Outpatient Total Knee Arthroplasty

Abstract

Total knee arthroplasty (TKA) is one of the most successful and frequently performed procedures by all orthopaedic surgeons. As with all joint arthroplasties, this procedure has evolved, and so has the arena in which these procedures are performed. As arthroplasty has progressed to the outpatient setting, the goal remains to provide patients with a durable, well-functioning joint while minimizing complications. Thorough patient selection and preoperative education is of paramount importance. Also, developing protocols with the medical and anesthesia teams regarding perioperative pain management is as critical as all intraoperative aspects of the procedure. Blood management and postoperative care should also be conducted carefully to decrease any complications and readmissions. These steps are necessary to make surgery in the outpatient setting feasible and reduce the risk to the patient. Outpatient TKA likely will continue to increase; however, not all patients who would benefit from TKA are candidates for outpatient arthroplasty. Providers, with the help of independent medical staff, need to be diligent in patient selection when moving patients from an inpatient to an outpatient setting.

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