The indirect cost of Patient-Specific Instruments

被引:1
作者
Thienpont, Emmanuel [1 ]
Paternostre, Frederic [1 ]
Van Wymeersch, Charles [1 ]
机构
[1] Clin Univ St Luc, Dept Orthopaed Surg, B-1200 Brussels, Belgium
来源
ACTA ORTHOPAEDICA BELGICA | 2015年 / 81卷 / 03期
关键词
patient specific instruments; indirect costs; cost-effectiveness; total knee arthroplasty; economics; TOTAL KNEE ARTHROPLASTY; CUTTING BLOCKS; MATCHED INSTRUMENTATION; COMPUTER NAVIGATION; ALIGNMENT; REPLACEMENT; GUIDES; SYSTEM; METAANALYSIS; ACCURACY;
D O I
暂无
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
Purpose : To calculate the indirect costs of Patient Specific Instruments (PSI) based on an opportunity cost, cost of efforts and a supply chain cost model to compare PSI for value with conventional total knee arthroplasty (TKA). Methods : In 81 patients the total (direct + indirect) cost of PSI-assisted TKA was compared with conventional TKA. Surgical times and coronal mechanical alignment were measured to evaluate the effectiveness of the PSI system. Results : Indirect costs (459 euro) make up 40% of the total cost that can run up to 1142 euro for a patient operated with PSI guides. No difference in surgical times or coronal alignment was observed in between both groups. Conclusion : Considering the total cost of PSI no value was found for the use of PSI in primary TKA as measured by surgical times or for obtaining a neutral mechanical axis in the coronal plane.
引用
收藏
页码:462 / 470
页数:9
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