Day surgery anterior cruciate ligament reconstruction: Sheffield experiences.
A review of the safety, practicality and cost effectiveness of day surgery anterior cruciate ligament reconstruction was studied in the British set-up. We evaluated 20 patients prospectively who underwent ACL reconstruction as a day surgery procedure for pain control, recovery time, post-operative complications and cost effectiveness. All patients on a verbal response score (VRS) for pain expressed themselves as satisfied or very satisfied. All patients regained a range of movement of 0-90 degrees by 1 week and 0-130 degrees by 6 weeks post-operatively. None of the patients required hospitalisation, only two patients had superficial wound infections at the graft-harvesting site. Cost analysis showed that day surgery ACL reconstruction was cost effective. The average saving per patient was in the range of 20-25% when compared to inpatient ACL reconstruction.
Department of Orthopaedics, Northern General Hospital, Sheffield, S57AU, UK.
A
A
Kumar
D R
DR
Bickerstaff
T R
TR
Johnson
D F
DF
Appleton
D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000191:economics / Q000379:methods*; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D008297:Male; D010147:Pain Measurement; D011183:Postoperative Complications; D011446:Prospective Studies; D016059:Range of Motion, Articular; D016896:Treatment Outcome