Short-term outcomes of outpatient surgery for total knee arthroplasty.
- Author:
Muhammet Sadık BILGEN
1
;
Osman YARAY
2
;
Müren MUTLU
2
;
Ahmet İdris ÇAKIR
2
;
Ömer Faruk BILGEN
2
Author Information
- Publication Type:Journal Article
- Keywords: knee; rehabilitation; short-term; total knee arthroplasty
- From:Singapore medical journal 2019;60(6):314-316
- CountrySingapore
- Language:English
-
Abstract:
INTRODUCTION:We developed an accelerated clinical pathway involving outpatient surgery for patients undergoing total knee arthroplasty (TKA) who are healthy enough for early discharge.
METHODS:Between March 2014 and April 2015, 89 TKAs were performed at a single institution by a single orthopaedic surgeon. 31 patients met the inclusion criteria for the study. All patients received 2 g tranexamic acid and 750 mg cefuroxime sodium intravenously 30 minutes prior to surgery. A multimodal protocol for perioperative pain management was used for all patients.
RESULTS:31 patients (three male, 28 female), with a mean age of 67 (range 49-78) years, who underwent TKA were enrolled in this study. The mean length of hospital stay was 28.7 (range 16-49) hours and mean duration of surgery was 92 (range 75-128) minutes. Combined spinal epidural anaesthesia was performed for 23 (74.2%) patients and general anaesthesia was used in 8 (25.8%) patients. Among the 31 patients, 23 (74.2%) patients were discharged within 23 hours of surgery.
CONCLUSION:Early discharge of patients following outpatient surgery for TKA was not associated with any procedure-related complications among the selected patients up to three months postoperatively.
