title: Implant standardization for hemiarthroplasty: implementation of a pricing matrix system at a level II community based trauma system.
abstract: Our purpose was to perform a clinical and financial analysis of a pricing matrix system on operative hip fracture care concerning hemiarthroplasty for displaced femoral neck fractures in elderly low demand patients. Data analysis on 81 pre-matrix and 88 post-matrix patients demonstrated no significant differences in age, sex, ASA or fracture pattern between the two groups. No difference in surgical approach, cement use, prosthesis choice, operative time, estimated blood loss, or intra-operative complication rate was observed. No radiographic difference in subsidence or loosening was demonstrated. Readmission form cardiac, UTI, PE or DVT rates were similar between groups and no increase in revision surgery or mortality was observed. Overall, our hospital realized a 37% reduction in implant costs, resulting in $165,500 savings for the calendar year.
authors: Reno Orthopaedic Clinic, Reno, Nevada.
authors: Peter L
authors: PL
authors: Althausen
authors: University of Nevada, School of Community Health Sciences, Reno, Nevada.
authors: Minggen
authors: M
authors: Lu
authors: Reno Orthopaedic Clinic, Reno, Nevada.
authors: Kenneth C
authors: KC
authors: Thomas
authors: University of Nevada School of Medicine, Reno, Nevada.
authors: Steven F
authors: SF
authors: Shannon
authors: University of Nevada School of Medicine, Reno, Nevada.
authors: Brian N
authors: BN
authors: Biagi
authors: Reno Orthopaedic Clinic, Reno, Nevada.
authors: Eric M
authors: EM
authors: Boyden
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000191:economics* / Q000592:standards; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D062785:Hemiarthroplasty / Q000191:economics* / Q000592:standards; D006622:Hip Prosthesis / Q000191:economics* / Q000592:standards*; D006764:Hospitals, Community / Q000191:economics; D006801:Humans; D008297:Male; D008875:Middle Aged
keywords: femoral neck fractures; hip hemiarthroplasty; implant costs; implant standardization; matrix system