Three and a half years' experience with outpatient total hip arthroplasty

• Published in: The bone & joint journal Vol. 102-B; no. 1; pp. 82 - 89
• Main Authors: Coenders, Michel J, Mathijssen, Nina M C, Vehmeijer, Stephan B W
• Format: Journal Article
• Language: English
• Published: England 01.01.2020
• Subjects: Activities of Daily Living; Aged; Ambulatory Care - statistics & numerical data; Arthroplasty, Replacement, Hip - statistics & numerical data; Case-Control Studies; Female; Hip Fractures - surgery; Hospitalization - statistics & numerical data; Humans; Male; Middle Aged; Patient Readmission - statistics & numerical data; Patient Reported Outcome Measures; Patient Satisfaction; Periprosthetic Fractures - surgery; Prospective Studies; Reoperation - statistics & numerical data; Severity of Illness Index; Surveys and Questionnaires; Single-day surgery; Daycare; Outpatient; Fast-track surgery; Total hip arthroplasty
• ISSN: 2049-4394; 2049-4408
• DOI: 10.1302/0301-620X.102B1.BJJ-2019-0045.R2

The aim of this study was to report our experience at 3.5 years with outpatient total hip arthroplasty (THA). In this prospective cohort study, we included all patients who were planned to receive primary THA through the anterior approach between 1 April 2014 and 1 October 2017. Patient-related data and surgical information were recorded. Patient reported outcome measures (PROMs) related to the hip and an anchor question were taken preoperatively, at six weeks, three months, and one year after surgery. All complications, readmissions, and reoperations were registered. Of the 647 THA patients who had surgery in this period through the anterior approach, 257 patients (39.7%) met the inclusion criteria and were scheduled for THA in an outpatient setting. Of these, 40 patients (15.6%) were admitted to the hospital, mainly because of postoperative nausea and/or dizziness. All other 217 patients were able to go home on the day of surgery. All hip-related PROMs improved significantly up to 12 months after surgery, compared with the scores before surgery. There were three readmissions and two reoperations in the outpatient cohort. There were no complications related to the outpatient THA protocol. These study results confirm that outpatient THA can be performed safe and successfully in a selected group of patients, with satisfying results up to one year postoperatively, and without outpatient-related complications, readmissions, and reoperations. Cite this article: 2020;102-B(1):82-89.