Posters
Academic Level (Author 1)
Medical Student
Academic Level (Author 2)
Medical Student
Discipline Track
Patient Care
Abstract
Introduction: There has been a drastic increase in the number of total ankle arthroplasty (TAA) procedures within the past twenty years. The trend for outpatient surgery is growing in the field of orthopaedics, and protocols now are well established for hip or knee arthroplasty. In this paper we review the recent developments in anesthesia for total ankle arthroplasty.
Methods: A comprehensive review of the current literature on the use of anesthesia in the context of outpatient total ankle arthroplasty was conducted. Search terms for PubMed included: Total ankle replacement surgery, TAA anesthesia, outpatient TAA, inpatient TAA.
Results: Preliminary results included the literature review of 15 articles on current clinical practice on TAA anesthesia. In terms of safety, there is generally no significant difference between outpatient and inpatient total ankle arthroplasty. Both types of surgery carry the same potential risks and complications, such as infection, nerve injury, bleeding, and blood clots. The safety of the procedure depended on the experience and skill of the surgeon, the overall health of the patient, and the patient's ability to follow post-operative instructions. Outpatient total ankle surgery relies less on general anesthesia and focuses on neuraxial anesthesia which has documented benefits, including better analgesia, less transfusion, less thromboembolic adverse events, shortened length of stay, and led to cost reduction.
Conclusions: Outpatient orthopedic surgeries are gaining popularity due to their cost effectiveness, decreased length of hospital stay, and convenience. Numerous orthopedic centers have entered the healthcare market offering fast-tracked joint replacement protocols, meanwhile, TAA has been excluded from these joint centers, and is primarily performed in the inpatient setting. However, the safety, pain reduction, and cost efficiency make outpatient total ankle replacement a valuable option to both patients and providers, optimizing patient satisfaction and providing substantial healthcare savings. As its application continues to grow, current literature suggests positive outcomes.
Presentation Type
Poster
Recommended Citation
Cha, Myung-Jin and Adams, Jennifer, "Pain Control, Cost Efficacy, and Patient Satisfaction Associated with Outpatient Total Ankle Arthroplasty" (2024). Research Colloquium. 50.
https://scholarworks.utrgv.edu/colloquium/2023/posters/50
Included in
Pain Control, Cost Efficacy, and Patient Satisfaction Associated with Outpatient Total Ankle Arthroplasty
Introduction: There has been a drastic increase in the number of total ankle arthroplasty (TAA) procedures within the past twenty years. The trend for outpatient surgery is growing in the field of orthopaedics, and protocols now are well established for hip or knee arthroplasty. In this paper we review the recent developments in anesthesia for total ankle arthroplasty.
Methods: A comprehensive review of the current literature on the use of anesthesia in the context of outpatient total ankle arthroplasty was conducted. Search terms for PubMed included: Total ankle replacement surgery, TAA anesthesia, outpatient TAA, inpatient TAA.
Results: Preliminary results included the literature review of 15 articles on current clinical practice on TAA anesthesia. In terms of safety, there is generally no significant difference between outpatient and inpatient total ankle arthroplasty. Both types of surgery carry the same potential risks and complications, such as infection, nerve injury, bleeding, and blood clots. The safety of the procedure depended on the experience and skill of the surgeon, the overall health of the patient, and the patient's ability to follow post-operative instructions. Outpatient total ankle surgery relies less on general anesthesia and focuses on neuraxial anesthesia which has documented benefits, including better analgesia, less transfusion, less thromboembolic adverse events, shortened length of stay, and led to cost reduction.
Conclusions: Outpatient orthopedic surgeries are gaining popularity due to their cost effectiveness, decreased length of hospital stay, and convenience. Numerous orthopedic centers have entered the healthcare market offering fast-tracked joint replacement protocols, meanwhile, TAA has been excluded from these joint centers, and is primarily performed in the inpatient setting. However, the safety, pain reduction, and cost efficiency make outpatient total ankle replacement a valuable option to both patients and providers, optimizing patient satisfaction and providing substantial healthcare savings. As its application continues to grow, current literature suggests positive outcomes.