De Beule J, Vandenneucker H, Claes S, Bellemans J
Acta Orthop Belg. 2014 Sep;80(3):391-6.
Anterior cruciate ligament reconstruction is performed as an outpatient procedure in selected cases. Whether it can be safely performed on a routine basis in day clinic remains unclear. Our hypothesis was that routinely performing outpatient anterior cruciate ligament reconstruction would be equally safe as compared to inpatient procedures. A cohort of 355 patients who underwent outpatient primary reconstruction was analysed at an average follow-up of 3.8 years. Four patients (1.1%) could not be discharged or were readmitted within 24 hours. The 1-month readmission rate was 1.4%. The overall complication rate was 12.1% (43 cases) of which 4.2% (15 patients) occurred within the first 30 days. Performing anterior cruciate ligament reconstructions routinely in day clinic is associated with almost negligible readmission rates and has similar complication rates as for standard in-hospital anterior cruciate ligament reconstructions. Outpatient anterior cruciate ligament reconstructions can therefore be safely performed without specific preoperative patient selection protocols.
在某些特定情况下，前交叉韧带重建手术可作为门诊手术进行。目前尚不清楚在日间诊所常规开展该手术是否安全。我们的假设是，与住院手术相比，常规进行门诊前交叉韧带重建手术同样安全。对一组355例行门诊初次重建手术的患者进行了分析，平均随访时间为3.8年。4例患者（1.1%）在24小时内无法出院或再次入院。1个月内的再入院率为1.4%。总体并发症发生率为12.1%（43例），其中4.2%（15例患者）发生在术后30天内。在日间诊所常规进行前交叉韧带重建手术的再入院率几乎可以忽略不计，且并发症发生率与标准的住院前交叉韧带重建手术相似。因此，无需特定的术前患者选择方案即可安全地进行门诊前交叉韧带重建手术。
