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Day case ankle arthroplasty: are they safe and cost effective? A single-centre case-control study
Mohamed Elbashir1, Chika Uzoigwe2, Harish Kurup1
1Pilgrim Hospital, Boston, PE21 9QS, UK.
Journal of Clinical Orthopaedics and Trauma
|June 27, 2022
Summary
Ankle replacement surgery can be safely performed as a day case, reducing costs and maintaining patient satisfaction. This approach requires careful patient selection and a multidisciplinary team for optimal outcomes.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
- Health Economics
Background:
- Traditional ankle replacement in the UK involves a 2-4 day hospital stay.
- The study investigated the safety and cost-effectiveness of a day case pathway for ankle replacement.
Purpose of the Study:
- To evaluate the feasibility and outcomes of day case ankle replacement.
- To assess the safety and cost-effectiveness of this innovative patient pathway.
Main Methods:
- Retrospective case-control study of a day case ankle replacement pathway.
- Collaboration with anesthesiologists, nurses, and physical therapists.
- Pre-operative crutch mobilization and post-discharge follow-up within 2-5 days.
Main Results:
- Twenty ankle replacements were reviewed with a mean follow-up of 38.4 months.
- No 28-day readmissions or day-case-related complications occurred.
- Over 95% of patients reported an excellent or good experience.
Conclusions:
- Ankle replacement can be safely performed as a day case procedure.
- This pathway offers significant cost savings (£880 per case).
- Success depends on appropriate patient selection, pre-operative education, and a multidisciplinary approach.
