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Optimizing Early Recovery Quality in Same-Day Discharge Total Hip Arthroplasty: A Narrative Review
Junfei Guo1,2, Erliang Li1,2, Chengcheng Zhao1,2
1Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shannxi, People's Republic of China.
Clinical Interventions in Aging
|June 2, 2026
Summary
Same-day discharge total hip arthroplasty (THA) is shifting care from inpatient to outpatient settings. Optimizing early recovery quality is key for safe and effective same-day discharge THA, focusing on functional independence.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
- Surgical Outcomes
Background:
- Total hip arthroplasty (THA) is transitioning towards same-day discharge (SDD) models.
- This shift is driven by enhanced recovery after surgery (ERAS) protocols, anesthesia advancements, and policy changes.
- Increasing global demand for THA necessitates efficient healthcare utilization.
Purpose of the Study:
- To review contemporary evidence on early recovery trajectories after THA.
- To identify multifactorial determinants influencing early postoperative recovery quality.
- To propose a patient-centered pathway for optimizing SDD-THA.
Main Methods:
- Synthesis of current evidence on early recovery after THA.
- Analysis of clinical strategies for SDD-THA, including patient selection and ERAS protocols.
- Evaluation of anesthetic, analgesic, blood management, and rehabilitation strategies.
Main Results:
- Early recovery quality in SDD-THA is multidimensional, including pain, function, hemodynamics, and well-being.
- Evidence-based patient selection and comprehensive ERAS protocols are critical.
- Optimizing perioperative care, including anesthesia, analgesia, and rehabilitation, enhances recovery.
Conclusions:
- SDD-THA is a viable strategy for optimizing resource use and patient care.
- Focusing on the velocity of functional independence as a clinical endpoint is proposed.
- A patient-centered quality improvement pathway ensures sustainable, high-value SDD-THA practices.
