Dignity Health Saint Francis Memorial Hospital of San Francisco, California, which has been providing healthcare in the Bay Area for more than 100 years, announced that it is now offering hospital-based, same-day hip replacement surgery. According to PR Newswire, patients are able to go home within 13 hours of hip replacement surgery.
100-Year-Old Bay Area Hospital Adopts Same-Day THA
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Nicholas Mast, M.D., medical director of the Saint Francis Orthopedic Institute, is basing the same-day hip replacement surgery on the increasingly popular, less-invasive anterior approach. Mast has adopted the anterior procedure because approaching the hip from the front of the patient can decrease the possibility of complications and calls for fewer restrictions following the surgery. Mast reports that patients receiving the anterior approach usually require a shorter hospital stay and thus reduce the cost of care. Many experience a faster recovery and less post-operative pain.
“Patients heal better in the outpatient environment. There’s less stress, less risk of certain complications, and patients can rest better in their own beds, ” said Mast. “I’m excited to be on the forefront of a procedure that when I was training, used to take patients five or six days in the hospital plus additional weeks at a rehab center before going home. Now we can discharge them in one day to recover more comfortably at home.”
David Klein, M.D., president of Saint Francis Memorial Hospital, told PR Newswire, “At Saint Francis, we are committed to advancing treatment and care options for our patients, and are proud to now offer outpatient hip replacement surgery. We are thrilled this patient was able to achieve her desired outcome and are happy to hear she’s already back to her normal routine.
Dignity Health Saint Francis Memorial Hospital is an accredited, not-for-profit community hospital. Located atop Nob Hill, Saint Francis is home to the Bothin Burn Center, the largest in Northern California, the Center for Sports Medicine, and the Saint Francis Orthopedic Institute. Saint Francis has been designated a Blue Distinction Center for Spine and Hip/Knee Replacement Surgery.
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This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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