2021 Annual Meeting Knee Access Pass-Osteotomies About the Knee Can Safely Be Performed in an Ambulatory Surgical Center

Osteotomies About the Knee Can Safely Be Performed in an Ambulatory Surgical Center

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Video Summary

Mike Galea from NYU presented a retrospective study comparing knee osteotomies performed at ambulatory surgery centers (ASCs) versus inpatient hospitals. Over seven years, 530 cases were analyzed, including HTO, DFO, and TTO procedures. Key findings showed no patients at ASCs required conversion to inpatient admission, with similar complication, readmission, and reoperation rates seen in both settings. While 60% of hospital patients opted to stay overnight, ASCs facilitated safe same-day discharge with no increase in risks. Despite some bias and surgeon variability, the study supports outpatient osteotomies as a safe, cost-effective alternative, benefiting patient counseling and healthcare value.

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Dr. Michael Alaia

Keywords

knee osteotomies

ambulatory surgery centers

inpatient hospitals

retrospective study

outpatient safety