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The Tenets of Total Joints
Establishing a standardized care pathway and looking beyond current best practices will lead to long-term success.
Dan Cook | Editor-in-Chief
Publish Date: March 3, 2022   |  Tags:   Pain Management Patient Experience Orthopedics
Total Joints
HANDS IN The technical skill of the surgeon is just one aspect of comprehensive joint replacement care.

Lee Rubin, MD, held his iPhone up to his computer’s webcam during a recent conference call to show the participants video proof of how well patients do after joint replacement surgery when advanced pain control practices meet minimally invasive surgical techniques. A short clip showed a woman with a walker moving with purpose through a hospital hallway. “This was 90 minutes after she had her hip replaced,” said Dr. Rubin, a hip and knee specialist at Yale Medicine and an associate professor at Yale School of Medicine in New Haven, Conn. “See how fast she’s walking? I had trouble keeping up.”

The woman was one of the hundreds of patients who’ve had their knees and hips replaced by Yale Medicine surgeons since 2018, when a building on the health system’s main campus was renovated and turned into a hospital outpatient surgery space dedicated to providing cutting-edge orthopedic care. 

Having the resources and experts on staff to develop innovations in outpatient surgery — and test their effectiveness through clinical research — keeps Yale Medicine at the forefront of what’s happening in same-day joint replacements. “Enhanced pain management protocols have empowered us — along with the minimally invasive techniques of surgeons and the incredible work of our physical therapists who work with patients in post-op — to discharge patients on the day of surgery,” says Jinlei Li, MD, PhD, Yale Medicine anesthesiologist and an associate professor at Yale School of Medicine.

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