Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Outpatient surgery for unicompartmental knee arthroplasty is effective and safe.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- Successful same-day discharge in 88% of patients after unicompartmental knee arthroplasty: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Safety and efficacy of outpatient hip and knee arthroplasty: a systematic review with meta-analysis.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Outpatient total knee arthroplasty leads to a higher number of complications: a meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- The "cough trick" can reduce pain during Kirschner wire extraction from the hand.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Trial
- Patient-specific instruments do not show advantage over conventional instruments in unicompartmental knee arthroplasty at 2 year follow-up: a prospective, two-centre, randomised, double-blind, controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Trial
- Reduced opiate use after total knee arthroplasty using computer-assisted cryotherapy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Trial
- Risk factors associated with the failure of day surgery for total knee arthroplasty a multivariate logistic regression analysis.Frontiers in surgery · 2025Article
- A SHAP-interpretable machine learning framework for predicting delayed discharge in ambulatory total knee arthroplasty: comparative validation of 14 models.Frontiers in medicine · 2025Article
- One-day surgery is safe and effective in unicompartmental knee arthroplasty: A prospective comparative study at 1 year of follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2024Article
- Did Rapid Expansion of Same Day Discharge Hip and Knee Arthroplasty During the COVID-19 Pandemic Increase Early Complications?The Iowa orthopaedic journal · 2023Article
- Orthopaedic surgeons' perspective on the implementation of outpatient hip and knee arthroplasty - Results of a nationwide survey.Journal of clinical orthopaedics and trauma · 2022Article
- Neuraxial and general anesthesia for outpatient total joint arthroplasty result in similarly low rates of major perioperative complications: a multicentered cohort study.Regional anesthesia and pain medicine · 2022Article
- Impact of enhanced recovery pathways on safety and efficacy of hip and knee arthroplasty: A systematic review and meta-analysis.World journal of orthopedics · 2022Article
- Day-case unicompartmental knee arthroplasty: a literature review and development of a novel hospital pathway.Annals of the Royal College of Surgeons of England · 2022Review
- 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 · 2021Article
- The safety and efficacy of day-case total joint arthroplasty.Annals of the Royal College of Surgeons of England · 2021Review
- Article
- Why are patients still in hospital after fast-track, unilateral unicompartmental knee arthroplasty.Acta orthopaedica · 2020Article
- Predictors of extended length of stay after unicompartmental knee arthroplasty.Journal of clinical orthopaedics and trauma · 2020Article
- A high rate of tibial plateau fractures after early experience with patient-specific instrumentation for unicompartmental knee arthroplasties.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere has been increasing interest in accelerated programs for knee arthroplasty. We examined the efficacy and safety of an outpatient surgery (OS) pathway in patients undergoing unicompartmental knee arthroplasty (UKA).
methodsThis case-controlled study evaluates patients operated for UKA in an OS pathway (n = 20) compared to rapid recovery (RR), the current standard (n = 20). We investigated whether patients could be discharged on the day of surgery, resulting in comparable or better outcome by means of adverse events (AEs) in terms of pain (numerical rating scale, NRS), incidences of postoperative nausea and vomiting (PONV) and opiate use (<48 h postoperatively), complication and readmission rates (<3 months postoperatively). Patient-reported outcome measures (PROMS) were obtained preoperatively and 3 months postoperatively.
resultsPostoperative pain (NRS > 5) was the most common reason for prolonged hospital stay in the OS pathway. Eighty-five per cent of the patients were discharged on the day of surgery, whereas 95 % of the patients were discharged on postoperative day 3 in the RR pathway. Overall, median pain scores in both pathways did not exceed a NRS score of 5, without significant differences (RR vs. OS) in the number of patients with PONV (4 vs. 2) and opiate use (11 vs. 9) <48 h postoperatively. At 3 months postoperatively, no significant differences were found for AEs and PROMS between both pathways.
conclusionThe results of this study illustrates that an OS pathway for UKA is effective and safe with acceptable clinical outcome. Well-established and adequate standardized protocols, inclusion and exclusion criteria and a change in mindset for both the patient and the multidisciplinary team are the key factors for the implementation of an OS pathway. LEVEL OF EVIDENCE: Case-control study, Level III.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.