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May 22, 2023
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Speaker: Efficiency, control are key for performing outpatient shoulder arthroplasty

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Key takeaways:

  • Efficiency in outpatient shoulder arthroplasty can reduce complication rates.
  • Patient communication, including providing detailed information, can help facilitate the procedure.

NEW ORLEANS — Efficiency, control, patient communication and the ability to leverage technology are integral to outpatient shoulder arthroplasty, according to a presenter at the Arthroscopy Association of North America Annual Meeting.

In his presentation, Patrick J. Denard, MD, provided advice and guidelines for performing a successful outpatient shoulder arthroplasty.

Shoulder skeletal
Efficiency in outpatient shoulder arthroplasty may reduce complication rates. Image: Adobe Stock

“The first tip is you have to be efficient,” Denard said in his presentation here. “If you look at complications, it goes up over 2 hours. You must be doing this quick if you are going to be doing this procedure.”

Patrick J. Denard
Patrick J. Denard

He said that he typically aims to complete the procedure within an hour to reduce the incidence of complications and readmissions.

In addition, he noted the importance of maintaining control throughout the procedure.

“You have to be captain of the ship,” Denard said. “You have to develop a program that's comprehensive and hope it controls the medical barriers and provide in-depth information to patients because they're going to go home and feel isolated.”

Moreover, Denard said that he provides his patients with printouts for physical therapy visits, as well as detailed medication and rehabilitation schedules.

He also said that he finds it important to provide the same information to his staff that he would give to his patients.

“You have to get alignment for the staff,” Denard said. “I do that by giving the staff the information I provide the patients, which is about a 15-page packet.”

Denard also acknowledged the benefit of leveraging technology to maximize the patient experience.

“It's beneficial to give a patient the sense that you're communicating with them,” Denard said. “Even if you’re not reviewing every data point, it ensures to them that their outcomes are important.”

He said that patients in his practice have the option to complete virtual care visits, which benefits those who would otherwise have to travel long distances to get to a clinic.

“Outpatient shoulder arthroplasty can be done in the majority of cases,” Denard said. “You have to be efficient, with detailed information. If you use technology going forward, that will help reinforce this.”