ICJR Interviews: Assessing Safety of Outpatient THA

    Total hip arthroplasty (THA) is acknowledged to be a safe and effective procedure for managing pain and functional disability in patients with osteoarthritis, with reproducible results.

    Is that the still the case when the procedure is performed at a freestanding, independent ambulatory surgery center?

    Yes it, according to Gregg R. Klein, MD, from the Hartzband Center for Hip & Knee Replacement in Paramus, New Jersey.

    He and his colleagues retrospectively reviewed the charts of 549 patients who had undergone outpatient THA between 2008 and 2014. The found favorable results comparable to what has been reported in the literature:
    3 admissions to the hospital from the surgical center for management of complications
    1 emergency department visit the day of surgery for pain management
    10 readmissions for irrigation and debridement of a hematoma or for delayed wound healing
    5 postoperative infections
    6 dislocations within 90 days
    3 venous thromboembolisms

    Dr. Klein said 5 of the 10 wound complications occurred within the first 100 patients and were likely related to overly aggressive anticoagulation and mobilization protocols that have since been altered.

    He and his colleagues concluded, “Outpatient THA at an ambulatory surgical center is safe and effective when performed on the appropriately indicated patient.”

    Click the image above to hear Dr. Klein discuss the study, “Same Day Total Hip Arthroplasty Performed at an Ambulatory Surgical Center: 90-Day Complication Rate on 549 Patients” (Paper 407), which was presented at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando.

    Producer: Henrik B. Pedersen; Director: Michael Bugera; Post Production: Charles J. Maynard