Periop Leader Week
August 26, 2025

Expert lessons on building successful total joints programs in ASCs

By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty climbed 61%—as ASCs have embraced total joints programs at accelerating rates. Same-day discharges for these procedures exceeded 30% by 2021, up from under 1% just 4 years prior.

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