Can Anterior Cruciate Ligament Reconstruction Be Performed Routinely In Day Clinic ? / Julie DE BEULE in Acta Orthopaedica Belgica, Vol 80/3 (Septembre 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.391-396 Titre : Can Anterior Cruciate Ligament Reconstruction Be Performed Routinely In Day Clinic ? Type de document : texte imprimé Auteurs : Julie DE BEULE, Auteur Année de publication : 2014 Article en page(s) : p.391-396 Langues : Anglais (eng) Mots-clés : outpatient  ACL reconstruction  complication  readmission Résumé : Anterior cruciate ligament reconstruction is performed as an outpatient procedure in selected cases. Whether it can be safely performed on a routine basis in day clinic remains unclear. Our hypothesis was that routinely performing outpatient anterior cruciate ligament reconstruction would be equally safe as compared to inpatient procedures. A cohort of 355 patients who underwent outpatient primary reconstruction was analysed at an average follow-up of 3.8 years. Four patients (1.1%) could not be discharged or were readmitted within 24 hours. The 1-month readmission rate was 1.4%. The overall complication rate was 12.1% (43 cases) of which 4.2% (15 patients) occurred within the first 30 days. Performing anterior cruciate ligament reconstructions routinely in day clinic is associated with almost negligible readmission rates and has similar complication rates as for standard in-hospital anterior cruciate ligament reconstructions. Outpatient anterior cruciate ligament reconstructions can therefore be safely performed without specific preoperative patient selection protocols. Permalink : ./index.php?lvl=notice_display&id=34654 [article] Can Anterior Cruciate Ligament Reconstruction Be Performed Routinely In Day Clinic ? [texte imprimé] / Julie DE BEULE, Auteur . - 2014 . - p.391-396. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.391-396 Mots-clés : outpatient  ACL reconstruction  complication  readmission Résumé : Anterior cruciate ligament reconstruction is performed as an outpatient procedure in selected cases. Whether it can be safely performed on a routine basis in day clinic remains unclear. Our hypothesis was that routinely performing outpatient anterior cruciate ligament reconstruction would be equally safe as compared to inpatient procedures. A cohort of 355 patients who underwent outpatient primary reconstruction was analysed at an average follow-up of 3.8 years. Four patients (1.1%) could not be discharged or were readmitted within 24 hours. The 1-month readmission rate was 1.4%. The overall complication rate was 12.1% (43 cases) of which 4.2% (15 patients) occurred within the first 30 days. Performing anterior cruciate ligament reconstructions routinely in day clinic is associated with almost negligible readmission rates and has similar complication rates as for standard in-hospital anterior cruciate ligament reconstructions. Outpatient anterior cruciate ligament reconstructions can therefore be safely performed without specific preoperative patient selection protocols. Permalink : ./index.php?lvl=notice_display&id=34654

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