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Same-Day Discharge Periacetabular Osteotomy: A Matched Cohort Analysis.
Alexandra Marshall1, Ariane Parisien2, Reza Ojaghi1
1Division of Orthopaedic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
The Journal of Arthroplasty
|March 19, 2025
Summary
Same-day discharge (SDD) for periacetabular osteotomy (PAO) in young hip dysplasia patients is safe and effective. Optimizing patient care can help expand outpatient PAO programs.
Area of Science:
- Orthopedic Surgery
- Hip Dysplasia Treatment
- Surgical Outcomes
Background:
- Hip dysplasia treatment access is limited by healthcare resources.
- Same-day discharge (SDD) for periacetabular osteotomy (PAO) was evaluated.
- This study assessed SDD PAO safety and effectiveness in young patients.
Purpose of the Study:
- To evaluate the safety and effectiveness of same-day discharge (SDD) periacetabular osteotomy (PAO).
- To compare outcomes of SDD PAO with traditional inpatient procedures.
- To identify factors for successful outpatient PAO programs.
Main Methods:
- 59 patients underwent SDD PAO; 47 were matched with inpatients.
- Patients received general anesthesia and multimodal pain management.
- Outcomes included emergency revisits, readmissions, and adverse events.
Main Results:
- 12.8% of SDD patients required extended hospitalization.
- Readmission and emergency department revisit rates were similar between SDD and inpatient groups.
- Adverse events were comparable, with one wound dehiscence and one bleed in each group.
Conclusions:
- Same-day discharge periacetabular osteotomy (PAO) demonstrates comparable safety to inpatient procedures.
- Optimizing patient education and perioperative management is key for successful SDD PAO.
- SDD PAO can help improve access to care for hip dysplasia patients.
