Oxford Partial Knee Replacement as a Gateway to Outpatient Arthroplasty “Lessons Learned along the Journey”

M. Berend
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引用次数: 3

Abstract

The Oxford Partial Knee Replacement was approved for implantation in the US in 2004 after the surgeon completed an educational training requirement.  Since then my knee practiced has expanded to over 50% partial knee.  This experience coupled with refinement of surgical techniques, anesthesia protocols, and patient selection has facilitated the transformation to same day discharge for partial knee cases and has quickly transitioned to total hip, total knee, and selected revision surgeries.  Patient selection has also expanded for outpatient joints and is now based on medical screening criteria and insurance access.  Over a two-year period we have performed over 1,000 outpatient arthroplasty procedures with no readmissions for pain control.   Overall readmission rate for all reasons was 2%.  Patient satisfaction scores were 98% Great-Good for 2014-15.  The combination of a partial knee replacement practice and an outpatient joint program brings the best VALUE to the patients, surgeons, and the arthroplasty system and represents the future of arthroplasty care.
牛津部分膝关节置换术作为门诊部关节置换术的入口
在外科医生完成教育培训要求后,牛津部分膝关节置换术于2004年在美国被批准植入。从那时起,我的膝盖已经扩展到超过50%的部分膝盖。这种经验加上手术技术、麻醉方案和患者选择的改进,促进了部分膝关节病例当天出院的转变,并迅速过渡到全髋关节、全膝关节和部分翻修手术。病人的选择也扩大到门诊关节,现在是基于医疗筛选标准和保险准入。在两年多的时间里,我们已经完成了超过1000例门诊关节置换术,没有再入院的疼痛控制。总体再入院率为2%。2014-15年度患者满意度评分为98%。部分膝关节置换术和门诊关节项目的结合为患者、外科医生和关节置换术系统带来了最大的价值,并代表了关节置换术护理的未来。
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24 weeks
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