Financial aspects of arthroplasty options for intra-capsular neck of femur fractures: A cost analysis study to review the financial impacts of implementing NICE guidelines in the NHS organisations

Comparison of hemiarthroplasty and total hip arthroplasty in elderly patients with displaced femoral neck fractures

“…Therefore, it is important to identify comorbidity factors in these patients. 25,29 Multiple systemic diseases, a high ASA score, and an increased length of postoperative hospital stay are known to increase major complications after surgery. 11,13,14,16,22,25,31,36,37 Liodakis et al.…”

“…3,[22][23][24][25] Previous studies have shown that 9% to 66% of patients develop acetabular erosion; however, it is observed more frequently at the long-term follow-ups of overweight mobile patients. 22,[25][26][27][28][29][30][31][32][33][34] In a study by Baker et al, 23 acetabular erosion developed in 21 (66%) of 32 patients who underwent HA (mean age, 75 years; range, 63-86 years), and after 36 months of follow-up, a revision surgery (THA) was required for one of these patients. Likewise, Avery et al 35 evaluated the 8.6-year follow-up results of 41 patients treated with HA and found that three of eight patients with acetabular erosion required revision surgery.…”

“…Therefore, it is important to identify comorbidity factors in these patients. 25,29 Multiple systemic diseases, a high ASA score, and an increased length of postoperative hospital stay are known to increase major complications after surgery. 11,13,14,16,22,25,31,36,37 Liodakis et al 31 stated that complications (both major and minor) were more frequently observed in patients who underwent HA for the treatment of FNFs (HA, 10.3% and THA, 6.6% for minor complications; HA, 12.4% and THA, 9.1% for major complications).…”

Costs and Radiographic Outcomes of Rotational Ankle Fractures Treated by Orthopaedic Surgeons With or Without Trauma Fellowship Training

“…It is now common for surgeons to be exposed to cost control measures such as gain sharing, bundled payment models, inventory control incentives, or administration mandates. [13][14][15][16][17][18][19][20][21] Despite these trends, orthopaedic surgeons often have little understanding of the costs of the surgical procedures and associated implants. 22 In addition, surgeons have few tools that can provide them meaningful surgical cost data.…”

The rising use of total hip arthroplasty for femoral neck fractures in the United States

“…There is a significant body of literature supporting the use of THA in the active, lucid elderly patient as it provides improved function, decreased pain and decreased reoperation rate in relation to HA but comes at the expense of increased risk of dislocation and initial increased expense. [4][5][6][7][8][9][10][11][12] The use of THA for treatment of hip fracture was initially reported in 1980 with subsequent case series reported in the 1980s and 1990s. 13 This has been followed by randomised control trials and subsequent meta-analyses of the data which has been well summarised by Schmidt et al 14 Despite the large body of literature advocating the use of THA in the treatment of femoral neck fracture, several large-scale database studies have been unable to detect a resultant increase in the use of THA.…”