Outpatient Total Knee Arthroplasty With a Minimally Invasive Technique

Berger, Richard A.; Sanders, Sheila; Gerlinger, Tad L.; Valle, Craig Della; Jacobs, Joshua J.; Rosenberg, Aaron G.

doi:10.1016/j.arth.2005.05.021

Cited by 241 publications

(152 citation statements)

References 19 publications

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“…Additionally, the difference may reflect an increased amount of pain when patients go home and have potentially increased activity as compared with an overnight stay in a hospital bed. Several investigators [1][2][3][4][5]8] have written about pathways for the success of early-discharge THA and TKA and more recently [5,8] have published on prospective evaluations of patients undergoing outpatient THA. Adult reconstructive surgeons nationally have adopted clinical pathways similar to those published by this group for inpatient THA as an evolution of the management of these patients undergoing elective surgery.…”

Section: Discussionmentioning

confidence: 99%

Otto Aufranc Award: A Multicenter, Randomized Study of Outpatient versus Inpatient Total Hip Arthroplasty

Goyal

Chen

Padgett

et al. 2017

Clinical Orthopaedics &Amp; Related Research

223

203

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Background Length of stay after total hip arthroplasty (THA) has decreased over the last two decades. However, published studies that have examined same-day and early discharge protocols after THA have been done in highly selected patient groups operated on by senior surgeons in a nonrandomized fashion without control subjects.Questions/purposes The purpose of this study was to evaluate and compare patients undergoing THA who are discharged on the same day as the surgery (''outpatient,'' less than 12-hour stay) with those who are discharged after an overnight hospital stay (''inpatient'') with regard to the following outcomes: (1) postoperative pain; (2) perioperative complications and healthcare provider visits (readmission, One of the authors (AFC) has received research support funding from 3M (Maplewood, MN, USA) and Myoscience (Fremont, CA, USA). One of the authors (WGH) has received research support funding from DePuy (DePuySynthes, New Brunswick, NJ, USA), Biomet (Warsaw, IN, USA), and Nimbic Systems (Stafford, TX, USA). The institution of one or more of the authors (NG, SEP, RHH, WGH) has received, during the study period, funding from the Inova Health System (Falls Church, VA, USA). One of the authors (NG), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000 to USD 100,000 from Cayenne Medical (Scottsdale, AZ, USA) and Stryker Orthopedics (Mahwah, NJ, USA). One of the authors (AFC), or a member of her immediate family, has or may receive payments or benefits, during the study period, an amount of less than USD 10,000 from ACI Clinical (Bala Cynwyd, PA, USA). One of the authors (WGH), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000 to USD 100,000 from DePuy, Biomet, and Nimbic Systems. One of the authors (WJH), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 100,001 to USD 1,000,000 from Stryker. One of the authors (NG) lists the following relevant financial activities outside of this work and/or any other relationships or activities that readers could perceive to have influenced, or that give the appearance of potentially influencing, this manuscript: Data Trace Publishing Company (Towson, MD, USA) in the amount of USD 10,000 to USD 100,000. One of the authors (AFC) lists the following relevant financial activities outside of this work and/or any other relationships or activities that readers could perceive to have influenced, or that give the appearance of potentially influencing, this manuscript: SLACK Incorporated (Thorofare, NJ, USA) in the amount of less than USD 10,000. (3) relative work effort for the surgeon's office staff. Methods A prospective, randomized study was conducted at two high-volume adult reconstruction centers between July 2014 and September 2015. Patients who were younger than 75 years of age at surgery, who could ambulate without a walker, who were n...

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Section: Discussionmentioning

confidence: 99%

Otto Aufranc Award: A Multicenter, Randomized Study of Outpatient versus Inpatient Total Hip Arthroplasty

Goyal

Chen

Padgett

et al. 2017

Clinical Orthopaedics &Amp; Related Research

223

203

View full text Add to dashboard Cite

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“…11 The choice for female patients is also a result of the difference on maximum torque between men and women. 12 Patients' age was limited, because comparing patients older than 75 years and younger than 55 years could show a significant strength difference due to age. 13,14 In the study by Tria and Coon 15 patients' age ranged from 51 to 84 years (mean: 67 years), and, in the study by Berger et al 12 age ranged from 50 to 79 years (mean: 68 years).…”

Section: Discussionmentioning

confidence: 99%

“…12 Patients' age was limited, because comparing patients older than 75 years and younger than 55 years could show a significant strength difference due to age. 13,14 In the study by Tria and Coon 15 patients' age ranged from 51 to 84 years (mean: 67 years), and, in the study by Berger et al 12 age ranged from 50 to 79 years (mean: 68 years). In our study, a difference was found in the mean values for age, but the statistical analysis showed no correlation between isokinetic dynamometry parameters and age.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors such as Tria and Coon 15 and Berger et al 12 have demonstrated the benefits of minimally invasive surgery in knee arthroplasty, such as smaller surgical incision, shorter hospitalization time, less postoperative pain and earlier ambulation without requiring orthosis. Still concerning the preservation of extensor apparatus in knee arthroplasty, Silva et al 24 say that a stronger quadriceps strength is associated to better scores in functional assessments.…”

Section: Referencesmentioning

confidence: 99%

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Avaliação isocinética em pacientes submetidos à artroplastia total de joelho

Demange¹,

Camanho²,

Pécora³

et al. 2009

Acta ortop. bras.

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Objective: In total knee arthroplasty, the minimally-invasive approach has been claimed to enable earlier rehabilitation because it spares the femoral quadriceps muscle. To check the influence of preserving the extensor apparatus during surgery, the strength of knee extension and flexion muscles was evaluated in patients submitted to total knee arthroplasty with different approaches. Materials and Methods: The values of maximum torque and total work obtained by isokinetic dynamometry six months after surgery were compared for the Minimally invasive surgery group constituted of 12 individuals

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“…Numerous studies of MIS TKAs have shown decreased postoperative pain, earlier return to function, shorter length of stay (LOS) in the hospital, and decreased need for stay in a skilled nursing facility during the postoperative period [1,2,4,8,[10][11][12][16][17][18]. However, other factors, such as increased operative times, altered regimens of physical therapy, variations in the use of radiology services, and concerns that improper MIS component position may lead to early revision, may prevent the putative clinical benefits from translating into decreases in hospital costs or patient charges.…”

Section: Introductionmentioning

confidence: 99%

Is Minimally Invasive Total Knee Arthroplasty Associated with Lower Costs Than Traditional TKA?

King

Manner

Stamper

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Studies of minimally invasive surgery (MIS) approaches to TKA have shown decreased postoperative pain, earlier return to function, and shorter lengths of stay in the hospital. However, it is unclear whether these differences translate into decreased costs or charges associated with care. Questions/purposes We asked whether a minimally invasive approach to TKA is associated with lower inpatient charges and direct inpatient costs than the traditional approach. Patients and MethodsWe retrospectively reviewed one high-volume arthroplasty surgeon's first 100 minimally invasive TKAs with the last 50 traditional TKAs with respect to all perioperative inpatient medical and billing records. Total charges minus implants (which were excluded across groups), total direct costs, and individual cost centers were analyzed.

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Outpatient Total Knee Arthroplasty With a Minimally Invasive Technique

Cited by 241 publications

References 19 publications

Otto Aufranc Award: A Multicenter, Randomized Study of Outpatient versus Inpatient Total Hip Arthroplasty

Otto Aufranc Award: A Multicenter, Randomized Study of Outpatient versus Inpatient Total Hip Arthroplasty

Avaliação isocinética em pacientes submetidos à artroplastia total de joelho

Is Minimally Invasive Total Knee Arthroplasty Associated with Lower Costs Than Traditional TKA?

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