Factors affecting the post-operative length of stay after total ankle replacement
Author(s): Jonathan James D
Introduction: Our study examined variables such as age, primary or revision ankle arthroplasty, anesthesia, postoperative analgesia and enhanced recovery protocols that could influence post -operative stay after Total ankle replacement. Pain management is important as it allows immediate mobilization reducing postoperative morbidity and mortality. We examined if Enhanced recovery protocols can have an influence on length of stay.
Methods: A total of 25 patients with TAR performed by four surgeons over a 1-year period were retrospectively reviewed. All patients undergoing primary or revision ankle arthroplasty were analyzed for type of Anesthesia, Peripheral block, Infiltration prior to closure and enhanced recovery protocol. Pain scores were recorded for each day of hospital stay until the patient was discharge.
Results: Average age 66 (45-81), 17 male, 8 females, LOS 3.72 days, Delays seen mostly due to unavoidable medical issues, Pain managed well post operatively, Local wound infiltration rates- did not affect Length of stay reducing due to evidence showing no additional benefits in Enhanced recovery.