Document Detail


Utility of pathologic evaluation following removal of explanted orthopaedic internal fixation hardware.
MedLine Citation:
PMID:  20345357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report questions the cost and effectiveness of routinely sending explanted hardware to pathology for evaluation. Forty-six consecutive patients who had symptomatic hardware removed were enrolled in this study. Pathology reports following hardware removal were obtained, and charts were reviewed for these patients. The pathology department was contacted for related departmental procedure codes, and hospital billing records were obtained regarding the cost of the procedure. In all cases, the pathology reports gave the gross diagnosis of "hardware" and the gross description included the measurements of the internal fixation hardware removed. In no case did the report alter the plan of the attending physician. The healthcare system may benefit by subspecialty review of the current practice of sending internal fixation devices to pathology for evaluation. We recommend a single radiographic view along with proper documentation in the postoperative report to confirm the removal of internal fixation hardware in lieu of pathologic evaluation.
Authors:
Roy I Davidovitch; Steven Temkin; Barton S Weinstein; Jaspal R Singh; Kenneth A Egol
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Bulletin of the NYU hospital for joint diseases     Volume:  68     ISSN:  1936-9727     ISO Abbreviation:  Bull NYU Hosp Jt Dis     Publication Date:  2010  
Date Detail:
Created Date:  2010-03-29     Completed Date:  2010-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101300541     Medline TA:  Bull NYU Hosp Jt Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  18-21     Citation Subset:  IM    
Affiliation:
New York University School of Medicine, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Bone and Bones / pathology,  radiography,  surgery*
Cost-Benefit Analysis
Device Removal*
Female
Fracture Fixation, Internal / adverse effects,  economics,  instrumentation*
Hospital Costs
Humans
Internal Fixators* / economics
Male
Middle Aged
Pain, Postoperative / etiology,  pathology,  radiography,  surgery*
Pathology, Surgical* / economics
Prospective Studies
Reoperation
Young Adult

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


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