Empowering Recovery: Day Case Joint Replacement Surgery, Transforms Patient Experience at MRHT
Selected patients undergoing joint replacement surgery at Midland Regional Hospital Tullamore (MRHT) will experience faster, more comfortable recovery thanks to the hospital’s innovative Day Case Arthroplasty Programme. One of the first in Ireland, this patient-centred approach aims to revolutionise how knee and hip replacements are delivered in MRHT for suitable patients—minimising their hospital stay and maximising recovery in the comfort of home.
A New Era in Joint Replacement Surgery
Day case arthroplasty allows eligible patients to return home on the same day as their surgery. This model not only reduces disruption to daily life but also supports faster healing in familiar surroundings. Patients benefit from:
A New Era in Joint Replacement Surgery
Day case arthroplasty allows eligible patients to return home on the same day as their surgery. This model not only reduces disruption to daily life but also supports faster healing in familiar surroundings. Patients benefit from:
• Shorter hospital stays, returning home to rest in comfort.
• Improved recovery, with better sleep, nutrition, and reduced exposure to hospital-acquired infections.
• Early mobilisation, which is key to regaining strength and independence.
• Lower stress levels and a quicker return to normal activities.
• Reduced risk of complications, including infections and muscle deconditioning.
Putting Patients at the Centre
The success of this programme lies in its holistic care planning and strong ethos of teamwork. Patients are not passive recipients of care—they are empowered partners in their recovery journey. Through pre-operative education, including a comprehensive “Joint School,” patients are fully informed about their surgery, rehabilitation, and discharge process.
The programme is based on all MRHT team members understanding that the patient is not just the centre of the process but is a pivotal player and a partner in the process.
“We’re are excited to see a real shift,” says Dearbhail Foy, Arthroplasty Nurse Specialist. “Patients are more motivated, more confident, and more engaged. They know what to expect and feel supported every step of the way.”
Voices of Experience
Fiona Brady, a recent patient, shares her story:
“I’m a huge fan of day case surgery. I felt so comfortable recovering at home and slept better. The preparation beforehand made all the difference. I believe all the preparation prior to the surgery, ensured things went smoothly. I know that doing the pre-planned physio a month prior to the surgery, prepared me for the work I would have to do post-op. Eight weeks post-op, my life has been completely transformed—I’m pain-free and feeling amazing.”
Fiona credits the success of her recovery to the dedication of the MRHT team, including Mr. Khalid Merghani, Dr. Mohan, Ms. Dearbhail Foy and their teams, Ms. July Jacob, OPD staff, Allen ward staff and Theatre staff saying,
“I am eternally grateful for your professionalism, compassion, and excellent communication.”
Expert Insights
Mr. Khalid Merghani, Consultant Orthopaedic Surgeon, highlights the clinical benefits:
“Minimally invasive techniques like the direct anterior approach for hips and subvastus approach for knees preserve muscle, reduce pain, and enable faster mobilisation. With computer assistance and robotic navigation, we’re achieving greater precision and better outcomes.”
Dr. Mugawar Mohan, Consultant Anaesthetist, adds:
“Day case arthroplasty is not only safe but also cost-effective. With the right patient selection and enhanced recovery protocols, it’s a win-win for patients and healthcare systems.”
A Model of Modern Care
From a hospital perspective, the programme aims to improve efficiency, reduces bed occupancy, and enhances patient throughput—all without compromising care quality. Every patient’s journey is tracked through the Irish National Orthopaedic Register (INOR), ensuring transparency and continuous improvement.
The MRHT team’s commitment to continuity of care, clear communication, and patient empowerment will set a new standard in orthopaedic surgery in MRHT—one where patients recover faster, feel better, and return to their lives sooner
