OTA International (Dec 2022)

ON Path: outpatient nonunion pathway for lower-extremity nonunions

  • Olivia M. Rice, MD,
  • Abhishek Ganta, MD,
  • Gisele Bailey, MS,
  • Rachel B. Seymour, PhD,
  • Joseph R. Hsu, MD

DOI
https://doi.org/10.1097/OI9.0000000000000218
Journal volume & issue
Vol. 5, no. 4
p. e218

Abstract

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Abstract. Objectives:. The purpose of this study was to assess the safety and efficacy of outpatient and short-stay surgical nonunion treatment by incorporating minimally invasive surgical techniques, multimodal pain control, and a modernized postoperative protocol. Design:. Retrospective case series. Setting:. Tertiary referral hospital and hospital outpatient department. Patients:. All consecutive nonunion surgeries performed by 1 surgeon between 2014 and 2019 were identified. Outpatient and short-stay surgeries for patients with nonunion of the tibia and femur were eligible (n = 50). Intervention:. Outpatient and short-stay surgical nonunion treatment by incorporating minimally invasive surgical techniques, multimodal pain control, and a modernized postoperative protocol. Main Outcome Measurements:. Length of stay, postoperative emergency department visits, all complications, reoperations, and time to union. Results:. Fifty patients were eligible, with 32 male patients (64%) and an average age of 46.5 years. The patient cohort consisted of 28 femur (56%) and 22 tibia (44%) nonunions. The average length of stay was 0.36 days. Seven patients (14%) required reoperation, 6 patients because of deep infection and 1 patient because of painful implant removal. Four patients (8%) presented to the emergency department within 1 week of surgery. One patient requiring amputation and patients lost to follow-up were excluded from the union rate calculation. For the remaining patients (46/50), 100% (46/46) united their nonunion. The average time to radiographic union was 7.82 months. Conclusions:. An outpatient pathway is safe and effective for medically appropriate patients undergoing nonunion surgery. Outpatient nonunion surgery is a reasonable alternative that achieves similar outcomes compared with inpatient nonunion studies in the published literature. Level of Evidence:. IV.