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Rotator cuff repair as an outpatient procedure
F A Cordasco1, B J McGinley, T Charlton
1Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021, USA.
Journal of Shoulder and Elbow Surgery
|March 16, 2000
Summary
Outpatient rotator cuff repair is safe and effective for select patients, offering excellent pain management and no early complications. This approach significantly reduces costs by 43% compared to traditional inpatient procedures.
Area of Science:
- Orthopedic Surgery
- Outpatient Procedures
Background:
- Rotator cuff tears are common injuries requiring surgical intervention.
- Traditional inpatient rotator cuff repair can be costly and resource-intensive.
Purpose of the Study:
- To evaluate the feasibility and outcomes of outpatient rotator cuff repair.
- Assess patient satisfaction, pain control, complications, and cost-effectiveness.
Main Methods:
- Seventy-five patients underwent outpatient rotator cuff repair.
- Patients were selected based on general health and home support.
- Exclusion criteria included tears larger than 2 cm.
Main Results:
- Effective postoperative pain management in 74 out of 75 patients.
- No instances of deltoid origin compromise, deep infection, or early repair failure.
- Zero readmissions required for any outpatient.
Conclusions:
- Outpatient rotator cuff repair is a safe and effective option for carefully selected patients.
- This approach leads to a substantial 43% reduction in overall surgical costs.