Multimodal pain control is the standard of care. This involves preoperative, intraoperative, and postoperative modalities to better address pain while minimizing side effects.
TJA is successful at getting patients walking pain-free, and allowing them to return to daily activities. But what about more demanding activities, we examine which sports are allowed, not allowed, and maybe allowed.
Examine factors that determine who goes home after hospitalization and who goes to a skilled nursing facility.
Investigate factors to determine optimal length of stay, incidence of complications relative to days after surgery, and causes and risk factors for re-admission.
There are a number of options for postoperative anticoagulation. We review efficacy and options for anticoagulation.
TXA, hemodilution, and transfusion thresholds have significantly decreased the rate of transfusion after TJA. Discuss these and the implications of decreasing transfusion.
Impact of Periop Antibiotic Prophylaxis. Options for antibiotics and dosing. Addressing "PCN Allergy". Treatment options for periop UTI.
Approach to determining candidates for outpatient total joints and protocol for outpatient joint set up.