Hip Replacement in a High Volume Community Hospital: Effect on Length of Stay and Hospital Cost
| Status: | Not yet recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 40 - 90 |
| Updated: | 2/7/2015 |
| Start Date: | May 2013 |
| Contact: | Candy Costantini |
| Email: | dcostantin@aahs.org |
| Phone: | 443-481-1343 |
Introduction of the Direct Anterior Approach to Hip Replacement Into a High Volume Community Hospital: Effect on Length of Stay and Hospital Cost
The investigators propose to evaluate and compare the percentage of patients who are able to
be discharged in less than 3 days after undergoing total hip arthroscopy through either a
direct anterior or posterior approach, utilizing the identical post operative protocol. The
investigators also propose to evaluate the costs associated with the two different
approaches to hip replacement in the same group of patients. Post operative resource
utilization, discharge disposition, and pain medicine requirement will also be evaluated.
be discharged in less than 3 days after undergoing total hip arthroscopy through either a
direct anterior or posterior approach, utilizing the identical post operative protocol. The
investigators also propose to evaluate the costs associated with the two different
approaches to hip replacement in the same group of patients. Post operative resource
utilization, discharge disposition, and pain medicine requirement will also be evaluated.
The investigators hypothesize that a higher proportion of patients treated with the direct
anterior approach for hip replacement will be able to leave the hospital in less than 3 days
when compared with a less invasive posterior approach. Secondly, decreased length of stay
associated with the procedure may reduce hospital costs.
anterior approach for hip replacement will be able to leave the hospital in less than 3 days
when compared with a less invasive posterior approach. Secondly, decreased length of stay
associated with the procedure may reduce hospital costs.
Inclusion Criteria:
1. Consecutive single surgeon series of patients who have undergone primary uncemented
hip replacement at our institution through either a posterior approach or direct
anterior approach on a fracture table. Posterior approach patient - most recent
patient prior to March, 2010, compared with consecutive recent anterior approach
patients with minimum of 6 month follow-up.
2. Diagnosis of osteoarthritis, inflammatory arthritis, or avascular necrosis.
3. No previous surgery on affected hip.
4. Age 40-90 at time of surgery
Exclusion Criteria:
1. Patient not permitted to bear full weight after the procedure, per post operative
instructions
2. Hip replacement performed for acute fracture.
3. Previous hip surgery.
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