[Research status and progress of daytime total shoulder arthroplasty]

Total shoulder arthroplasty(TSA) is primarily used for treating severe shoulder injuries or diseases and has been shown to effectively improve shoulder function. With the expansion of TSA indications and an aging population, the demand for TSA continues to grow. To address this demand and alleviate the economic burden on patients, many countries have adopted the day surgery model for TSA, accompanied by extensive research and discussions on its safety and feasibility. This paper systematically reviews the safety, patient inclusion and exclusion criteria, implementation processes, and perioperative management strategies for TSA day surgery. Based on an analysis of relevant literature from domestic and international sources, the findings indicate that TSA day surgery, when preceded by appropriate patient screening, can safely replace traditional inpatient care. Furthermore, it could significantly reduce hospitalization durations, lower treatment costs, and optimize the utilization of medical resources. However, in clinical practice, there is still a lack of standardized protocols for patient selection criteria and perioperative management strategies. As China's aging population intensifies, TSA day surgery presents promising application prospects. Nevertheless, the development of day surgery in China lags behind that of other countries, and research on TSA day surgery remains in its early stages. Moving forward, research and clinical practices tailored to China's specific needs should be prioritized. Practical clinical operation guidelines must be established to facilitate the widespread adoption and standardized implementation of TSA day surgery, ultimately providing patients with higher-quality and safer medical care.