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Hip resurfacing as an outpatient procedure: a comparison of overall cost and review of safety.

Authors
  • Gaillard-Campbell, M D1
  • Fowble, C2
  • Webb, L2
  • Gross, T P2
  • 1 Midlands Orthopaedics and Neurosurgery, 1910 Blanding Street, Columbia, SC, 29201, USA. [email protected]
  • 2 Midlands Orthopaedics and Neurosurgery, 1910 Blanding Street, Columbia, SC, 29201, USA.
Type
Published Article
Journal
Musculoskeletal surgery
Publication Date
Apr 01, 2021
Volume
105
Issue
1
Pages
111–116
Identifiers
DOI: 10.1007/s12306-020-00637-z
PMID: 31993975
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Recent advancements in arthroplasty surgical techniques and perioperative protocols have reduced the duration of hospitalization and length of recovery, allowing surgeons to perform joint replacement as an outpatient procedure. This study aims to evaluate the cost-effectiveness and safety of outpatient hip resurfacing. Two experienced surgeons performed 485 resurfacing surgeries. We retrospectively compared clinical outcomes and patient satisfaction with published outpatient total hip results. Furthermore, we compared average insurance reimbursement with that of local inpatient hip replacement. No major complications occurred within 6 weeks. Of the 39 patients with previous inpatient experience, 37 (95%) believed their outpatient experience was superior. The average reimbursement for hip arthroplasty at local hospitals was $50,000, while the average payment for outpatient resurfacing at our surgery center was $26,000. We conclude that outpatient hip resurfacing can be accomplished safely, with high patient satisfaction, and at a tremendous financial savings to the insurer/patient. LEVEL OF EVIDENCE: III.

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