A surgery that results in another surgery within two years is a low-value procedure. Leaders in the field of hip arthroscopy should help surgeons define the patient population that will benefit from this procedure.
Generally, ASCs are perceived as safe, high-quality, low-cost settings for many surgical procedures. Typically, ASC costs are lower than those in the similarly safe and high-quality settings of hospital outpatient departments, which also handle same-day surgeries. However, the authors of a recent study found there is one striking exception: outpatient joint replacement surgery.
In a large series of cases from the Mayo Clinic, 54 cases of new neuropathy occurred in 14,450 total knee arthroplasties. Most were isolated peroneal neuropathies. No specific risk factors were identified in this series.
The ability to rapidly recognize infection, as well as distinguish inflammatory arthropathy from infection, crystal arthropathy, and osteoarthritis, makes arthrocentesis a valuable and sometimes essential emergency medicine procedure.
The use of peripheral nerve blocks is associated with better medical and economic outcomes in patients receiving hip and knee replacement, according to research presented at the annual Regional Anesthesiology and Acute Pain Medicine Meeting.