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Naval Hospital Jacksonville Completes First Same-Day Hip Replacement

JACKSONVILLE, Fla. (Feb. 27, 2018) Capt. Michael Robinson, an orthopedic surgeon at Naval Hospital Jacksonville, reviews Catherine Baker’s recovery from same-day hip replacement surgery, at her one-month follow-up visit on Feb. 27. Robinson performed Navy Medicine’s first same-day hip replacement at NH Jacksonville with Baker on Jan. 23. He has performed several more outpatient hip and knee replacement surgeries since. Doing the procedure on a same-day, outpatient basis offers benefits to patients when it’s medically appropriate. (U.S. Navy photo by Jacob Sippel, Naval Hospital Jacksonville/Released).

Story by Rodney Foushee

Naval Hospital Jacksonville

Patients at Naval Hospital Jacksonville now have the option of having a hip or knee replacement done on an outpatient basis—going home the same day as their surgery.

Capt. Michael Robinson, M.D., performed Navy Medicine’s first same-day hip replacement at NH Jacksonville on Jan. 23. Robinson, a fellowship-trained orthopedic surgeon, has now performed several more outpatient hip and knee replacement surgeries at the hospital.

Candidates for hip and knee replacements are generally not sick, Robinson said. With advancements in surgical technique, pain control and minimal blood loss in surgery, healthy joint patients now have the option of going home the same day.

“This is a win-win for the patient—they get to sleep in their own bed, eat their own food and avoid being around sick people at a hospital,” Robinson said. “Patients begin physical therapy in the recovery room and are safely discharged to their home.”

Though outpatient joint replacements are being performed in private surgical centers in the United States, they are rare for hospitals. At most hospitals, hip replacement patients can expect a one- to three-night hospital stay. Total hip replacement surgery restores range of motion and helps relieve arthritic pain. The procedure includes removing the patient’s worn-out ball-and-socket joint and replacing it with a metal socket and a metal or ceramic ball attached to the femur.

Candidates for outpatient hip replacement are pre-selected and educated long before the day of surgery, Robinson said. The patient must be healthy with no underlying problems such as diabetes or obesity. A same-day hip replacement patient must complete pre-surgery education and pre-surgery physical therapy. They also must have a good support network at home to assist with transportation and other needs, and a safe environment to avoid trips and falls. Patients are only released from the hospital once their pain is well controlled and they are medically stable.

Catherine Baker, 67, was glad to be able to go home from the hospital sooner, after Robinson completed her hip replacement. She was discharged at 2 p.m. to her home on the day of her surgery.

“Nothing beats the comfort of your own home for getting better,” said Baker, a retired Navy nurse with 20 years of service. “You need to start moving as soon as possible after hip surgery to speed healing and decrease the chance of blood clots. And to be quite honest, you move around more at home than in a hospital. You don’t have a call button at home to push every time you want something!”

Baker is highly satisfied with her outpatient hip replacement surgery at NH Jacksonville. She has always been very active and pushes herself to stay fit. Robinson has been following her progress with in-person visits at the hospital as well as using Navy Medicine’s new Navy Care app for virtual follow-up visits.

“I’m recovering quicker this time, than when I had my other hip replaced by Dr. Robinson with an inpatient hospital stay,” Baker said. “I’m doing very well. Four weeks after surgery and I am walking up to 6 miles a day!”

NH Jacksonville’s priority since its founding in 1941 is to heal the nation’s heroes and their families. The command is comprised of the Navy’s third largest hospital and five branch health clinics across Florida and Georgia. Of its patient population (163,000 active and retired sailors, soldiers, Marines, airmen, guardsmen, and their families), about 84,000 are enrolled with a primary care manager and Medical Home Port team at one of its facilities. To find out more or download the command’s mobile app, visit www.med.navy.mil/sites/navalhospitaljax.

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