SURGEON WORK INPUT AND RISK IN PRIMARY VERSUS REVISION TOTAL JOINT ARTHROPLASTY

被引：36

作者：

BARRACK, RL

HOFFMAN, GJ

TEJEIRO, WV

CARPENTER, LJ

机构：

[1] Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana

来源：

JOURNAL OF ARTHROPLASTY | 1995年 / 10卷 / 03期

关键词：

PRIMARY TOTAL JOINT ARTHROPLASTY; REVISION TOTAL JOINT ARTHROPLASTY; REIMBURSEMENT;

D O I：

10.1016/S0883-5403(05)80175-5

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

One hundred twenty stratified nonselected cases of primary and revision total joint arthroplasties performed between 1990 and 1992 in which complete financial and clinical data were available were reviewed. All cases were performed at a single university hospital. Compared with primary total joint arthroplasty, revision surgery involved significantly more operative time, greater blood loss, increased length of stay, and a much higher complication rate. The actual physician reimbursement was not significantly more than for primary procedures. Physician reimbursement constituted 18% of the total fees collected compared with 24% for the actual prosthesis cost. Surgeons performing revision surgery devote significantly more time and are at a higher liability than when performing primary total joint arthroplasty.

引用

页码：281 / 286

页数：6

共 15 条

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