Felipe Fernández Monsalve¹*, Jorge Etcheverry Calderón¹, Francisco Mahaluf Recasens¹, Álvaro Gatica Valenzuela² and Óscar Sepúlveda Gleiser²

¹Orthopedic Surgeon, Hip Unit, Complejo Asistencial Dr. Víctor Ríos Ruiz, Los Ángeles, Chile
²General Practitioner, Home Unit, Complejo Asistencial Dr. Víctor Ríos Ruiz, Los Ángeles, Chile

*Corresponding Author: Felipe Fernández Monsalve, Orthopedic Surgeon, Hip Unit, Complejo Asistencial Dr. Víctor Ríos Ruiz, Los Ángeles, Chile.

Received: January 11, 2024; Published: February 11, 2024

Abstract

Introduction: Total hip arthroplasty is a procedure with increasing demand, which affects waiting times, use of beds and ward. An outpatient hip arthroplasty program was proposed in our center based on successful international experiences.

Materials and methods: Retrospective study that considers patients who underwent outpatient surgery in the period December 2022 to March 2023.

Results: Total 45 patients, all discharged home on the same day. The majority were young patients with an average age of 56.7 years. The diagnosis of secondary osteoarthritis due to hip dysplasia was more frequent. There was no transfusion requirement and 2 patients were readmitted for pain. One complication was recorded at the 3-month follow-up. Patient satisfaction was high.

Conclusion: It is possible to perform safe outpatient hip arthroplasty in our environment and population.

Keywords: Outpatient; Arthroplasty; Hip; Coxarthrosis

References

1. Shapira Jacob., et al. “Outcomes of outpatient total hip arthroplasty: a systematic review”. Hip International: The Journal of Clinical and Experimental Research on Hip Pathology and Therapy1 (2021): 4-11.
2. Dove James H., et al. “The Effect of Surgical Approach on the Outcomes of Same-Day Discharge Outpatient Total Hip Arthroplasty at a Single Ambulatory Surgery Center”. The Journal of Arthroplasty2 (2024): 398-401.
3. Paredes Orlando., et al. “Successful initial experience with a novel outpatient total hip arthroplasty program in a public health system in Chile”. International Orthopaedics8 (2018): 1783-1787.
4. Debbi Eytan M., et al. “Same-Day Discharge Total Hip and Knee Arthroplasty: Trends, Complications, and Readmission Rates”. The Journal of Arthroplasty3 (2022): 444-448.e1.
5. Pharr Zachary K., et al. “Outpatient Hip Safety in an Ambulatory Surgery Center Is Independent of Approach”. The Journal of Arthroplasty1 (2021): 231-235. 
6. Bordoni Vittorio., et al. “Outpatient total hip arthroplasty does not increase complications and readmissions: a meta-analysis”. Hip International: The Journal of Clinical and Experimental Research on Hip Pathology and Therapy3 (2022): 326-333.

Citation

Citation: Felipe Fernández Monsalve., et al. “Outpatient Total Hip Arthroplasty in a Chilean Provincial Hospital".Acta Scientific Orthopaedics 7.3 (2024): 19-21.

Copyright

Copyright: © 2024 Felipe Fernández Monsalve., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.