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Original Articles

Outpatient total hip and knee arthroplasty

Facts and challenges

, &
Pages 141-144 | Received 10 Aug 2017, Accepted 03 Oct 2017, Published online: 05 Dec 2017

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (10)

Lars Edelmann, Marike Hempel, Natalia Podsiadlo, Nora Schweizer, Cindy Tong, Thibaut Galvain, Hannah Taylor & Michael Schüler. (2022) Reduced Length of Stay Following Patient Pathway Optimization for Primary Hip and Knee Arthroplasty at a Swiss Hospital. ClinicoEconomics and Outcomes Research 14, pages 105-117.
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Christian E Husted, Henrik Husted, Christian Skovgaard Nielsen, Mette Mikkelsen, Anders Troelsen & Kirill Gromov. (2021) No increase in postoperative contacts with the healthcare system following outpatient total hip and knee arthroplasty. Acta Orthopaedica 92:5, pages 557-561.
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Christoffer C Jørgensen, Kirill Gromov, Pelle B Petersen & Henrik Kehlet. (2021) Influence of day of surgery and prediction of LOS > 2 days after fast-track hip and knee replacement. Acta Orthopaedica 92:2, pages 170-175.
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Christian E Husted, Henrik Husted, Lina Holm Ingelsrud, Christian Skovgaard Nielsen, Anders Troelsen & Kirill Gromov. (2021) Are functional outcomes and early pain affected by discharge on the day of surgery following total hip and knee arthroplasty?. Acta Orthopaedica 92:1, pages 62-66.
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Bryn O Zomar, Shannon L Sibbald, Doug Bickford, James L Howard, Dianne M Bryant, Jacquelyn D Marsh & Brent A Lanting. (2020) Implementation of Outpatient Total Joint Arthroplasty in Canada: Where We are and Where We Need to Go. Orthopedic Research and Reviews 12, pages 1-8.
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Christian Husted, Kirill Gromov, Helle Krogshøj Hansen, Anders Troelsen, Billy B Kristensen & Henrik Husted. (2020) Outpatient total hip or knee arthroplasty in ambulatory surgery center versus arthroplasty ward: a randomized controlled trial. Acta Orthopaedica 91:1, pages 42-47.
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Kirill Gromov, Christoffer Calov Jørgensen, Pelle Baggesgaard Petersen, Per Kjaersgaard-Andersen, Peter Revald, Anders Troelsen, Henrik Kehlet & Henrik Husted. (2019) Complications and readmissions following outpatient total hip and knee arthroplasty: a prospective 2-center study with matched controls. Acta Orthopaedica 90:3, pages 281-285.
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Thomas W Wainwright & Henrik Kehlet. (2019) Fast-track hip and knee arthroplasty – have we reached the goal?. Acta Orthopaedica 90:1, pages 3-5.
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Henrik Husted, Billy B Kristensen, Signe E Andreasen, Christian Skovgaard Nielsen, Anders Troelsen & Kirill Gromov. (2018) Time-driven activity-based cost of outpatient total hip and knee arthroplasty in different set-ups. Acta Orthopaedica 89:5, pages 515-521.
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Henrik Kehlet & Viktoria Lindberg-Larsen. (2018) High-dose glucocorticoid before hip and knee arthroplasty: To use or not to use—that’s the question. Acta Orthopaedica 89:5, pages 477-479.
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Articles from other publishers (59)

Albert T. Anastasio, Billy I. Kim, Niall H. Cochrane, Elshaday Belay, Michael P. Bolognesi, Grayson M. Talaski & Sean P. Ryan. (2023) Higher Risk of Reoperation after Total Knee Arthroplasty in Young and Elderly Patients. Materials 16:21, pages 7012.
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Sheng Xu, Ming Han Lincoln Liow, Xuan Eric Liu, Hee-Nee Pang, Shi-Lu Chia, Keng Jin Darren Tay, Seng Jin Yeo & Jerry Yongqiang Chen. (2023) Enhanced recovery after day surgery total knee arthroplasty, the new standard of care: An Asian perspective. The Knee 44, pages 158-164.
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Derk A van Kampen, Lieke de Vries, Robert Jan Hillen, Paulo La Guardia & Rienk van Beek. (2022) Prospective cohort study of same-day discharge shoulder arthroplasty in patients of 85 years and younger. Shoulder & Elbow 15:1_suppl, pages 80-86.
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Lukas Willinger, Wolf Petersen & Elmar Herbst. (2023) AOP-Katalog 2023 – Die Auswirkungen der Ambulantisierung auf die KniechirurgieGerman outpatient catalog 2023—impact of outpatient treatment on knee surgery. Knie Journal 5:3, pages 183-185.
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Yijun Liu, Yanhua Qiu, Yifan Fu & Jin Liu. (2023) Evaluation of postoperative recovery: past, present and future. Postgraduate Medical Journal 99:1174, pages 808-814.
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Martin Lindberg-Larsen, Claus Varnum, Thomas Jakobsen, Mikkel Rathsach Andersen, Kim Sperling, Søren Overgaard, Torben Bæk Hansen, Christoffer Calov Jørgensen, Henrik Kehlet & Kirill Gromov. (2023) Study protocol for discharge on day of surgery after hip and knee arthroplasty from the Center for Fast-track Hip and Knee Replacement. Acta Orthopaedica 94, pages 121-127.
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Johannes Beckmann, David Barrett & Emmanuel Thienpont. (2022) Cutting-Edge Approaches in Arthroplasty: Before, during and after Surgery. Journal of Personalized Medicine 12:10, pages 1671.
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Alexandre Hardy, Margaux Courgeon, Karina Pellei, François Desmeules, Christian Loubert & Pascal-André Vendittoli. (2022) Amélioration des résultats cliniques d’arthroplastie totale de la hanche et de genou avec un programme de récupération optimisée en ambulatoire en comparaison à la pratique standard hospitalisée : une étude de patients qui ont expérimenté les deux. Revue de Chirurgie Orthopédique et Traumatologique 108:6, pages 698-705.
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Alexandre Hardy, Margaux Courgeon, Karina Pellei, François Desmeules, Christian Loubert & Pascal-André Vendittoli. (2022) Improved clinical outcomes of outpatient enhanced recovery hip and knee replacements in comparison to standard inpatient procedures: A study of patients who experienced both. Orthopaedics & Traumatology: Surgery & Research 108:6, pages 103236.
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Kristine B. Arndt, Claus Varnum, Martin Lindberg-Larsen, Christian B. Jensen & Lasse E. Rasmussen. (2022) Readmissions and mortality after outpatient vs inpatient unicompartmental knee arthroplasty in Denmark – A propensity score matched study of 5,384 procedures. The Knee 38, pages 50-55.
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Y. F. L. Bemelmans, M. H. F. Keulen, M. Heymans, E. H. van Haaren, B. Boonen & M. G. M. Schotanus. (2021) Safety and efficacy of outpatient hip and knee arthroplasty: a systematic review with meta-analysis. Archives of Orthopaedic and Trauma Surgery 142:8, pages 1775-1791.
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Georgios Katsanos, Konstantina-Eleni Karakasi, Nikolaos Antoniadis, Stella Vasileiadou, Athanasios Kofinas, Antonios Morsi-Yeroyannis, Evangelia Michailidou, Ioannis Goulis, Emmanouil Sinakos, Olga Giouleme, Ilias Marios Oikonomou, George Evlavis, Georgios Tsakiris, Eleni Massa, Eleni Mouloudi & Georgios Tsoulfas. (2022) Enhanced recovery after surgery in liver transplantation: Challenges and feasibility. World Journal of Transplantation 12:7, pages 195-203.
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Sivan Sivaloganathan, William G. Blakeney & Pascal-André Vendittoli. (2022) Modernizing Total Hip Arthroplasty Perioperative Pathways: The Implementation of ERAS-Outpatient Protocol. Journal of Clinical Medicine 11:12, pages 3293.
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Alyaa Diaa Elmoghazy, Norbert Lindner, Markus Tingart & Khaled Hamed Salem. (2022) Conventional versus fast track rehabilitation after total hip replacement: A randomized controlled trial. Journal of Orthopaedics, Trauma and Rehabilitation 29:1, pages 221049172210765.
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Thomas Fuchs-Buder & Jacob Rosenberg. (2022) Medical disease and ambulatory surgery, new insights in patient selection based on medical disease. Current Opinion in Anaesthesiology 35:3, pages 385-391.
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Vittorio Bordoni, Niccolò Marelli, Davide Previtali, Paolo Gaffurini, Giuseppe Filardo & Christian Candrian. (2020) Outpatient total hip arthroplasty does not increase complications and readmissions: a meta-analysis. HIP International 32:3, pages 326-333.
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Aksel Paulsen, Ane Djuv, Jarle Ludvigsen & Ingvild Dalen. (2022) Excellent PROM results after fast-track hip and knee arthroplasty with no postoperative restrictions: a cohort study validation of fast-track surgery without postoperative restrictions. BMC Musculoskeletal Disorders 23:1.
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Reis DRUDIS, Jordi COLOMINA, Montserrat TORRA, Sergi SABATE, Paz VILLALBA, Gregorio MARCO, Xenia TRIQUELL, Dolors DEL POZO, Francesc PALLISO & Antonio MONTERO. (2022) Adductor canal block performed 20 hours after total knee arthroplasty to improve postoperative analgesia and functional recovery: a double-blind randomized controlled clinical trial. Minerva Anestesiologica 88:4.
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Marion JLF Heymans, Nanne P Kort, Barbara AM Snoeker & Martijn GM Schotanus. (2022) Impact of enhanced recovery pathways on safety and efficacy of hip and knee arthroplasty: A systematic review and meta-analysis. World Journal of Orthopedics 13:3, pages 307-328.
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Daniel B. Calem, Dylan P. Horan, Matthew T. Taylor, Richard M. McEntee, David I. Pedowitz, William D. Emper & Asif M. Ilyas. (2022) Use of Triggers to Detect Adverse Events After Outpatient Orthopedic Surgery at a Single Ambulatory Surgery Center. Orthopedics 45:2, pages 116-121.
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Henryk Liszka, Małgorzata Zając & Artur Gądek. (2022) Pre-emptive analgesia with methylprednisolone and gabapentin in total knee arthroplasty in the elderly. Scientific Reports 12:1.
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Cesar D. Lopez, Jessica Ding, David P. Trofa, H. John Cooper, Jeffrey A. Geller & Thomas R. Hickernell. (2022) Machine Learning Model Developed to Aid in Patient Selection for Outpatient Total Joint Arthroplasty. Arthroplasty Today 13, pages 13-23.
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Elshaday BelayPatrick Kelly, Albert AnastasioNiall CochraneMark WuThorsten Seyler. (2022) Predicting Need for Skilled Nursing or Rehabilitation Facility after Outpatient Total Hip Arthroplasty. Hip & Pelvis 34:4, pages 227.
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Gyorgy Lovasz, Attila Aros, Ferenc Toth, John Va Faye & Marco La Malfa. (2021) Introduction of day case hip and knee replacement programme at an inpatient ward is safe and may expedite shortening of hospital stays of traditional arthroplasties. Journal of Orthopaedic Surgery and Research 16:1.
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Alexandre Hardy, Jonathan Gervais-Hupé, François Desmeules, Anne Hudon, Kadija Perreault & Pascal-André Vendittoli. (2021) Comparing ERAS-outpatient versus standard-inpatient hip and knee replacements: a mixed methods study exploring the experience of patients who underwent both. BMC Musculoskeletal Disorders 22:1.
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Ellen Oosting, Paul J. C. Kapitein, Suzan V. de Vries & Ellen Breedveld. (2021) Predicting short stay total hip arthroplasty by use of the timed up and go-test. BMC Musculoskeletal Disorders 22:1.
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Nithin C. Reddy, Heather A. Prentice, Elizabeth W. Paxton, Adrian D. Hinman, Abraham G. Lin & Ronald A. Navarro. (2021) Association Between Same-Day Discharge Total Joint Arthroplasty and Risk of 90-Day Adverse Events in Patients with ASA Classification of ≥3. Journal of Bone and Joint Surgery 103:21, pages 2032-2044.
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S Dey, R Gadde, A Sobti, N Macdonald, J Jacob & A Unnithan. (2021) The safety and efficacy of day-case total joint arthroplasty. The Annals of The Royal College of Surgeons of England 103:9, pages 638-644.
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Nithin C. Reddy, Heather A. Prentice, Elizabeth W. Paxton, Adrian D. Hinman & Ronald A. Navarro. (2021) Frequency and Timing of Complications and Catastrophic Events After Same-Day Discharge Compared With Inpatient Total Hip Arthroplasty. The Journal of Arthroplasty 36:7, pages S264-S271.
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TW Wainwright. (2021) The current status of daycase hip and knee arthroplasty within the English National Health Service: a retrospective analysis of hospital episode statistics data. The Annals of The Royal College of Surgeons of England 103:5, pages 324-331.
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Samuel G. McClatchy, Carson M. Rider, William M. Mihalko, Zachary K. Pharr & Patrick C. Toy. (2021) Defining Outpatient Hip and Knee Arthroplasties: A Systematic Review. Journal of the American Academy of Orthopaedic Surgeons 29:8, pages e410-e415.
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Urban Berg, Annette W-Dahl, Anna Nilsdotter, Emma Nauclér, Martin Sundberg & Ola Rolfson. (2021) Fast-Track Programs in Total Hip and Knee Replacement at Swedish Hospitals—Influence on 2-Year Risk of Revision and Mortality. Journal of Clinical Medicine 10:8, pages 1680.
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Artur Gądek, Henryk Liszka & Małgorzata Zając. (2020) The effect of pre-operative high doses of methylprednisolone on pain management and convalescence after total hip replacement in elderly: a double-blind randomized study. International Orthopaedics 45:4, pages 857-863.
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Thomas W. Wainwright, Stavros G. Memtsoudis & Henrik Kehlet. (2021) Fast-track hip and knee arthroplasty...how fast?. British Journal of Anaesthesia 126:2, pages 348-349.
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Anneliese N. Hierl, Hannah Kang Moran, Mark R. Villwock, Kimberly J. Templeton & Jennifer A. Villwock. (2021) ABCs of Pain: A Functional Scale Measuring Perioperative Pain in Total Hip Arthroplasty Patients. JAAOS: Global Research and Reviews 5:6, pages e21.00097-10.
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Thomas W. Wainwright. (2020) The Quality Improvement Challenge—How Nurses and Allied Health Professionals Can Solve the Knowing–Doing Gap in Enhanced Recovery after Surgery (ERAS). Medicina 56:12, pages 652.
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Kiyoko Makimoto, Kimie Fujita & Rie Konno. (2020) Review and synthesis of the experience of patients following total hip or knee arthroplasty in the era of rapidly decreasing hospital length of stay. Japan Journal of Nursing Science 17:4.
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Julien Clouette, Avinesh Agarwalla, Bheeshma Ravi, Rajiv Gandhi, Naomi Maldonado-Rodriguez, Bryan M. Saltzman, Anthony A. Romeo & Timothy S. Leroux. (2020) Same-Day Discharge Following Total Joint Arthroplasty: Examining Trends, Discharge Dispositions, and Complications Over Time. Orthopedics 43:4, pages 204-208.
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Azeem Tariq Malik, Carmen E. Quatman, Safdar N. Khan, Laura S. Phieffer, Prakruti Rao & Thuan V. Ly. (2020) Outpatient Versus Inpatient Surgical Fixation of Isolated Ankle Fractures: An Analysis of 90-Day Complications, Readmissions, and Costs. The Journal of Foot and Ankle Surgery 59:3, pages 502-506.
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Erwan Pansard, Shahnaz Klouche, Thomas Bauer, Christophe Ménigaux, Philippe Hardy & Ahmed Moulay Meziane. (2020) Peut-on implanter des prothèses totales de hanche de première intention en ambulatoire ? Étude prospective de faisabilité et de sécurité chez 321 patients dans une unité de chirurgie ambulatoire. Revue de Chirurgie Orthopédique et Traumatologique 106:3, pages 295-300.
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U. Nöth, L. Rackwitz & M. Clarius. (2020) Herausforderungen der Fast-Track-Endoprothetik in DeutschlandChallenges of fast-track arthroplasty in Germany. Der Orthopäde 49:4, pages 334-337.
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H. Kehlet. (2020) History and future challenges in fast-track hip and knee arthroplastyHistorie und zukünftige Herausforderungen der Fast-track Hüft- und Knieendoprothetik. Der Orthopäde 49:4, pages 290-292.
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Joris A. Jansen, Jeroen Kruidenier, Bea Spek & Barbara A.M. Snoeker. (2020) A cost-effectiveness analysis after implementation of a fast-track protocol for total knee arthroplasty. The Knee 27:2, pages 451-458.
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H. Kehlet. (2020) Enhanced postoperative recovery: good from afar, but far from good?. Anaesthesia 75:S1.
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Jared A. Warren, Kavin Sundaram, Hiba K. Anis, Atul F. Kamath, Carlos A. Higuera & Nicolas S. Piuzzi. (2020) Have Venous Thromboembolism Rates Decreased in Total Hip and Knee Arthroplasty?. The Journal of Arthroplasty 35:1, pages 259-264.
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Philippe Richebé, Véronique Brulotte & Julien Raft. (2019) Pharmacological strategies in multimodal analgesia for adults scheduled for ambulatory surgery. Current Opinion in Anaesthesiology 32:6, pages 720-726.
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Pascal-André Vendittoli, Karina Pelleï, François Desmeules, Vincent Massé, Christian Loubert, Martin Lavigne, Josée Fafard & Louis-Philippe Fortier. (2019) Un programme de récupération optimisée en chirurgie d’un jour permet de réduire les complications et les coûts du remplacement articulaire de la hanche et du genou. Revue de Chirurgie Orthopédique et Traumatologique 105:7, pages 813-820.
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Pascal-André Vendittoli, Karina Pellei, François Desmeules, Vincent Massé, Christian Loubert, Martin Lavigne, Josée Fafard & Louis-Philippe Fortier. (2019) Enhanced recovery short-stay hip and knee joint replacement program improves patients outcomes while reducing hospital costs. Orthopaedics & Traumatology: Surgery & Research 105:7, pages 1237-1243.
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Jared A. Warren, Kavin Sundaram, Atul F. Kamath, Robert M. Molloy, Viktor E. Krebs, Michael A. Mont & Nicolas S. Piuzzi. (2019) Venous Thromboembolism Rates Did Not Decrease in Lower Extremity Revision Total Joint Arthroplasty From 2008 to 2016. The Journal of Arthroplasty 34:11, pages 2774-2779.
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Thomas Timmers, Loes Janssen, Walter van der Weegen, Dirk Das, Willem-Jan Marijnissen, Gerjon Hannink, Babette C van der Zwaard, Adriaan Plat, Bregje Thomassen, Jan-Willem Swen, Rudolf B Kool & Frederik Okke Lambers Heerspink. (2019) The Effect of an App for Day-to-Day Postoperative Care Education on Patients With Total Knee Replacement: Randomized Controlled Trial. JMIR mHealth and uHealth 7:10, pages e15323.
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Jinlei Li, Lee E. Rubin & Edward R. Mariano. (2019) Essential elements of an outpatient total joint replacement programme. Current Opinion in Anaesthesiology 32:5, pages 643-648.
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. (2019) The Main Predictors of Length of Stay After Total Knee Arthroplasty. Journal of Bone and Joint Surgery 101:12, pages 1093-1101.
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Max R. Greenky, William Wang, Danielle Y. Ponzio & P. Maxwell Courtney. (2019) Total Hip Arthroplasty and the Medicare Inpatient-Only List: An Analysis of Complications in Medicare-Aged Patients Undergoing Outpatient Surgery. The Journal of Arthroplasty 34:6, pages 1250-1254.
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Amir T. Namin, Mohammad S. Jalali, Vahab Vahdat, Hany S. Bedair, Mary I. O'Connor, Sagar Kamarthi & Jacqueline A. Isaacs. (2019) Adoption of New Medical Technologies: The Case of Customized Individually Made Knee Implants. Value in Health 22:4, pages 423-430.
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Kenneth M. Vaz, Philip S. Huang & Steven N. Copp. (2019) Standardized Opioid Prescription Protocol Reduces Opioid Consumption After Total Joint Arthroplasty. JAAOS: Global Research and Reviews 3:12, pages e19.00163.
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Bas L. Fransen, Marco J. M. Hoozemans, Kirsten D. S. Argelo, Lucien C. M. Keijser & Bart J. Burger. (2018) Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up. Archives of Orthopaedic and Trauma Surgery 138:9, pages 1305-1316.
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Kristine B. Arndt, Claus Varnum, Martin Lindberg-Larsen, Christian B. Jensen & Lasse E. Rasmussen. (2022) Readmissions and Mortality after Outpatient vs Inpatient Unicompartmental Knee Arthroplasty in Denmark – A Propensity Score Matched Study of 5,384 Procedures. SSRN Electronic Journal.
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