Price Variability for Hip and Knee Replacement Implants

Variability in costs associated with total hip and knee replacement implants.

BACKGROUND Implant costs associated with total hip replacement and total knee replacement procedures account for a large share of total costs and reimbursements to hospitals. Federal policymakers are promoting episode-of-care payment and other value-based delivery and payment reforms in part to encourage physicians and hospitals to cooperate in managing costs for these and other procedures. The...

Knee and Hip Joint Replacement Surgery in a Patient with Ochronotic Arthropathy: Surgical Tips

Ochronosis or black joints disorder is a rare autosomal recessive disorder caused by deficiency of homogentisic acidoxidase. Orthopaedic manifestations are common and mostly involve spine and large joints such as knee and hip.Arthropathy is progressive and will eventually leads to arthroplasty. Not being familiar with this disorder might lead todevastating complications. We present a 57 year-ol...

Appraisal of evidence base for introduction of new implants in hip and knee replacement: a systematic review of five widely used device technologies

OBJECTIVE To determine the evidence of effectiveness and safety for introduction of five recent and ostensibly high value implantable devices in major joint replacement to illustrate the need for change and inform guidance on evidence based introduction of new implants into healthcare. DESIGN Systematic review of clinical trials, comparative observational studies, and registries for comparati...

Without Explicit Targets, Does France Meet Minimum Volume Thresholds for Hip and Knee Replacement and Bariatric Surgeries?

Infection burden in total hip and knee arthroplasties: an international registry-based perspective

BACKGROUND Infection remains a leading cause of failure of hip and knee replacements. Infection burden is the ratio of implants revised for infection to the total number of arthroplasties in a specific period, measuring the steady state of infection in a registry. We hypothesized infection burden would be similar among arthroplasty registries. METHODS We evaluated publicly reported data from ...