Comparison of day‐case versus inpatient uni‐compartmental knee replacement

Background Uni‐compartmental knee replacement (UKR) is an alternative to total knee replacement for patients who have isolated compartment osteoarthritis. Studies have demonstrated that UKR can be safely performed as a day‐case procedure without a negative impact on complication rates. The aim of th...

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Bibliographic Details
Published in:Musculoskeletal care 2023-03, Vol.21 (1), p.16-24
Main Authors: Gao, Neng‐Ping, Al‐Dadah, Oday
Format: Article
Language:English
Subjects:
ambulant care
Arthritis
Case-Control Studies
Clinical outcomes
day‐case joint replacement
Humans
Inpatients
Knee
Knee Joint
Osteoarthritis
Osteoarthritis, Knee - surgery
Pain, Postoperative
patient reported outcome measures
same‐day discharge
Treatment Outcome
uni‐compartmental knee arthroplasty
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Summary:Background Uni‐compartmental knee replacement (UKR) is an alternative to total knee replacement for patients who have isolated compartment osteoarthritis. Studies have demonstrated that UKR can be safely performed as a day‐case procedure without a negative impact on complication rates. The aim of this study was to compare the clinical outcomes between day‐case and inpatient UKRs. Methods A single surgeon prospective case‐controlled study was performed, comparing data between day‐case UKRs and inpatient UKRs. This included longitudinal analysis of patient reported outcome measures (PROMs); including the Oxford Knee Score, Knee Injury and Osteoarthritis Outcome Score, Short Form 12‐item Health Survey, EQ‐5D‐5L and the Self‐administered Comorbidity Questionnaire. Post‐operative pain scores (visual analogue scale), unplanned post‐operative hospital reattendance rates and complications were also analysed. Results Overall, 100% of day‐case patients were successfully discharged on the same day. Both inpatient (n = 23) and day‐case (n = 23) UKRs demonstrated a significant within group longitudinal improvement of PROM scores (p 
ISSN:1478-2189
1557-0681
DOI:10.1002/msc.1662