| Utility of pathologic evaluation following removal of explanted orthopaedic internal fixation hardware. | |
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MedLine Citation:
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PMID: 20345357 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Roy I Davidovitch; Steven Temkin; Barton S Weinstein; Jaspal R Singh; Kenneth A Egol |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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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:
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Created Date: 2010-03-29 Completed Date: 2010-06-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101300541 Medline TA: Bull NYU Hosp Jt Dis Country: United States |
Other Details:
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Languages: eng Pagination: 18-21 Citation Subset: IM |
Affiliation:
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New York University School of Medicine, NY, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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