Outpatient Unicompartment Knee Arthroplasty With Indwelling Femoral Nerve Catheter

Dervin, Geoffrey F.; Madden, Susan; Crawford-Newton, Barbara A.; Lane, Alan; Evans, Holly

doi:10.1016/j.arth.2012.01.009

Cited by 30 publications

(24 citation statements)

References 21 publications

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“…Therefore, the introduction of outpatient surgery seemed like the logical next step in attempting to further improve clinical outcome and shortening length of stay in UKA. Several authors have described the use of an outpatient surgery pathway in UKA and so far results have been very promising [ 1 , 7 , 9 , 11 , 21 ]. Discharge on the day of surgery was possible in almost all cases, varying from 85 to 100% of cases.…”

Section: Introductionmentioning

confidence: 99%

Outpatient unicompartmental knee arthroplasty: who is afraid of outpatient surgery?

Hoorntje

Koenraadt

Boevé

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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PurposeIn recent years, duration of hospitalisation after knee arthroplasty has decreased and fast track and outpatient surgery protocols have been developed. Studies have shown that outpatient surgery is feasible, safe, and cost effective. However, the psychological well-being of patients undergoing outpatient surgery has never been described before. The purpose of this study was to investigate how patients experience outpatient surgery for unicompartmental knee arthroplasty (UKA), examining levels of anxiety and depression, satisfaction, and pain. It was hypothesized that the same-day discharge following UKA would not result in higher levels of anxiety and depression, compared to the standard fast-track surgery.MethodsThis case-controlled study included 20 patients undergoing UKA in an outpatient surgery setting and 20 patients undergoing the standard fast-track procedure. The Hospital Anxiety and Depression Scale (HADS, 0–42, lower is better) and numeric rating scales (NRS, 0–10) for pain and satisfaction were collected preoperatively, on the day of surgery, on the first, second, and seventh postoperative days and after 6 and 12 weeks. The Oxford Knee Score (OKS), the KOOS, EuroQoL-5D, and Net Promoter Score (NPS) were collected preoperatively and 3 months postoperatively.Results90% of patients in the outpatient surgery group were discharged on the day of surgery. At the first postoperative day, the median HADS score was significantly lower in the outpatient surgery group compared to the fast-track group (3 vs. 8, p = 0.02), the median NRS satisfaction score was significantly higher in the outpatient surgery group (8 vs. 5, p = 0.03), and no differences existed between both groups for the NRS pain scores. At 3 month follow-up, no significant differences in improvement scores existed between both groups for the HADS, the NRS scores, and for the OKS, KOOS, EuroQoL-5D, and NPS.ConclusionThe results of this study emphasize the feasibility of an outpatient surgery pathway in carefully selected UKA patients. The outpatient surgery pathway is safe, and clinical outcome, including levels of anxiety and depression, satisfaction, and pain, was similar in outpatient surgery patients compared to the standard fast-track patients.Level of evidenceCase-control study, Level III.

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Section: Introductionmentioning

confidence: 99%

Outpatient unicompartmental knee arthroplasty: who is afraid of outpatient surgery?

Hoorntje

Koenraadt

Boevé

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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“…24 It has been commonly used for pain control and anesthesia after knee surgery and foot and ankle surgery. 7,10,12,24 However, quadriceps weakness after FNB leads to increased risk for postoperative falls. ACB is becoming popular as an alternative to FNB for its quality of preserving quadriceps muscle power, and it has been successfully used for postoperative pain control after knee surgery.…”

Section: Discussionmentioning

confidence: 99%

Complications After Multiple-Site Peripheral Nerve Blocks for Foot and Ankle Surgery Compared With Popliteal Sciatic Nerve Block Alone

et al. 2018

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“…(6) In another study, spinal anaesthesia was performed after femoral nerve block for postoperative pain management. (13) These authors reported good results for pain control. (13) Prior to the present study, we had attempted anaesthesia via sciatic and femoral nerve blocks and also used a femoral nerve catheter for postoperative pain control.…”

Section: A 2bmentioning

confidence: 95%

“…(13) These authors reported good results for pain control. (13) Prior to the present study, we had attempted anaesthesia via sciatic and femoral nerve blocks and also used a femoral nerve catheter for postoperative pain control. However, in our previous study, weakness of the quadriceps muscle in patients after femoral block prevented physical therapy and early mobilisation.…”

Section: A 2bmentioning

confidence: 95%

Short-term outcomes of outpatient surgery for total knee arthroplasty

Bilgen¹,

Yaray²,

Mutlu³

et al. 2019

smedj

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Outpatient Unicompartment Knee Arthroplasty With Indwelling Femoral Nerve Catheter

Cited by 30 publications

References 21 publications

Outpatient unicompartmental knee arthroplasty: who is afraid of outpatient surgery?

Outpatient unicompartmental knee arthroplasty: who is afraid of outpatient surgery?

Complications After Multiple-Site Peripheral Nerve Blocks for Foot and Ankle Surgery Compared With Popliteal Sciatic Nerve Block Alone

Short-term outcomes of outpatient surgery for total knee arthroplasty

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