After total joint replacement, early hospital discharge to home (with patients capable of
continuing a home-based rehabilitation program) is a cost- effective management strategy.
This project will use improved local anesthetic nerve block techniques to enhance technical
capability and clinical practice by (i) reducing pain and other morbidities during recovery,
(ii) improving weight-bearing achievement during in-hospital physical therapy to allow for
earlier return home, and (iii) continued rehabilitation as an outpatient at home when
feasible (versus in an extended care facility).