“Short length of stay is very achievable in the district general hospital setting,” Sebastian Dawson-Bowling, MCRS, stated in his presentation at the British Orthopaedic Association Congress, here. “These are highly reproducible steps and we believe the program can be reproduced elsewhere.”
Patients underwent a half-day “joint school training” regime prior to admission, where they are assessed in a group session, followed by an individual physiological exam and assessment by nurses, Dawson-Bowling said. Prior to surgery, the patients received crutches for practice at home.
through a mini-posterior approach using low dose spinal and general anesthesia. Postoperatively, patients had access to outreach care, Dawson-Bowling said.
Dawson-Bowling said the ASA score and mean patient age were comparable to the national average. Of 82 patients under current follow-up, 97% remain satisfied with their implants, according to the abstract.
Dawson-Bowling S. Paper #30. Presented at: The British Orthopaedic Association Congress; Sept. 11-14, 2012; Manchester.