Outpatient Joint Replacement

Hip and knee replacement surgery have been performed for decades with great success. Over the years, technologies, techniques, and processes have continued to improve to make procedures more patient-friendly, effective, and efficient. Outpatient hip and knee replacements are among those advances.

Dr. Coen has been performing hip and knee replacements for nearly 25 years. Outpatient joint replacement was not an option for patients for many years, but the required length of hospital stay for hip and knee replacement patients has gradually decreased over time, and eventually it made more sense to send patients home the same day. Dr. Coen has performed outpatient hip and knee replacements for 5 years.

By performing hip and knee replacements at an outpatient surgical center, Dr. Coen is able to keep his patients out of the hospital, where they may be exposed to other illnesses and infections due to the variety of cases treated there. This has been especially critical since the COVID-19 pandemic, which has both decreased the number of available hospital beds and increased the patient’s risk of getting sick in recovery. Outpatient surgical centers help to alleviate those concerns and provide several other benefits for patients.

Benefits of Outpatient Hip & Knee Replacement with Dr. Coen

In order to facilitate outpatient hip and knee replacements, several advances have been made to the surgical process, the tools used, and the facilities. Patients can benefit from outpatient joint replacement with Dr. Coen in several ways:

• Improved anesthesia techniques help patients manage pain and stay comfortable while recovering at home.
• Dr. Coen uses an outpatient facility specifically designed for joint replacement. Not all outpatient facilities are created equal in terms of capabilities for joint replacements, so this helps Dr. Coen and the surgical team be more efficient and provide the best support possible for the patient.
• Outpatient hip and knee replacements can be more economical for patients, without cutting any corners. Patients can avoid the costs associated with an overnight hospital stay, while getting the same care and result that they would in a hospital.
• Because patients are not staying in a hospital with sick people, infection risks are typically lower than an inpatient procedure.
• Patients get ongoing support from the outpatient facility, even upon returning home.
• Many patients simply feel more comfortable staying at home as compared to a hospital—they can sleep in their own beds and are not confined to a single room.

Preparing Patients for Outpatient Hip or Knee Replacement

Dr. Coen and his staff make sure patients are well-informed and prepared ahead of outpatient hip and knee replacement surgery. This includes:

• Medical screening to ensure there are no underlying issues that would require an overnight hospital stay
• Ensuring the patient’s at-home caregiver understands their needs and is ready to help and “coach” the patient along
• Education about the recovery process so patients and caregivers know what to do upon returning home
• Arranging for home health services, if needed

Sometimes patients are nervous about the idea of outpatient surgery and having to recover at home. Dr. Coen’s thorough education process helps to ensure that patients are ready for surgery and feel confident ahead of their outpatient hip or knee replacement.

About the Outpatient Facility: Oregon Surgical Institute

Dr. Coen currently performs outpatient hip and knee replacements at Oregon Surgical Institute (OSI), an outpatient facility specifically designed to accommodate orthopedic procedures like joint replacements. Designed and owned by surgeons specializing in orthopedic surgery, spine surgery, sports medicine, and pain management, OSI is designed to provide state-of-the-art solutions for more complex surgical cases like joint replacement in an efficient and personalized manner.

OSI also plays a large role in the patient’s preoperative education. The facility is in contact with the patient the month before surgery to make sure that patients and caregivers know exactly what to expect when they arrive for the procedure. This includes educational classes to familiarize them with the facility and processes. Following surgery, patients recover from anesthesia and meet with the rehabilitation team to ensure they are able to mobilize the new hip or knee, and then are able to return home. OSI also provides extensive support after the procedure. Patients are able to call the surgical center with any questions they have after returning home.

In addition to being designed for the patient’s comfort, it is also comfortable for family and caregivers waiting for the patient, with charging stations, coffee and beverage areas, and work areas for people to use while waiting.

Outpatient Hip & Knee Replacement in Oregon City & Tualatin, OR

Dr. John Coen has nearly 25 years of experience with hip and knee replacement surgery. He keeps current on the latest advances in joint replacement surgery to provide the best options for patients. Though outpatient hip and knee replacements are a relatively new option, advances in surgical techniques and pain management have made this not only possible, but a great option for the vast majority of patients. Dr. Coen performs all outpatient hip and knee replacements at Oregon Surgical Institute (OSI), a facility specifically designed for complex orthopedic procedures like joint replacements. Dr. Coen and OSI also provide extensive support before and after the procedure to ensure that patients are well-prepared and comfortable.

If you are interested in outpatient hip or knee replacement and would like to schedule a consultation with Dr. Coen, please call our office at (503) 656-0836 or request an appointment online.

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