23 Hour Joint Replacement
By Ehren Allen, DPT/Certified Orthopedic Manual Therapist
23 Hour Joint Replacement
Treatment for Orthopedic issues has evolved over the past 20 years. This is very true when it comes to hip and knee replacement surgery. As a physical therapist, I used to see patients in an in-patient rehabilitation hospital for 10 days after hip or knee replacement surgery. Patients received care in the hospital for 3 days prior to coming to the Rehabilitation Hospital as well. High infection risks, high healthcare costs, and improvements in technology and surgical technique led to changes in that plan of care after a joint replacement.
Over the past 10 years, patients who received a Hip or Knee Replacement remained in the hospital for 3 days then went home for home health care for 2 weeks. This allowed patients to be at home quicker. Patients tend to thrive better in the their home environment. With less time in an in-patient facility, the overall cost of care decreased and the risk of secondary infection or illness decreased.
What is a 23 Hour Joint Replacement?
With continued concern about the cost of healthcare and the time for recovery from a Joint Replacement, changes still need to be made. Many Orthopedic Surgeons are performing 23 hour Joint Replacement Surgeries for Hip and Knee Replacements.
The quick answer is that a 23 Hour Joint Replacement is the same surgical procedure as previous hip and knee replacement surgery. The difference is the length of stay in the hospital. With a 23 Hour Joint Replacement, the surgery is typically scheduled early in the morning. By the afternoon, the patient may receive physical therapy in the hospital for walking and movement exercises. The patient will then stay overnight in the hospital and receive another therapy session in the morning. They are then discharged from the hospital to their home.
The concept of the 23 Hour Joint Replacement decreases the cost of the hospitalization after a joint replacement by decreasing the time in hospital. By limiting the stay to “23 hours”, it limits the stay to 1 day instead of 2 days. The difference is the cost of the hospital stay is substantially less with a 23 Hour procedure.
The risk of secondary infection is less when there is less time for exposure in the hospital. This is especially important during the COVID-19 Pandemic.
If you would like to learn more about Hip Replacement Surgery, this video may help. https://www.joionline.net/library/show/anatomy-videos/#vm_A_d4afa688
Therapy after a Joint Replacement
Physical and Occupational Therapy are very important after a Hip or Knee Replacement. In some cases, a therapist will come to the home for home health therapy. This can help with mobility in the home and improve movement and strength of the joint after surgery. Nurses may also come to the home if there are medication concerns or wound care issues.
In some cases, patients are beginning outpatient physical therapy at 2 to 3 day following the joint replacement. Patients travel to the outpatient therapy site and receive therapy in a facility. The advantages of early outpatient physical therapy may include early mobility and range of motion and may improve outcomes for some patients.
Patients who receive the 23 Hour Joint Replacement are usually in good general health and do not have complicating medical issues.
Does JOI Offer a 23 Hour Joint Replacement?
The quick answer is Yes! Many of the surgeons with the Jacksonville Orthopedic Institute are now utilizing the 23 Hour Joint Replacement Option at Baptist Medical Center. In some cases, JOI is beginning outpatient physical therapy 2 to 3 days after surgery in our facilities. JOI Rehab also offers Outpatient therapy in the home of patients who cannot come to the clinic. This is called the JOI Rehab Bridge Program. This allows patients to see a JOI Physical Therapist and transition seamlessly to the clinic environment when appropriate. JOI currently is offering ASAP Telehealth and Fracture/Injury appointments.
If you need a Knee or Hip Replacement, the Jacksonville Orthopedic Institute has the answers for you! If you would like to find out if the 23 Hour Joint Replacement is right for you, Call JOI-2000 or click the link below to make an appointment.