title: Trends in decreased hospitalization for anterior cruciate ligament surgery: double-incision versus single-incision reconstruction.
abstract: Over a 4-year period, hospital charges of 151 consecutive anterior cruciate ligament (ACL) reconstructions were retrospectively evaluated. Eighty-one patients who underwent a two-incision ACL central third autogenous patellar bone tendon bone reconstruction were compared with 72 patients who had a single-incision endoscopic reconstruction with a similar graft. Charges were adjusted for inflation. There was a statistically significant difference in hospital days (2.8 v 1.57, P = .0001), total hospital charges ($15,063 v $13,520, P = .0001), as well as operating room/hospital ward charges (P = .0001), pharmacy charges (P = .035), and physical therapy charges (P = .001). No statistical difference was observed for anesthesia or laboratory charges. A matched comparison of patients from each group who were in the hospital for 2 days showed a statistically significant reduction in operating room/hospital ward charges (P = .037), but no significant reduction in total costs. There was a trend in both groups toward shorter hospital stays in each successive year. The reduction in charges observed for the endoscopic procedure correlated with a reduction in postoperative hospital days.
authors.affiliation: Department of Orthopaedic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612, USA.
authors.forename: M P
authors.initials: MP
authors.lastname: Nogalski
authors.forename: B R
authors.initials: BR
authors.lastname: Bach
authors.forename: C A
authors.initials: CA
authors.lastname: Bush-Joseph
authors.forename: S
authors.initials: S
authors.lastname: Luergans
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001182:Arthroscopy; D017722:Hospital Charges; D006760:Hospitalization / Q000191:economics / Q000639:trends*; D006801:Humans; D007902:Length of Stay; D008722:Methods; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000191:economics; D014481:United States