Cost of implanting a cemented versus cementless femoral stem

Autor: Robert L. Barrack, Frank P. Castro, Spencer Guinn
Rok vydání: 1996
Předmět:
Zdroj: The Journal of Arthroplasty. 11:373-376
ISSN: 0883-5403
DOI: 10.1016/s0883-5403(96)80025-8
Popis: Fifty stratified unselected cases of primary uncomplicated total hip arthroplasty performed at the total joint service of a university teaching hospital were examined. In 25 cases, the femoral stem was implanted with cement, and in the other 25, a cementless stem was implanted. For cemented stems, third-generation cement technique was used, including centrifugation. The average cost to the hospital for a cementless stem was $900 greater than for a cemented stem. The total cost to the hospital for accessories used to achieve modern cement technique was over $700. The operative time for implanting a cemented stem averaged 20 minutes longer, which resulted in an additional operating time charge of $270 and an additional anesthesia charge of $100. When these charges are added to the cost of cement and accessories, the actual cost to the hospital for implanting a modern cemented stem was greater than for a corresponding cementless stem.
Databáze: OpenAIRE