Cost-effectiveness of a locking versus non-locking reconstruction plate in medial opening wedge high tibial osteotomy: the importance of costing perspective

Abstract

moderate-to-high correlation (r ¼ À0.64) with the observed increases in articular cartilage thickness. Similar results were found when the KAM was replaced with the KAAI (À0.7%BWxHts; 95%CI: À1.1 to À0.4; r ¼ À0.76). At the 12-month follow-up, 75% of participants (6 of 8) had an increase in medial articular cartilage thickness greater than the smallest detectable change (SDC) threshold in MFTC (111 mm) previously reported for cartilage thickness loss. Similarly, 63% of participants (5 of 8) had a decrease in KAM greater than the previously reported SDC threshold (1%BWxHt). Conclusions: This is the first study to quantify increases in medial femorotibial articular cartilage thickness that are correlated to decreases in medial knee loading after limb realignment surgery.

Comparison of hook plate versus T-plate in the treatment of Neer type II distal clavicle fractures: a prospective matched comparative cohort study

“…They did not nevertheless, their study had a retrospective design and had a low sample size which could affect the results. The material properties of locking plates also make them more expensive than non-locking ones, and developing countries have less access to them [ 36 , 37 ]. However, we used a standard non-locking T-plate due to lower cost and accessibility in our developing country.…”

“…The T-plate does not enter the subacromial space and thus does not induce rotator cuff damage or impingement [ 17 – 19 , 22 , 39 ]. This technique induced lower cost than locking one [ 36 , 37 ], and having no prior plan for plate removal surgery in the absence of symptoms made it more affordable than hook plate fixation [ 40 ]. It is crucial in developing countries such as ours that have limited access to expensive implants.…”