Outpatient Unicompartmental Knee Arthroplasty

Sershon, Robert A.; Fricka, Kevin B.

doi:10.1007/978-3-030-27411-5_15

Unicompartmental Knee Arthroplasty 2019

DOI: 10.1007/978-3-030-27411-5_15

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Outpatient Unicompartmental Knee Arthroplasty

Robert A. Sershon

Kevin B. Fricka

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2022

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Day-case unicompartmental knee arthroplasty: a literature review and development of a novel hospital pathway

Wignadasan

Thompson

Ibrahim

et al. 2022

annals

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Introduction We have seen unparalleled changes in our healthcare systems globally as a result of the COVID-19 pandemic. As we strive to regenerate our full capacity elective services in order to contest the increasing demand for lower limb arthroplasty, this pandemic has allowed us a rare opportunity to revise and develop novel elective arthroplasty pathways intended to improve patient care and advance healthcare efficiency. We present an extensive evidence-based review of the approaches used to achieve day-case unicompartmental arthroplasty (UKA) as well as the development of a day-case UKA care pathway in a UK NHS institution based on the evidence provided in the literature. Methods An extensive search of the literature was performed for articles that reported on readmission or complication rates ≥30 days postoperatively following day-case UKA. Findings Fifteen manuscripts reporting the results of day-case UKA, defined as discharged on the same calendar day of surgery, were included in our review. Mean reported complication rates for day-case and inpatient UKA within the follow-up periods were 4.05% and 6.52%, respectively. Mean readmission rates were 2.71% and 4.36% for day-case and inpatient UKA, respectively. The mean rate of successful same-day discharge was 92.45%. Conclusion We introduce our institutional Elective Day Surgery Arthroplasty Pathway (EDSAP) founded upon the evidence presented in the literature. Stringent patient selection complimented by a well-defined day-case arthroplasty pathway is fundamental for successful commencement of day-case UKA in the NHS.

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Day-case unicompartmental knee arthroplasty: a literature review and development of a novel hospital pathway

Wignadasan

Thompson

Ibrahim

et al. 2022

annals

View full text Add to dashboard Cite

show abstract

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Outpatient Unicompartmental Knee Arthroplasty

Cited by 1 publication

References 64 publications

Day-case unicompartmental knee arthroplasty: a literature review and development of a novel hospital pathway

Day-case unicompartmental knee arthroplasty: a literature review and development of a novel hospital pathway

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