Outcomes of Outpatient Total Hip Arthroplasty: A Systematic Review

Outcomes of Outpatient Total Hip Arthroplasty: A Systematic Review

Authors

Shapira J, Chen SL, Rosinsky PJ, Maldonado DR, Lall AC, Domb BG
DOI: 10.1177/1120700020911639

Background

As hip replacement surgery becomes more common, many procedures are shifting to an outpatient setting. This review assesses the functional outcomes and complications associated with outpatient total hip arthroplasty (THA).

Methods

The authors reviewed 9 studies that analyzed the outcomes of outpatient THA, involving 683 hips across 1988 to 2016. They looked at factors like pain relief, hip function (measured by the Harris Hip Score), and readmission rates.

Key Findings

Outpatient THA led to excellent hip scores (greater than 90) by 6 weeks post-surgery for most patients. The vast majority (88.1%) were discharged the same day. The readmission rate was extremely low (0.34%) within 3 months.

Conclusions

For patients without significant comorbidities, outpatient THA is a safe and effective option with low rates of complications and readmissions.

What Does This Mean for Patients

If you’re otherwise healthy and considering hip replacement surgery, outpatient surgery may be a good option, allowing you to go home the same day with minimal complications.