Plancher Kevin D, Braun Geoffrey E, Petterson Stephanie C
Albert Einstein College of Medicine/Montefiore Medical Center, New York, NY, USA; Weill Cornell Medical College, New York, NY, USA; Orthopaedic Foundation, Stamford, CT, USA; Plancher Orthopaedics & Sports Medicine, New York, NY, USA.
Orthopaedic Foundation, Stamford, CT, USA.
J ISAKOS. 2024 Dec;9(6):100350. doi: 10.1016/j.jisako.2024.100350. Epub 2024 Oct 18.
The number of outpatient unicompartmental knee arthroplasty (UKA) procedures has increased substantially over the last decade. The ambulatory surgery center (ASC) and hospital outpatient department provide a safe, cost-effective alternative with significant cost savings to the healthcare system. Advancements in technology and perioperative management strategies have expanded the number of eligible patients to optimize outcomes with a focus on safety. Therefore, this review will describe the safety, efficacy, economics, and perioperative protocols for performing UKA in an outpatient setting. Patient selection, risk factors, patient education and expectations, anesthesia, pain management strategies, and outcomes will be discussed.
在过去十年中,门诊单髁膝关节置换术(UKA)的手术数量大幅增加。门诊手术中心(ASC)和医院门诊部提供了一种安全、经济高效的替代方案,可为医疗系统节省大量成本。技术和围手术期管理策略的进步扩大了符合条件的患者数量,以在注重安全性的同时优化治疗效果。因此,本综述将描述在门诊环境中进行UKA的安全性、有效性、经济性和围手术期方案。将讨论患者选择、风险因素、患者教育与期望、麻醉、疼痛管理策略及治疗效果。