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Cost-Effectiveness of Dual Mobility and a Value-Based Algorithm of Utilization.

Hayeem L Rudy1, Jorge A Padilla1, Jonathan A Gabor1

  • 1Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, 301 East 17th Street, New York, NY 10003, USA.

The Orthopedic Clinics of North America
|March 10, 2019
PubMed
Summary

Dual mobility implants may offer a cost-effective solution for total hip arthroplasty, potentially reducing revision surgery costs. This approach could be key for future value-based hip replacement strategies.

Keywords:
Cost-analysisCost-effectivenessDual mobility cupsEconomic analysisTotal hip arthroplastyUnconstrained tripolar implant

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Area of Science:

  • Orthopedic Surgery
  • Health Economics

Background:

  • Hip dislocation is a significant complication of total hip arthroplasty (THA).
  • High frequency and economic burden associated with THA dislocations necessitate alternative solutions.

Purpose of the Study:

  • To evaluate the cost-effectiveness of dual mobility implants compared to standard designs in THA.
  • To determine the economic viability of dual mobility as a solution for reducing dislocation rates.

Main Methods:

  • A literature review was conducted using the PubMed Central database.
  • Search terms included: dual mobility, cost-effectiveness, cost-analysis, and economic analysis.

Main Results:

  • Dual mobility systems are cost-effective if their price is within $1023 of traditional implants.
  • This cost-effectiveness is linked to the potential reduction in revision surgeries.

Conclusions:

  • Dual mobility cups represent a potentially essential component for successful value-based total hip arthroplasty.
  • Implementing dual mobility could improve patient outcomes and reduce healthcare costs.