Outcomes of Outpatient Total Hip Arthroplasty: A Systematic Review
Authors: Shapira J, Chen SL, Rosinsky PJ, Maldonado DR, Lall AC, Domb BG
Background
This systematic review evaluates the safety, functional outcomes, and complication profiles of outpatient total hip arthroplasty (THA), reflecting the growing trend toward same-day discharge procedures.
Methods
Nine studies including 683 hips treated with outpatient THA between 1988 and 2016 were analyzed. Outcomes assessed included pain relief, Harris Hip Scores, discharge timing, and readmission rates.
Key Findings
- Most patients achieved excellent hip function (Harris Hip Score >90) by 6 weeks post-op.
- The majority (88.1%) were discharged on the same day of surgery.
- Readmission rates were very low (0.34%) within 3 months post-op.
Conclusions
Outpatient THA is safe and effective for appropriately selected patients, demonstrating excellent functional outcomes and low complication/readmission rates.
What Does This Mean for Providers?
For patients without significant medical comorbidities, outpatient THA is a viable and safe option. Providers should implement strict patient selection criteria and perioperative protocols to maintain low complication rates and facilitate safe same-day discharge.