Variation in Technique Influences Surgical Cost in Thumb Carpometacarpal Joint Arthroplasty.

IF 1.2 4区医学 Q3 ORTHOPEDICS

Orthopedics Pub Date : 2025-07-01 Epub Date: 2025-07-03 DOI:10.3928/01477447-20250606-02

Nicholas Reiners, Rebekah M Kleinsmith, Stephen A Doxey, Andrew Sibley, Jeffrey B Husband, Brian P Cunningham

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引用次数: 0

Abstract

Background: Thumb carpometacarpal (CMC) arthritis is common in the community. There are a variety of ways to perform CMC arthroplasty with the basic technique revolving around trapeziectomy. The purpose of this study was to identify key factors in the determination of cost of CMC arthroplasty and if procedure type affects cost.

Materials and methods: Patients from 2018 to 2022 from a single health care system who received primary CMC arthroplasty using ligament reconstruction tendon interposition (LRTI), simple suture suspensionplasty, or suture tape-based reconstruction techniques were identified. Surgical costs were determined using time-driven activity-based cost accounting.

Results: A total of 173 patients were included. The average age was 63.6 years and 70.5% (n=122) were women. The most common technique was suture suspensionplasty (n=142, 82.1%). The average surgical cost was $2,830.36±$619.41. Suture suspensionplasty had the shortest operative time, followed by LRTI, and lastly suture tape-based reconstruction (62.9±16.0, 70.7±19.6 and 102.7±16.6 minutes, respectively, P<0.001). Procedure type and anchor use predicted surgical costs (R²=0.85, P<0.001).

Conclusion: Suture suspensionplasty had the shortest operative time and had the lowest cost of CMC arthroplasty techniques. The use of an anchor was associated with increased cost. Surgeons should keep these cost drivers in mind as they develop treatment plans. Surgeons and organizations should collaborate to provide high-value and economically-responsible care. [Orthopedics. 2025;48(4):e177-e181.].

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技术差异影响拇指手掌关节置换术的手术成本。

背景：拇指腕掌骨（CMC）关节炎在社区中很常见。以梯形切除术为基础的CMC关节成形术有多种方法。本研究的目的是确定决定CMC关节置换术成本的关键因素，以及手术类型是否影响成本。材料和方法：2018年至2022年，来自单一医疗保健系统的患者接受了使用韧带重建肌腱间置（LRTI）、简单缝合悬吊成形术或缝合带重建技术的初级CMC关节成形术。手术费用采用时间驱动的作业成本会计来确定。结果：共纳入173例患者。平均年龄为63.6岁，70.5% （n=122）为女性。最常见的方法是缝合悬吊成形术（n=142, 82.1%）。平均手术费用为2830.36±619.41美元。缝线悬吊成形术手术时间最短，其次为LRTI，最后为缝线带重建（62.9±16.0分钟，70.7±19.6分钟，102.7±16.6分钟），P2=0.85， p结论缝线悬吊成形术是CMC关节置换术中手术时间最短，成本最低的方法。锚的使用增加了成本。外科医生在制定治疗方案时应该考虑到这些成本驱动因素。外科医生和组织应该合作提供高价值和经济上负责任的护理。[矫形手术。202 x; 4 x (x): xx-xx。]。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopedics 医学-整形外科

CiteScore

2.20

自引率

0.00%

发文量

160

审稿时长

3 months

期刊介绍： For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.