Document Detail


Proximal femoral replacements for metastatic bone disease: financial implications for sarcoma units.
MedLine Citation:
PMID:  19603165     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Metastatic pathological fractures of the proximal femur are increasingly treated by endoprosthetic proximal femoral replacement. We report the results and the costs incurred performing these procedures at our supra-regional sarcoma unit. Sixty-two patients underwent 63 proximal femoral replacements for metastatic bone disease over a seven-year period. Breast cancer was the most common primary pathology. One patient underwent a revision procedure for infection. Twenty-two patients suffered dislocations, most commonly those undergoing a conventional arthroplasty articulation. The estimated cost of a proximal femoral replacement is 18,002 pounds at our centre. Less than half of this is reimbursed under Payment by Results. Endoprosthetic replacement of the proximal femur is an effective treatment of metastases, but is poorly reimbursed under current funding arrangements.
Authors:
Robert U Ashford; Sammy A Hanna; Derek H Park; Rob C Pollock; John A Skinner; Timothy W R Briggs; Stephen R Cannon
Related Documents :
16781445 - Constrained liners in revision: total hip arthroplasty an overuse syndrome: in opposition.
116505 - Three methods for determining anteversion and retroversion of a total hip prosthesis.
711795 - Low-friction arthroplasty after fracture-dislocations of the hip.
20660235 - Postmortem study of femoral osteolysis associated with metal-on-metal articulation in t...
6883855 - Atlantal fracture in a child through congenital anterior and posterior arch defects. a ...
3249255 - Operative management of ipsilateral fractures of the hip and femur.
Publication Detail:
Type:  Journal Article     Date:  2009-07-15
Journal Detail:
Title:  International orthopaedics     Volume:  34     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-21     Completed Date:  2010-08-26     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  709-13     Citation Subset:  IM    
Affiliation:
East Midlands Sarcoma Service, Department of Orthopaedics, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK. Robert.ashford@sky.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Arthroplasty, Replacement, Hip / economics*
Costs and Cost Analysis
Female
Femoral Fractures / etiology,  pathology,  surgery
Femoral Neoplasms / complications,  secondary,  surgery*
Fractures, Spontaneous / etiology,  pathology,  surgery
Health Care Costs*
Hip Prosthesis / economics*
Humans
Length of Stay
Male
Sarcoma / complications,  secondary,  surgery*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Imaging features of foot osteoid osteoma.
Next Document:  Comparison of interface contact profiles of a new minimum contact locking compression plate and the ...