Off-Label Use in Orthopaedic Surgery

被引:6
作者
Taylor, Benjamin C. [1 ]
Triplet, Jacob J. [1 ]
El-Sabawi, Taleed [2 ]
机构
[1] Ohio State Univ, Coll Publ Hlth, Grant Med Ctr, Dept Orthoped Surg, Columbus, OH 43210 USA
[2] Ohio State Univ, Coll Publ Hlth, Div Hlth Serv Management & Policy, Columbus, OH 43210 USA
关键词
BONE MORPHOGENETIC PROTEIN-2; FEMORAL-NECK FRACTURES; TOTAL HIP-ARTHROPLASTY; KNEE ARTHROPLASTY; UNITED-STATES; HEMIARTHROPLASTY; IMPLANTS; OUTCOMES;
D O I
10.5435/JAAOS-D-18-00038
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Surgeons frequently use orthopedic devices in an off-label manner. It is the responsibility of the surgeon to be familiar with the product and to use it based on scientific and clinical rationale. However, such practices are poorly publicized, and there remains paucity in the current literature surrounding the off-label use of orthopedic devices. Furthermore, the off-label use of devices is fraught with difficulty, including limitations in investigational studies and insurance reimbursement or coverage of use. Surgeons should be aware of the common off-label use in orthopedics. This review provides an overview of the off-label use in orthopedics and the obstacles associated with it; this review also offers clinical examples of its implementation.
引用
收藏
页码:E767 / E774
页数:8
相关论文
共 39 条
  • [1] Abernethy AP, 2009, ANN INTERN MED, V150, P336, DOI 10.7326/0003-4819-150-5-200903030-00107
  • [2] American Orthopaedic Association Orthopaedic Institute of Medicine Task Force on Surgeon-Industry Relationships in the Discipline of Orthopaedic Surgery, 2012, J Bone Joint Surg Am, V94, pe89, DOI 10.2106/JBJS.L.00455
  • [3] Bone morphogenetic proteins in orthopaedic trauma surgery
    Argintar, Evan
    Edwards, Scott
    Delahay, John
    [J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2011, 42 (08): : 730 - 734
  • [4] Ausness R.C., 2008, THERES DANGER HERE C
  • [5] Corporate Malfeasance, Off-Label Use, and Surgeon Liability
    Bal, B. Sonny
    Brenner, Lawrence H.
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2013, 471 (01) : 4 - 8
  • [6] Hip Fractures in Children
    Boardman, Matthew J.
    Herman, Martin J.
    Buck, Brian
    Pizzutillo, Peter D.
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2009, 17 (03) : 162 - 173
  • [7] Bobka Marlene S., 1993, Medical Reference Services Quarterly, V12, P7, DOI 10.1300/J115V12N01_02
  • [8] Buch Barbara, 2007, Am J Orthop (Belle Mead NJ), V36, P407
  • [9] "Off-Label" Use of Orthopedic Implants in the Wrist
    Cooney, William P., III
    [J]. JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2013, 38A (02): : 416 - 417
  • [10] Bone morphogenetic protein and orthopaedic surgery: Can we legitimate its off-label use?
    Courvoisier, Aurelien
    Sailhan, Frederic
    Laffenetre, Olivier
    Obert, Laurent
    [J]. INTERNATIONAL ORTHOPAEDICS, 2014, 38 (12) : 2601 - 2605