ma216 operative report total knee arthroplasty inpatient hospital patient sandra bowie

Abstract

Outpatient total knee arthroplasty (TKA) is becoming more commonplace in the United States. Alternatively, the current practice in the Middle East involves an inpatient stay of 7-10 days in the hospital after TKA.

Introduction

Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030.

Material and methods

A total of 192 patients with primary osteoarthritis of the knee underwent TKA using the MIV approach performed by 1 experienced orthopaedic surgeon between 2017 and 2019. The details of the MIV surgical approach to the knee have been previously described [

Results

All patients were able to fully straight leg raise and demonstrate functional knee ROM on the day of surgery. The patella tracked centrally in all patients, and none required a lateral retinaculum release. All 44 patients who underwent outpatient TKA were released from the hospital on the day of surgery after meeting discharge criteria.

Discussion

In this study, we have compared the clinical and functional results of TKA performed using the MIV approach on patients who were hospitalized as inpatients with the results of patients who had the same TKA performed as an outpatient TKA.

Conclusions

In summary, our study documents both safety and good clinical and functional outcomes using the MIV approach in outpatient TKA surgery for the first time in the Middle East region. As we hypothesized, the concept of outpatient TKA was very well accepted by the patients in this study and the outcomes were found to be comparable with inpatient TKA.

Conflict of interests

B.