TY - JOUR AU - Assmann G. AU - Kasch R. AU - Hofer A. AU - Barz T. AU - Merk H. AU - Flessa S. AU - Maher C. AB -

The number of septic and aseptic total hip arthroplasty (THA) revisions will increase, which involves a greater financial burden. We here provide a retrospective consecutive analysis of the major variable direct costs involved in revision THA for aseptic and septic failure. A total of 144 patients (30 septic, 114 aseptic) treated between January 1, 2009 and March 31, 2012 was included. The management of septic THA loosening is much more expensive than that of aseptic loosening ($14,379.8 vs. $5,487.4). This difference is mainly attributable to the two-stage exchange technique used for septic failure (hospital stay: 40.2 vs. 15.6 days) and significantly higher implant costs ($3,930.9 vs. $2,298.2). The septic implantation part is on average $3,384.6 more expensive than aseptic procedures (P < .001).

AD - Department of Health Care Management, Faculty of Law and Economics, Ernst-Moritz-Arndt-University, Greifswald, Germany.
Clinic and Outpatient Clinic for Orthopaedics and Orthopaedic Surgery, University Medicine Greifswald, Greifswald, Germany; The George Institute, The University of Sydney, Sydney, Australia. Electronic address: richard.kasch@uni-greifswald.de.
The George Institute, The University of Sydney, Sydney, Australia.
Clinic and Outpatient Clinic for Orthopaedics and Orthopaedic Surgery, University Medicine Greifswald, Greifswald, Germany.
Department of Orthopaedics and Trauma Surgery, Asklepios Hospital Uckermark, Schwedt, Germany. AN - 24927869 BT - Journal of Arthroplasty DP - NLM ET - 2014/06/15 IS - 10 J2 - The Journal of arthroplasty LA - Eng LB - MSK N1 - Assmann, Grit
Kasch, Richard
Maher, Christopher G
Hofer, Andre
Barz, Thomas
Merk, Harry
Flessa, Steffen
J Arthroplasty. 2014 May 9. pii: S0883-5403(14)00301-5. doi: 10.1016/j.arth.2014.04.043. N2 -

The number of septic and aseptic total hip arthroplasty (THA) revisions will increase, which involves a greater financial burden. We here provide a retrospective consecutive analysis of the major variable direct costs involved in revision THA for aseptic and septic failure. A total of 144 patients (30 septic, 114 aseptic) treated between January 1, 2009 and March 31, 2012 was included. The management of septic THA loosening is much more expensive than that of aseptic loosening ($14,379.8 vs. $5,487.4). This difference is mainly attributable to the two-stage exchange technique used for septic failure (hospital stay: 40.2 vs. 15.6 days) and significantly higher implant costs ($3,930.9 vs. $2,298.2). The septic implantation part is on average $3,384.6 more expensive than aseptic procedures (P < .001).

PY - 2014 SN - 1532-8406 (Electronic) - 0883-5403 (Linking) SP - 1925 EP - 31 ST - J. Arthroplasty T2 - Journal of Arthroplasty TI - Comparison of Health Care Costs Between Aseptic and Two Stage Septic Hip Revision VL - 29 ER -