[Expense analysis of the proximal femoral fractures treatment]

The aim of this paper was to provide estimated average costs of the hip fractures in the national scale by means of the analysis of the treatment expenses of 256 injured patients who were operated in the 1st Surgical Clinic of the General Teaching Hospital in Prague in 2002. Particular cost items as operation costs, price of the implant, hospitalization expenses by the categories and price of blood derivates were figured out. The follow-up treatment after hospital discharge like price per bed, expenses for general practicioner etc. was considered as well. Each patient was observed for the period of one year after the operation. As a result we came to the total sum of 120,000 Kc per one patient per year. The way to reduce hip fractures treatment cost does not certainly lead to deterioration of medical care quality but to proper treatment of osteoporosis which is the principal cause of these injuries.