Position statement relating ankle fractures in major outpatient surgery

Area of Science:

• Orthopedic Surgery
• Health Economics
• Patient Care Management

Background:

• Rising prevalence of ankle fractures due to aging populations and increased accidents necessitates optimized treatment protocols.
• Current care for ankle fractures lacks a standardized framework, particularly concerning major outpatient surgery (MOS).

Purpose of the Study:

• To establish a common framework for implementing major outpatient surgery (MOS) protocols for ankle fractures in Spanish healthcare centers.
• To review the clinical and economic evidence supporting MOS for ankle fractures and outline implementation strategies.

Main Methods:

• Review of clinical and economic evidence for major outpatient surgery (MOS) in ankle fracture management.
• Analysis of local healthcare environments and strategies for successful MOS implementation.
• Examination of barriers and enablers for adopting MOS in ankle fracture care.

Main Results:

• Major outpatient surgery (MOS) demonstrates a superior cost-benefit ratio compared to traditional inpatient hospitalization.
• MOS is associated with reduced complication rates and lower readmission rates.
• Significant cost savings are achieved through the implementation of MOS for selected ankle fracture patients.

Conclusions:

• Major outpatient surgery (MOS) is a safe and effective approach for selected ankle fracture patients, improving care quality and patient satisfaction.
• Implementing MOS optimizes resource utilization within the healthcare system.
• Standardized protocols and internal circuits are crucial for the successful adoption of MOS for ankle fractures.