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Outpatient Hip and Knee Replacement

Implementation and Essential Techniques

  • Book
  • © 2023

Overview

Editors:
  1. R. Michael Meneghini

    1. Department of Orthopedic Surgery, Indiana University School of Medicine, Indiana Joint Replacement Institute, Indianapolis, USA

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    You can also search for this editor in PubMed   Google Scholar

  2. Leonard T. Buller

    1. Department of Orthopedic Surgery, Indiana University Health, Fishers, USA

    View editor publications

    You can also search for this editor in PubMed   Google Scholar

  • Addresses all essential elements and considerations for hip and knee arthroplasty into the outpatient setting
  • Topics include patient selection, risk management, surgical techniques, pain management, and post-op rehab
  • An ideal resource for orthopedic hip and knee surgeons, residents, fellows and supporting clinical staff

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Table of contents (20 chapters)

  1. Front Matter

    Pages i-x
    Download chapter PDF

  2. Patient Selection for Same-day Discharge: Medical and Surgical Risk Assessment

    • Peter Caccavallo, R. Michael Meneghini
    Pages 1-8

  3. Medical Optimization and Risk Mitigation for Readmission

    • Vignesh K. Alamanda, Bryan D. Springer
    Pages 9-15

  4. Surgical Appropriateness for Outpatient TJA in an ASC

    • Jesua Law, David A. Crawford, Adolf V. Lombardi
    Pages 17-23

  5. Essential Components of Preoperative Education and Planning

    • Alexander Sah
    Pages 25-36

  6. Multimodal Pain Management Protocols for THA and TKA

    • Elizabeth B. Gausden, Mark W. Pagnano, Matthew P. Abdel
    Pages 37-47

  7. Surgical Techniques and Protocols to Minimize Blood Loss and Postoperative Pain

    • Nathanael Heckmann, Scott Sporer
    Pages 49-57

  8. Anesthesia for Outpatient TJA: Anesthetic Techniques and Regional Blocks

    • Mark E. Nielson
    Pages 59-76

  9. Threats to Same Day Discharge: Prevention and Management

    • Charles P. Hannon, Parag D. Patel, Craig J. Della Valle
    Pages 77-84

  10. Is there an Optimal Place for Outpatient TJA: Hospital, ASC, or “Other”?

    • William G. Hamilton, Roshan T. Melvani, Agnes D. Cororaton
    Pages 85-89

  11. Navigating the Limitations and Obstacles of TJA in a Free-Standing ASC

    • Nicholas B. Frisch, Richard A. Berger
    Pages 91-104

  12. Same-Day Discharge in the Hospital: Resources and Program Elements

    • Gregory G. Polkowski, Michael D. Gabbard
    Pages 105-111

  13. Discharge the Day of Surgery: Strategies to Optimize and Discharge Criteria

    • Joshua C. Rozell, Dimitri E. Delagrammaticas, Raymond H. Kim
    Pages 113-119

  14. Staying Connected with the Patient after Discharge: Strategies and Resources

    • Tony S. Shen, Patawut Bovonratwet, Michael P. Ast
    Pages 121-126

  15. Physical Therapy Following Same-Day Discharge Total Joint Arthroplasty

    • Matthew J. Grosso, William Hozack
    Pages 127-133

  16. Strategies to Minimize Patient Anxiety, Emergency Room Visits, and Readmissions Following Outpatient Total Joint Arthroplasty

    • Charles De Cook
    Pages 135-146

  17. Making the Transition to Outpatient: Resources and Pathway Changes

    • Paul K. Edwards, Jeffrey B. Stambough, Simon C. Mears, C. Lowry Barnes
    Pages 147-156

  18. Outcome Metrics: What to Measure Now and in the Future

    • Robert Pivec, Jess H. Lonner
    Pages 157-164

  19. How to Mitigate Risk for Surgeons, Institutions, and Patients

    • Leonard T. Buller, R. Michael Meneghini
    Pages 165-176

  20. Financial Considerations for Surgeons in the Outpatient Setting: Costs and Ownership Models

    • Joe Zasa
    Pages 177-183
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Keywords

About this book

Outpatient surgery and early discharge is the hottest topic in hip and knee arthroplasty and will continue to be in the coming years: It is expected that over 50% of all hip and knee arthroplasties will be performed in the outpatient setting by 2026. Currently, a central text that encompasses all of the unique aspects of performing hip and knee arthroplasty in the outpatient setting does not exist. Furthermore, as surgeons across the US and abroad are incentivized and encouraged by government and commercial payors, as well as patients, to perform these surgical procedures in the outpatient setting, the educational material must be available to disseminate the unique perioperative and surgical strategies and techniques accordingly.  

This book is unique in that it will address all the essential elements and considerations to promote surgeon success in this endeavor and enhance patient safety through the transition of hip and knee arthroplasty into the outpatient setting, as well as how to implement such a program into practice. Topics discussed include patient selection, medical optimization and risk management, anesthetic surgical techniques, pain management protocols, and postoperative physical therapy. Later chapters cover practical issues surrounding outcome metrics, discharge criteria, minimizing patient readmissions, financial considerations, and additional implications for hospitals, ASCs and payers.


Filling a glaring gap in the literature on this popular new topic, Outpatient Joint Replacement is an ideal resource for orthopedic surgeons, notably hip and knee specialists, as well as residents, fellows and supporting clinical staff.

Editors and Affiliations

  • Department of Orthopedic Surgery, Indiana University School of Medicine, Indiana Joint Replacement Institute, Indianapolis, USA

    R. Michael Meneghini

  • Department of Orthopedic Surgery, Indiana University Health, Fishers, USA

    Leonard T. Buller

About the editors

R. Michael Meneghini, MD, CEO - Indiana Joint Replacement Institute, Professor of Clinical Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, mmeneghini@injri.com




Leonard T. Buller, MD, Indiana University Health Hip and Knee Center, Department of Orthopedic Surgery, Indiana University School of Medicine, Fishers, IN, USA

Bibliographic Information

  • Book Title: Outpatient Hip and Knee Replacement

  • Book Subtitle: Implementation and Essential Techniques

  • Editors: R. Michael Meneghini, Leonard T. Buller

  • DOI: https://doi.org/10.1007/978-3-031-27037-6

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023

  • Hardcover ISBN: 978-3-031-27036-9Published: 19 April 2023

  • Softcover ISBN: 978-3-031-27039-0Published: 20 April 2024

  • eBook ISBN: 978-3-031-27037-6Published: 18 April 2023

  • Edition Number: 1

  • Number of Pages: X, 195

  • Number of Illustrations: 1 b/w illustrations, 14 illustrations in colour

  • Topics: Orthopedics, Sports Medicine

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