title: Day of surgery discharge after unicompartmental knee arthroplasty: an effective perioperative pathway.
abstract: Day of surgery (DOS) discharge after unicompartmental knee arthroplasty (UKA) allows for safe, efficient care of the appropriately selected patient. Refinement of our perioperative pathway over the last decade has allowed for successful DOS discharge of 160 consecutive patients. The cohort averaged 65 years and American Society of Anesthesiology class was 1-3 (mean, 1.8). Perioperative pain control included a preoperative single shot femoral nerve block. Mean recovery room time was 121 (SD = 37) minutes. No patient required overnight admission for uncontrolled pain or nausea. Significant improvements in Knee Society Clinical Rating System (KSCRS) scores and high patient satisfaction were observed. This study details critical components of our simple perioperative pathway that can be utilized to safely perform UKA with discharge on the DOS.
authors.affiliation: Orthopaedic Specialty Institute of Orange, California; Hoag Orthopedic Institute, Irvine, California.
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Gondusky
authors.affiliation: Orthopaedic Specialty Institute of Orange, California.
authors.forename: Leera
authors.initials: L
authors.lastname: Choi
authors.affiliation: Hoag Orthopedic Institute, Irvine, California.
authors.forename: Naila
authors.initials: N
authors.lastname: Khalaf
authors.affiliation: Orthopaedic Specialty Institute of Orange, California; Hoag Orthopedic Institute, Irvine, California.
authors.forename: Jay
authors.initials: J
authors.lastname: Patel
authors.affiliation: Orthopaedic Specialty Institute of Orange, California; Hoag Orthopedic Institute, Irvine, California.
authors.forename: Steven
authors.initials: S
authors.lastname: Barnett
authors.affiliation: Orthopaedic Specialty Institute of Orange, California; Hoag Orthopedic Institute, Irvine, California.
authors.forename: Robert
authors.initials: R
authors.lastname: Gorab
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D019645:Arthroplasty, Replacement, Knee; D019091:Critical Pathways; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
keywords: day of surgery discharge; multimodal pain management; outpatient; partial knee replacement; same day surgery; unicompartmental knee arthroplasty (UKA)