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Related Experiment Video

Updated: Sep 17, 2025

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Outpatient orthopaedic trauma surgery: is it safe?

Benjamin J Averkamp1, Meghan K Wally1, Ziqing Yu1

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OTA International : the Open Access Journal of Orthopaedic Trauma
|June 27, 2025
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Summary

Outpatient operative fracture management is safe and effective for many complex orthopaedic trauma cases. Adherence to guidelines for pain management and use of regional anesthesia contribute to positive patient outcomes.

Keywords:
operative fracture managementoutpatient surgeryregional anesthesia

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Area of Science:

  • Orthopaedic Surgery
  • Trauma Care
  • Pain Management

Background:

  • Implementation of the 2019 Orthopaedic Trauma Association (OTA) Guidelines for Musculoskeletal Pain.
  • Management of primary and revision orthopaedic trauma cases in an outpatient setting.
  • Standardized pain management protocols involving regional anesthesia.

Purpose of the Study:

  • To evaluate outcomes of outpatient operative fracture management.
  • To assess complication rates, emergency department visits, and reoperations.
  • To analyze patient satisfaction with pain control and medication management.

Main Methods:

  • Retrospective case series of 88 adult patients undergoing surgery for fractures.
  • Data collected via retrospective chart review at a Level 1 trauma center's outpatient facility.
  • Analysis of primary outcomes (complications, ED visits, reoperations) and secondary outcomes (office calls, pain complaints, refills).

Main Results:

  • 77% of patients received regional anesthesia.
  • 8% of patients (10 encounters) presented to the emergency department within 30 days, with most related to the injury.
  • 4 ED visits were for pain, none requiring admission; 76% of office calls were for medication refills.

Conclusions:

  • Complex orthopaedic trauma can be managed effectively in an outpatient setting.
  • Careful patient selection is crucial for successful outpatient treatment.
  • Regional anesthesia and appropriate pain management are key to ensuring patient safety and comfort.