Kumar A, Bickerstaff D R, Johnson T R, Appleton D F
Department of Orthopaedics, Northern General Hospital, Sheffield, S57AU, UK.
Knee. 2001 Mar;8(1):25-7. doi: 10.1016/s0968-0160(00)00066-1.
A review of the safety, practicality and cost effectiveness of day surgery anterior cruciate ligament reconstruction was studied in the British set-up. We evaluated 20 patients prospectively who underwent ACL reconstruction as a day surgery procedure for pain control, recovery time, post-operative complications and cost effectiveness. All patients on a verbal response score (VRS) for pain expressed themselves as satisfied or very satisfied. All patients regained a range of movement of 0-90 degrees by 1 week and 0-130 degrees by 6 weeks post-operatively. None of the patients required hospitalisation, only two patients had superficial wound infections at the graft-harvesting site. Cost analysis showed that day surgery ACL reconstruction was cost effective. The average saving per patient was in the range of 20-25% when compared to inpatient ACL reconstruction.
在英国的医疗环境中，对日间手术前交叉韧带重建的安全性、实用性和成本效益进行了一项综述研究。我们前瞻性地评估了20例接受前交叉韧带重建日间手术的患者，以了解疼痛控制、恢复时间、术后并发症和成本效益情况。所有患者采用疼痛言语反应评分（VRS），均表示满意或非常满意。所有患者术后1周膝关节活动度恢复至0 - 90度，6周时恢复至0 - 130度。所有患者均无需住院，仅2例患者在取腱部位出现表浅伤口感染。成本分析表明，日间手术前交叉韧带重建具有成本效益。与住院前交叉韧带重建相比，每位患者平均节省20% - 25%的费用。
