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office visit may provide an opportunity to set expectations and modify these risk factors before a patient is indicated for surgery

surgery. More specifically, severe obesity is a known risk factor for poor surgical outcomes following TJA, including but not limited to increased risk of infection (PJI as well as superficial surgical site infections), readmission within 30 days

ambulatory surgery center on the same day as their procedure.13 An outpatient pathway is expected

Surgery Approach Pros Cons Direct anterior approach Stabipty Minimized soft tissue injury, abductor sparing Improved functional recovery Cosmesis Challenging femoral exposure Need for speciapzed table Risk for LFCN injury Learning curve Possible early revision risk Wound comppcations, SSI for obese patients Higher periprosthetic risk fracture

day before surgery and reduced by 50% on the day of surgery

Day of surgery discharge after unicompartmental knee arthroplasty: an effective perioperative pathway J Arthroplasty 3, 2014;29: 516-519 doi:10.1016/j.arth.2013.08.021

surgical procedure. Further research into the less well-studied psychiatric disorders will provide insight into preoperative optimizaiton for these patients. References 1. Bagalman E & Cornell AS. Prevalence of Mental Illness in the United States: Data Sources and Estimates Updated January 19, 2018; Congressional Research Services https://crsreports.congress.gov/product/pdf/R/R43047. 2. Brody

day period. Consistent with the model, minority stress predicted higher levels of negative and anxious affect and lower levels of positive affect, suggesting a link between minority stress and mood and anxiety disorder symptoms. Looking deeper into the complexity of LGB identities, Kuyper and Bos (2016) examined health behaviors

office. Rather than simply informing a patient that their BMI is over the threshold for surgery

ambulatory aids. Preoperative opioids can make postoperative pain control a challenge.22 A patient’s comorbidities and treatment history are important factors to consider when assessing the timing and fitness for surgery