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Related Concept Videos

Knee Joint01:23

Knee Joint

1.5K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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National survey of protocols for day-case hip and knee arthroplasty in the UK.

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Related Experiment Video

Updated: Jun 6, 2025

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
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The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

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Day-case knee and hip replacement.

Jonathan M R French1, Amy Woods2, Adrian Sayers1

  • 1Musculoskeletal Research Unit, Learning and Research Building, Southmead Hospital, University of Bristol Medical School, Bristol, UK.

The Bone & Joint Journal
|November 30, 2024
PubMed
Summary
This summary is machine-generated.

Day-case knee and hip replacement surgery offers outcomes comparable to inpatient stays, with lower readmission and complication rates. This approach is increasingly popular and shows promising results for patient recovery.

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Area of Science:

  • Orthopedic Surgery
  • Health Services Research

Background:

  • Day-case knee and hip replacement, where patients go home the same day, has grown in popularity, especially since the COVID-19 pandemic.
  • This surgical approach aims to improve efficiency and patient experience.

Purpose of the Study:

  • To systematically review and compare the evidence for day-case versus inpatient-stay knee and hip replacement surgery.
  • To evaluate outcomes such as readmission, complications, reoperation, mortality, and patient-reported measures.

Main Methods:

  • A systematic literature search was conducted across MEDLINE, Embase, and grey literature databases.
  • Meta-analyses were performed using a random effects model for comparable studies.
  • The review included 38 studies involving 83,888 day-case procedures.

Main Results:

  • Day-case patients were younger, more likely male, and had lower BMI and ASA grades.
  • Day-case surgery showed significantly lower odds of readmission, emergency department attendance, and complications.
  • No significant differences were found in reoperation or mortality rates; 85% of day-case patients had successful same-day discharge.

Conclusions:

  • Day-case knee and hip replacement outcomes appear non-inferior to inpatient stays, despite potential selection bias in current literature.
  • Evidence is stronger for unicompartmental knee replacement (UKR) compared to total knee replacement (TKR) and total hip replacement (THR).
  • Successful same-day discharge rates were highest for UKR, followed by TKR and THR.