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Related Experiment Video

Updated: Dec 27, 2025

Author Spotlight: A Novel 3D-Printed Titanium Implant for Minimally Invasive Treatment of Hip Dysplasia in Young Dogs
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['Hip-in-a-Day'].

Dr M Krieger1,2, I Elias3,4, T Hartmann5

  • 1Abteilung Orthopädische Chirurgie, Klinikum GPR Rüsselsheim, Rüsselsheim, Deutschland.

Der Orthopade
|March 1, 2020
PubMed
Summary
This summary is machine-generated.

The "Hip-in-a-Day" program enables same-day discharge for select hip replacement patients, significantly reducing hospital stays. This ultra-fast-track approach demonstrates high patient satisfaction and feasibility for routine care.

Keywords:
Discharge planningLength of stayPatient compliancePatient satisfactionPostoperative period

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Area of Science:

  • Orthopedic Surgery
  • Arthroplasty
  • Patient Care Pathways

Background:

  • Average hip replacement length of stay in Germany was 10.2 days in 2017.
  • Our hospital reduced average stay to 3.8 days over 10 years.
  • Development of an ultra-fast-track program for hip arthroplasty.

Purpose of the Study:

  • Present the philosophy, treatment principles, and daily routine of the 'Hip-in-a-Day' program.
  • Detail the pre-, intra-, and postoperative phases of the ultra-fast-track pathway.
  • Discuss challenges within the German healthcare system for short-stay hip arthroplasty.

Main Methods:

  • 97 patients (43-77 years) underwent the 'Hip-in-a-Day' pathway from Sep 2015 to Nov 2019.
  • All patients received general anesthesia and direct anterior approach (DAA) hip surgery.
  • Patients discharged within 24 hours; 30 on surgery day (12h avg), 67 next day (20h avg).

Main Results:

  • All 97 patients met discharge criteria within 24 hours.
  • 98.9% (96/97) completed the program without readmission.
  • 100% patient satisfaction reported with the fast discharge process.

Conclusions:

  • 'Hip-in-a-Day' aims for discharge within 24 hours post-surgery.
  • Successful implementation relies on interdisciplinary care, anesthesiology, minimally invasive surgery, and patient compliance.
  • Ultra-fast-track arthroplasty is feasible, yielding high patient satisfaction; calls for inclusion in DRG system for reimbursement.