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Int Orthop. 2014 Feb;38(2):443-7. doi: 10.1007/s00264-013-2214-9. Epub 2013 Dec 13.

Feasibility and safety of performing outpatient unicompartmental knee arthroplasty.

Author information

1
Adult Reconstruction and Joint Replacement Division, Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA, crossm@hss.edu.

Abstract

PURPOSE:

Unicompartmental knee arthroplasty (UKA) has a faster short-term recovery than total knee arthroplasty (TKA). The purpose of this study was to determine the feasibility and safety of performing outpatient UKAs in a consecutive group of patients presenting with unicompartmental knee osteoarthritis.

METHODS:

A total of 105 consecutive patients underwent unicompartmental arthroplasty before noon with the intention of being discharged as an outpatient. All patients followed an established rapid recovery pathway to facilitate a same-day discharge. Post-operative complications and hospital readmissions were retrospectively recorded for all patients at one week and at three months after surgery.

RESULTS:

All of the 105 patients (100 %) indicated for outpatient UKA could be discharged home on the same day of surgery. No patients required readmission within the first week post-operatively, while one patient required readmission between week one and week 12. The single patient who required readmission developed a post-operative infection requiring irrigation/debridement with polyethylene liner exchange and intravenous antibiotics.

CONCLUSION:

Using an established, multidisciplinary, rapid recovery protocol, outpatient UKA is safe and feasible in the vast majority of patients.

PMID:
24337797
PMCID:
PMC3923932
DOI:
10.1007/s00264-013-2214-9
[Indexed for MEDLINE]
Free PMC Article
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