title: Outpatient Arthroplasty is Here Now.
abstract: Substantial advances have been made in arthroplasty to minimize surgical trauma and maximize perioperative pain control, which has enabled patients to regain mobility within hours of surgical intervention and be safely discharged to home the same day. Surgeons should understand the indications and contraindications for the safe performance of outpatient arthroplasty in a hospital and ambulatory surgical center setting as well as know how to optimize, medically manage, prepare, and rehabilitate patients. To undertake outpatient arthroplasty, surgeons must be knowledgeable in multimodal anesthesia techniques, effective venous thromboembolism prophylaxis, blood management, and wound management. In addition, surgeons must learn the subtle nuances of specialized surgical techniques that lend themselves to outpatient arthroplasty, including partial knee, muscle-sparing total hip, less invasive total knee, and total shoulder techniques.
authors.affiliation: President, Joint Implant Surgeons, New Albany, Ohio.
authors.forename: Adolph V
authors.initials: AV
authors.lastname: Lombardi
authors.forename: John W
authors.initials: JW
authors.lastname: Barrington
authors.forename: Keith R
authors.initials: KR
authors.lastname: Berend
authors.forename: Michael E
authors.initials: ME
authors.lastname: Berend
authors.forename: Lawrence D
authors.initials: LD
authors.lastname: Dorr
authors.forename: William
authors.initials: W
authors.lastname: Hamilton
authors.forename: Jason M
authors.initials: JM
authors.lastname: Hurst
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Morris
authors.forename: Giles R
authors.initials: GR
authors.lastname: Scuderi
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000379:methods; D019643:Arthroplasty, Replacement / Q000009:adverse effects / Q000379:methods / Q000534:rehabilitation; D000075202:Contraindications; D004434:Early Ambulation / Q000379:methods; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D007902:Length of Stay; D010149:Postoperative Pain / Q000517:prevention & control*; D010347:Patient Care Planning; D054556:Venous Thromboembolism / Q000209:etiology / Q000517:prevention & control