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Archive Orthopedic Surgery 2019

On Point: Surgery's Trendsetting Specialty

Orthopedics continues to drive innovation in outpatient care.

Louis Levitt

Louis Levitt, MD


GROWTH POTENTIAL Demand for total joints is expected to significantly increase once Medicare begins paying for procedures performed in surgery centers.

Orthopedic surgeons are the carpenters of surgery, measuring twice and cutting once as they burr through bone and hammer implants into place. They're doers, not talkers. Instead of discussing how to improve joint procedures, they make it happen on a daily basis by buying into techniques and technologies that push the boundaries of cutting-edge care. Consider all the ways orthopods are teaming up with facility leaders to shape the future of orthopedics and show what's possible in outpatient surgical care.

  • Optimized outcomes. Almost any orthopedic surgery, even the most challenging joint replacement, can be done in an outpatient facility as long as you mitigate risks and post-op complications, and manage pain control, PONV and blood loss. In many ways, orthopedics is leading the Enhanced Recovery After Surgery (ERAS) movement with surgeons and outpatient facilities teaming up to manage every aspect of patient care from the moment cases are scheduled straight through to successful recoveries.

We're placing a greater emphasis on spending time with patients in the months before procedures in order to prepare their minds and bodies for the rigors of surgery, and making sure they're ready both physically and mentally for same-day discharge. Advances in regional anesthesia and multimodal pain control are easing the discomfort of notoriously painful procedures with fewer opioids, presenting a blueprint for opioid-sparing protocols and practices.

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