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Can outpatient total hip arthroplasty be safely performed in the Caribbean? A case report
1Lecturer in Trauma and Orthopaedics, Department of Clinical Surgical Sciences (UWI), Port of Spain General Hospital, Port of Spain, Trinidad, West Indies.
Insights
Outpatient total hip arthroplasty is feasible in developing nations. This case report details the first successful outpatient hip replacement in the Caribbean, demonstrating its potential applicability in diverse healthcare settings.
Area of Science:
- Orthopedic Surgery
- Healthcare Management
Background:
- Outpatient total hip arthroplasty (THA) has gained traction in high-resource settings.
- Skepticism persists regarding the generalizability of outpatient THA to diverse healthcare environments.
- Developing countries face unique challenges but are influenced by patient demand and value-based care shifts.
Observation:
- This case report documents a patient's experience with outpatient total hip arthroplasty in a Caribbean developing country.
- The surgical journey was successfully navigated within the constraints of a lower-resource setting.
Findings:
- Successful outpatient total hip arthroplasty was achieved in the Caribbean.
- This represents the first reported case of its kind in the region.
Implications:
- Demonstrates the potential for successful outpatient THA in developing nations.
- Suggests that outpatient THA may be adaptable to different healthcare systems and resource levels.
- Supports the expansion of ambulatory surgery centers in emerging economies.
Abstract:
Over the past decade, outpatient total hip arthroplasty has been performed successfully with increasing frequency in the United States. The principles for success have been the focus of many recent publications. Despite this, there remains scepticism among surgeons as to the generalisability of outpatient arthroplasty. In the Caribbean basin, our challenges are different from those faced in the high-resource world, but increased patient demand, the shift towards value-based healthcare and the natural evolution of the procedure is likely to result in hip arthroplasty transitioning into the outpatient setting. The present case report describes a patient's surgical journey through outpatient hip arthroplasty in a developing country. To the best of my knowledge, this case is the first report of a successful outpatient total hip arthroplasty in the Caribbean.

