ON Path: outpatient nonunion pathway for lower-extremity nonunions. Issue 4 (13th December 2022)

• Record Type: Journal Article
• Authors: Rice, Olivia M.; Ganta, Abhishek; Bailey, Gisele; Seymour, Rachel B.; Hsu, Joseph R.
• Is Part Of: OTA international. Volume 5:Issue 4(2022)
• Page Start: e218
• Publication Date: 2022-12-13
• Subjects: allograft -- bone defect -- bone healing -- fracture -- nonunion -- outpatient
• DOI: 10.1097/OI9.0000000000000218
• Languages: English
• ISSNs: 2574-2167

Abstract

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.