Outpatient Hip and Knee Replacement

Outpatient surgery and early discharge is the hottest topic in hip and knee arthroplasty and will continue to be in the coming years: It is expected that over 50% of all hip and knee arthroplasties will be performed in the outpatient setting by 2026. Currently, a central text that encompasses all of the unique aspects of performing hip and knee arthroplasty in the outpatient setting does not exist. Furthermore, as surgeons across the US and abroad are incentivized and encouraged by government and commercial payors, as well as patients, to perform these surgical procedures in the outpatient setting, the educational material must be available to disseminate the unique perioperative and surgical strategies and techniques accordingly. This book is unique in that it will address all the essential elements and considerations to promote surgeon success in this endeavor and enhance patient safety through the transition of hip and knee arthroplasty into the outpatient setting, as well as how to implement such a program into practice. Topics discussed include patient selection, medical optimization and risk management, anesthetic surgical techniques, pain management protocols, and postoperative physical therapy. Later chapters cover practical issues surrounding outcome metrics, discharge criteria, minimizing patient readmissions, financial considerations, and additional implications for hospitals, ASCs and payers. Filling a glaring gap in the literature on this popular new topic, Outpatient Joint Replacement is an ideal resource for orthopedic surgeons, notably hip and knee specialists, as well as residents, fellows and supporting clinical staff.

Patient Selection for Same-day Discharge: Medical and Surgical Risk Assessment.- Medical Optimization and Risk Mitigation for Readmission.- Surgical Appropriateness for Outpatient TJA in an ASC.- Essential Components of Preoperative Education and Planning