Outpatient Total Hip Replacement

Outpatient total hip arthroplasty (THA), also known as same-day or ambulatory total hip replacement, is when a patient undergoes a THA procedure and is discharged on the same day to recover at home rather than staying overnight in the hospital. Outpatient THA is usually considered for relatively healthy individuals who are motivated and capable of actively participating in their recovery process. The criteria for outpatient total hip arthroplasty may vary depending on the specific surgical practice and the patient’s individual factors, but usually factors in the patient’s age, overall health status, and adequate social support at home. There are general criteria that are typically considered for outpatient THA:

1. Medical stability: The patient should be medically stable and without any active medical conditions that could pose an increased risk during or after surgery. This may include conditions such as uncontrolled diabetes, uncontrolled hypertension, severe cardiovascular disease, significant respiratory compromise, or bleeding disorders. Preoperative medical clearance is obtained to ensure the patient is suitable for outpatient surgery.
2. BMI considerations: Body mass index (BMI) is an important factor in determining eligibility for outpatient THA. Generally, patients with a BMI within a certain range (usually less than 35) may be considered suitable candidates. Higher BMI may increase the risk of complications and may require closer monitoring or an overnight hospital stay.
3. Functional status: Patients considered for outpatient THA should have a relatively high level of functional independence and mobility prior to surgery. While hip arthritis causes a significant degree of impairment, a patient seekig outpatient surgery should be able to actively participate in preoperative education, rehabilitation, and discharge planning to ensure a smooth transition to home-based recovery.
4. Home environment and support: A suitable home environment is important for a safe and effective recovery following outpatient THA. The patient should have a stable living situation, access to necessary equipment (such as a walker or crutches), and assistance from a responsible caregiver or support system for at least the initial recovery period.

It’s important to note that the decision for outpatient THA is made collaboratively between the patient and the orthopedic surgical team, taking into account the individual’s specific circumstances and preferences. The surgeon will assess the patient’s eligibility for outpatient surgery based on a comprehensive evaluation of medical history, physical examination, diagnostic tests, and shared decision-making.