Joint replacement: 4 benefits of outpatient surgery.
Total hip and knee
replacements have come
a long way.
“The surgery is
basically the same
for both inpatient and
outpatient procedures,”
says orthopaedic surgeon
Michael Bloomfield, MD,
who sees patients at
Cleveland Clinic Hillcrest Hospital. “If your
doctor determines that you’re a good candidate,
there are several advantages to outpatient joint
replacement surgery.”
1. Better pain management
At Cleveland Clinic, about 90 percent of joint
replacements are performed under a shortacting
spinal anesthetic which numbs the patient
from the waist down for about two hours.
Patients also receive a peripheral nerve block,
a long-acting local anesthetic around the surgical
site which controls pain for up to two days after
surgery. Use of narcotics, such as morphine and
fentanyl, is limited because the drugs can cause
nausea, dizziness and other complications.
2. Lower infection risk
Spending less time in the hospital may lower
the chances of infection in the surgery site.
3. Recovery at home
Outpatient joint replacement surgery usually
includes one overnight stay in the hospital.
Being discharged the next day allows patients to
recuperate in the comfort of their own home.
4. Faster, more aggressive physical
therapy
Physical therapy begins the day of surgery
Get the care you need, when and where you need it.
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and continues when the patient returns home.
A physical therapist works with each patient to
help regain full function in the joint.
When considering outpatient joint
replacement surgery, patients should take four
factors into account: overall health, level of
mobility and activity prior to surgery, motivation
to follow physical therapy instructions, and
support system.
“In most cases, patients who have outpatient
hip or knee joint replacement surgery tend to
recover more quickly if they follow rehabilitation
protocols and have help from family and
friends,” says Dr. Bloomfield.
To make an appointment with one of our
orthopaedic specialists at Hillcrest Hospital
or at any of our 14 orthopaedic east-side
locations call 866.275.7496. For more
information, visit clevelandclinic.org/ortho.
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