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Updated: Feb 13, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Successful initial experience with a novel outpatient total hip arthroplasty program in a public health system in
Orlando Paredes1,2, Rodrigo Ñuñez3,4, Ianiv Klaber5,6
1Orthopedic Surgery, Hospital Clinico Metropolitano de La Florida, Santiago, Chile.
Purpose:
The aim of the present study was to assess the first experience with outpatient total hip arthroplasty (THA) in a public health environment in Chile.
Methods:
Prospective series of the first 69 patients/72 hips. Surgery was performed in a public university-affiliated hospital. The patients were 64 (31-84) years old and healthy (ASA I-II) candidates for a primary hip arthroplasty.
Results:
The outpatient track had 52.2% of arthroplasty candidates included and 94.4% (68/72 hips) were successfully discharged the same day. There were no emergency room visits during the first week after surgery. Two patients had single dislocation episodes, one requiring stem revision. There was one deep vein thrombosis. There were no other complications. All the patients reported to be satisfied with the outpatient track.
Interpretation:
An outpatient track can be developed in a safe manner in this healthcare setting and population. This track of care was well accepted by the patients.
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