Review

MeSH terms

  • Ambulatory Surgical Procedures*
  • Arthroplasty, Replacement, Knee*
  • Clinical Protocols
  • Humans
  • Patient Selection