Early results of knee arthroplasty in a private teaching hospital

Abstract

Introduction: Gleneagles Hong Kong Hospital was established in 2017 as a private teaching hospital of the University of Hong Kong and provides high-end and sub-specialist level arthroplasty service. In contrast to usual private practice in Hong Kong which surgeon-dependent and surgeon-specific, arthroplasty service in GHK follow a multi-disciplinary clinical pathway, with standardized protocol in all aspect to achieve optimal care for patient. Methodology: This is a retrospective review of all knee arthroplasty performed in a private teaching hospital since its establishment in 2017. All patient demographic, clinical data, post-operative course, X-Ray analysis and rehabilitation outcome were reviewed. Clinical parameters during post-operative clinic assessment were also reviewed. Results and Analysis: A total of 55 unilateral total knee replacement, 7 bilateral total knee replacement and 7 mobile bearing Unicompartmental knee replacement have been performed in a 1-year period. All patient discharged in 5-7 days as per respective protocol. Around 20% of patient require regular postoperative physiotherapy. All patient showed satisfactory clinical and radiological outcome upon postoperative assessment. Other than two cases of suspected allergic reaction and skin rash, no other major complication developed in the study period. Discussion and Conclusion: The use of clinical pathway and protocol driven care model is feasible in private setting and leads to excellent clinical outcome. The concept of Joint Replacement Centre with standardized care can be implemented in private sector in the long run.