ENDO over-night - YOUR OUTPATIENT/ SHORT-STAY JOINT REPLACEMENT IN ENDOPROTHETICUM

Let's be honest, nobody likes going to the hospital!

FORTUNATELY, TODAY THE IMPLANTATIONS OF HIP PROSTHESES (HIP-TEP) AND KNEE PROSTHESES (KNEE-TEP) ARE ABSOLUTE ROUTINE PROCEDURES AND ARE NOW SO GENTLE THAT A HOSPITAL STAY IS NO LONGER NECESSARY FOR ALL PATIENTS.

WITH THE CONCEPTS ENDO IN-A-DAY AND ENDO OVER-NIGHT ACTIVE PATIENTS WHO HAVE SUPPORT IN THEIR HOME ENVIRONMENT (E.G., THROUGH FAMILY MEMBERS) THE POSSIBILITY TO BE DISCHARGED HOME ALREADY ON THE DAY OF SURGERY OR THE FIRST DAY AFTER SURGERY AND CONTINUE TREATMENT IN THE HOME SETTING.

ON THE BASIS OF THE BILLING PROPERTIES FÜR LEGALLY INSURED PATIENTS AND A CORRESPONDING MINIMUM STAY DURATION, CAN IN THE ENDOPROTHETICUM ONLY OFFER AN OUTPATIENT JOINT REPLACEMENT FOR PRIVATELY INSURED PATIENTS AND SELF-PAYING PATIENTS. A SHORT-STAY (ENDO OVER-NIGHT) IS POSSIBLE FOR ALL PATIENTS

Outpatient hip replacement in Mainz: Hip prosthesis without an overnight stay in the hospital

Can a hip replacement really be performed on an outpatient basis today?



In this video, Prof. Dr. med. Karl Philipp Kutzner, specialist for hip endoprosthetics and short stem prostheses at ENDOPROTHETICUM Rhein-Main, explains how an outpatient hip replacement can be performed at the curaparc clinic in Mainz and which patients are suitable for this modern treatment concept.

In suitable patients, an artificial hip can now be implanted using a consistent fast-track concept , allowing mobilization to begin just a few hours after the operation and discharge on the same day.

At ENDOPROTHETICUM, this concept is offered under the name ENDO-in-a-day .

PREPARATION IS THE KEY!

FOR ACTIVE AND FIT PATIENTS THE OUTPATIENT JOINT REPLACEMENT OF HÜFTE AND KNEE IS INCREASINGLY AN OPTION!

A REQUIREMENT FOR THIS IS AT LEAST AT LEAST ONE COMPANION OR CARE PERSON IN THEIR SURROUNDINGS AS WELL AS A OPTIMAL PREPARATION.

WE THEREFORE OFFER YOU A RANGE OF "AIDS" IN ENDOPROTHETICUM TO PREPARE YOU COMPREHENSIVELY AS WELL AS IDEALLY CARE FOR YOU PERSONALLY AT YOUR HOME DURING AFTERCARE.

THE ENDOPROTHETICUM-APP CONTAINS ALL IMPORTANT INFORMATION FOR PREPARATION, AS WELL AS FOR THE TREATMENT COURSE. IT ALSO ENABLES YOU A DIRECT CONTACT TO OUR TEAM, WHATEVER TIME YOU NEED US.

THE ENDOPROTHETICUM-HANDBUCH IS YOUR CONSTANT COMPANION AND ALSO ENABLES A COMPREHENSIVE INFORMATION ABOUT THE PROCEDURES WITHOUT A SMARTPHONE.

THE ENDOPROTHETICUM-MOBIL IS FOR ALL PATIENTS FROM MAINZ AND WIESBADEN TO BE USED IF NEEDED.

PREHABILITATION BEFORE OUTPATIENT JOINT REPLACEMENT OF HIP AND KNEE

IN ENDOPROTHETICUM

HOME VISITS AFTER OUTPATIENT OR SHORT-STAY HIP PROSTHESIS (HIP-TEP) OR KNEE PROSTHESIS (KNEE-TEP) IN MAINZ AND WIESBADEN

If you live in Mainz or Wiesbaden, we are happy to come for follow‑up treatment after the procedure to your home. HERE YOU CAN DRESSING CHANGES AND WOUND CHECKS BE CARRIED OUT.

ALSO THE PHYSIOTHERAPEUTIC CARE IS CONVENIENT THROUGH HOME VISITS IN YOUR RESIDENTIAL ENVIRONMENT.

Our goal is that you can move around independently, with a stable circulation, without nausea and with little pain on the ward floor as well as in the stairwell.

If this is fulfilled on the day of surgery or the day after the operation, further treatment can be carried out in the home environment.

WE ARE IN DIRECT CONTACT WITH EACH OTHER VIA THE ENDOPROTHETICUM APP OR WHATS-APP. WE WILL CONTACT YOU THE FOLLOWING DAY. IN CASE OF PROBLEMS, YOU CAN CONTACT US DIRECTLY AT ANY TIME. OF COURSE, YOU CAN ALSO LEAVE A MESSAGE BY PHONE. WE WILL BE HAPPY TO CALL YOU BACK.

IF A HOME VISIT IS POSSIBLE, WE WILL MAKE THE VISIT IN YOUR HOME ENVIRONMENT UNTIL THE START OF REHABILITATION.

Outpatient hip replacement in Mainz – hip prosthesis on the same day

For decades, an artificial hip automatically meant several days in the hospital. However, modern surgical techniques, gentle anesthesia methods, optimized pain management, and structured fast-track concepts are increasingly changing hip replacement surgery.

For carefully selected patients, hip replacement surgery can now be performed on an outpatient basis. Patients are able to stand up again just a few hours after the operation and, if there are no complications, can leave the hospital on the same day.

Prof. Dr. med. Karl Philipp Kutzner, specialist for hip endoprosthetics and short stem prostheses at ENDOPROTHETICUM Rhein-Main, explains in the video what prerequisites must be met and why outpatient hip surgery should never compromise safety.

Briefly explained: What is an outpatient hip replacement?

In an outpatient hip replacement, a worn hip joint is replaced with an artificial hip joint without a subsequent regular overnight stay in the hospital.

The surgical procedure itself does not fundamentally differ in that it is performed less carefully or less comprehensively. The crucial difference lies rather in the entire treatment pathway surrounding the surgery.

Outpatient hip replacement surgery requires thorough preparation, minimally invasive surgery, modern anesthesia and pain management, early mobilization, and clearly organized postoperative care.

At ENDOPROTHETICUM Rhein-Main, this concept is implemented as ENDO-in-a-day .

Who performs the outpatient hip surgery?

The operations will be performed by Prof. Dr. med. Karl Philipp Kutzner .

For many years, his clinical and scientific focus has been on modern hip endoprosthetics, in particular on KalKar-guided short stem prostheses, bone-saving implantation, minimally invasive approaches and the individual positioning of hip implants.

Prof. Kutzner is the author of scientific publications on short stem endoprosthetics and the namesake of the Kutzner classification, which describes different implantation and fixation patterns of KalKar-guided short stem prostheses.

This experience is particularly important with modern treatment concepts: The decision for outpatient surgery should not be determined by an organizational goal, but by the question of whether it is medically appropriate and safe for the individual patient.

Where does the outpatient hip replacement take place?

The outpatient hip surgeries are performed at the curaparc clinic on the curaparc campus in Mainz

The ENDOPROTHETICUM Rhein-Main is also located on campus. This allows for close coordination of medical care, surgery, physiotherapy, and further postoperative care.

For patients who do not come directly from Mainz or the Rhine-Main area, the ENDOapartments on campus can also be used if needed.

This creates an intermediate form between classic outpatient care and a longer inpatient hospital stay: The patient can leave the clinic, but remains in close proximity to the medical and therapeutic infrastructure if needed.

Which patients are suitable for outpatient hip replacement surgery?

Not every patient is automatically suitable for outpatient hip replacement.

Particularly suitable are patients who have good general health, are sufficiently mobile and for whom there are no relevant accompanying illnesses that would preclude discharge on the day of surgery.

Furthermore, home-based and postoperative care must also be guaranteed.

Therefore, an individual medical assessment is carried out before any outpatient surgery. This assessment takes into account factors such as pre-existing conditions, medications, circulatory status, mobility, and the patient's personal circumstances.

Outpatient hip replacement is not a quality indicator in itself. What is crucial is selecting the right treatment pathway for the right patient.

What role does the short stem prosthesis play?

Professor Kutzner uses modern short-stem prostheses in many patients .

Short-stem implants aim to preserve as much natural femur bone as possible and to ensure the most physiological force transmission. Especially in younger and more active patients, preserving bone can be relevant for potential future revision surgeries.

Choosing a short-stem implant does not automatically mean that hip surgery can be performed on an outpatient basis. Implant selection and the choice between inpatient and outpatient treatment are two separate medical decisions.

However, the combination of bone-sparing implantation, minimally invasive surgery and a structured fast-track concept can support particularly early mobilization.

What is the procedure for an outpatient hip replacement?

Even before the procedure, the patient is thoroughly prepared for the day of the operation and the first hours after the operation.

On the day of surgery, the patient is first admitted to the curaparc clinic. Mobilization begins as soon as possible after the operation.

The goal is not to discharge a patient from the hospital as quickly as possible. Rather, the goal is to avoid unnecessary delays in the recovery process.

Once the patient's circulation, pain management, wound condition and mobility are stable and all established discharge criteria are met, discharge can take place on the same day.

Should it become apparent during the day of treatment that further medical monitoring is advisable, patient safety naturally takes priority.

Why can patients be mobilized so early these days?

Rapid mobilization after hip replacement surgery is the result of several developments.

Tissue-sparing surgical approaches reduce surgical trauma. Modern anesthesia techniques enable rapid recovery after surgery. Optimized pain management strategies help to reduce severe pain and the side effects of traditional painkillers.

Additionally, the attitude towards the patient plays a crucial role.

After a modern total hip replacement, the patient should generally become active again. Prolonged bed rest is neither necessary nor desirable in uncomplicated cases.

Is outpatient hip replacement safe?

The crucial prerequisite is careful patient selection.

Outpatient care does not mean that medical safety standards are reduced. Rather, the entire treatment process must be organized in such a way that problems are identified early and the patient knows exactly who to contact after the operation.

Therefore, clear discharge criteria, accessibility of the treatment team and structured postoperative follow-up care are essential components of a responsible outpatient endoprosthetics concept.

When is inpatient treatment more appropriate?

There are numerous situations in which Prof. Kutzner still recommends inpatient treatment.

This can include relevant cardiovascular diseases, certain pre-existing internal medical conditions, limited mobility, or lack of support after surgery.

The course of events immediately after the procedure may also make additional monitoring advisable.

Therefore, the question should not be:

"Can every hip replacement be performed on an outpatient basis?"

Rather:

"Is outpatient hip replacement the safest and most appropriate treatment for this specific patient?"

What happens after the release?

Treatment does not end with discharge.

Physiotherapy, mobilization, wound checks and medical follow-up examinations remain essential components of the treatment.

At the curaparc Campus, patients can use the further physiotherapeutic and medical training therapy of the ENDOPROtherapeuticum .

For patients from out of town, accommodation in the ENDOapartments be beneficial. This allows patients to leave the acute care hospital without having to immediately embark on a long journey home.

ENDO-in-a-day: Outpatient hip replacement as a comprehensive concept

Outpatient hip replacement is not simply a hip operation with a particularly short hospital stay.

It only works as a complete concept.

At the ENDOPROTHETICUM Rhein-Main, ENDO-in-a-day connects:

Careful diagnostics → individual implant planning → minimally invasive hip surgery → modern pain therapy → early mobilization → structured aftercare.

The individual situation of the patient always remains the decisive factor.

Frequently asked questions about outpatient hip replacement

Can a hip replacement really be performed on an outpatient basis?

Yes. In carefully selected patients, a total hip replacement can now be performed in such a way that discharge is possible on the same day as the operation.

Do I have to stay in the hospital for several days after a hip replacement?

Not necessarily. The required length of stay depends on the patient, their pre-existing conditions, the surgical procedure, and the post-operative course.

Can every patient receive an outpatient hip replacement?

No. Before the operation, it must be individually assessed whether outpatient treatment is medically appropriate and safe.

Is a different prosthesis used in an outpatient hip replacement?

Not necessarily. The choice of implant depends on the patient's anatomy, bone quality, age, and individual requirements. Professor Kutzner frequently uses bone-conserving short-stem prostheses in suitable patients.

Can I walk immediately after the operation?

Mobilization usually begins on the day of surgery. How quickly and how independently a patient can walk varies from person to person.

What happens if I'm not feeling well enough on the day of the surgery?

Discharge will only occur if defined medical criteria are met. Safety takes precedence over the goal of the earliest possible discharge.

Where is the outpatient hip replacement performed?

The operation takes place at the curaparc clinic on the curaparc campus in Mainz in close cooperation with the ENDOPROTHETICUM Rhein-Main.



Personal assessment by Prof. Kutzner

Whether you are suitable for an outpatient hip replacement, a short stem prosthesis, or another treatment concept cannot be determined solely based on age or diagnosis.

Your individual anatomy, bone quality, accompanying illnesses, mobility and personal life situation are crucial.

As part of a personal examination and second opinion, Prof. Dr. med. Karl Philipp Kutzner can assess which procedure is medically appropriate for you.