Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
J Arthroplasty. 2021 Jul;36(7S):S33-S39. doi: 10.1016/j.arth.2021.02.030. Epub 2021 Feb 12.
As perioperative protocols have improved, there has been a reduction in the rates of key complications after hip and knee arthroplasty. Likewise, as we have been able to make patients more comfortable postoperatively, hospital length of stay has decreased and in some centers, hip and knee arthroplasty is now routinely performed as an outpatient. While the number of surgeons offering this option and patients choosing to have procedures performed as an outpatient grows, many questions revolve around this movement. This article will review the data supporting outpatient arthroplasty, the business and legal aspects involved, if surgeons can align with their hospital to offer these services, and how tightly knit and highly organized teams are key to the success of safely offering hip and knee arthroplasty on an outpatient basis.
随着围手术期方案的改进，髋关节和膝关节置换术后的主要并发症发生率有所降低。同样，由于我们能够使患者术后更加舒适，住院时间缩短，在一些中心，髋关节和膝关节置换术现在已常规作为门诊手术进行。随着越来越多的外科医生提供这种选择，越来越多的患者选择作为门诊手术进行，许多问题围绕着这一转变。本文将回顾支持门诊关节置换术的数据，所涉及的商业和法律方面，如果外科医生可以与他们的医院合作提供这些服务，以及紧密结合和高度组织化的团队是安全提供髋关节和膝关节置换术门诊手术的关键。
