Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinical Outcomes After Whole and Fascicular Sural Nerve Biopsies: A Retrospective Review.

Plastic surgery (Oakville, Ont.)·2026
Same author

Out-of-pocket costs for people with tuberculosis disease in Toronto, Canada: A web-based survey at two tuberculosis treatment centres, April 2023-April 2025.

Canada communicable disease report = Releve des maladies transmissibles au Canada·2026
Same author

Professional Instagram Use by Ontario Plastic Surgeons: Content Patterns and Engagement by Practice Setting.

Plastic surgery (Oakville, Ont.)·2026
Same author

Measuring, Valuing, and Incorporating Patient and Caregiver Productivity Costs in Economic Evaluations: A Scoping Review and Environmental Scan.

International journal of technology assessment in health care·2026
Same author

Referral patterns and wait times in complex peripheral nerve injuries: a review of a multidisciplinary clinic in Canada.

Canadian journal of surgery. Journal canadien de chirurgie·2026
Same author

Impact of Facial Paralysis on Oral Health: A Systematic Review.

Facial plastic surgery & aesthetic medicine·2026

Related Experiment Video

Updated: Dec 2, 2025

Standardized Histomorphometric Evaluation of Osteoarthritis in a Surgical Mouse Model
07:32

Standardized Histomorphometric Evaluation of Osteoarthritis in a Surgical Mouse Model

Published on: May 6, 2020

12.8K

Cost-Effectiveness Analysis of Motion-Preserving Operations for Wrist Arthritis.

Helene Retrouvey1, Beate Sander1, Herbert P von Schroeder1

  • 1From the Division of Plastic and Reconstructive Surgery and the Institute of Health Policy, Management, and Evaluation, University of Toronto; Toronto Health Economics and Technology Assessment Collaborative, Toronto General Hospital; and Sunnybrook Health Sciences Centre.

Plastic and Reconstructive Surgery
|November 3, 2020
PubMed
Summary

For wrist osteoarthritis, proximal row carpectomy is the most cost-effective surgical option. This motion-preserving strategy offers better quality-adjusted life-years and lower lifetime costs compared to four-corner fusion or total wrist arthroplasty.

More Related Videos

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
06:58

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study

Published on: November 6, 2015

10.0K
Movement Retraining using Real-time Feedback of Performance
08:16

Movement Retraining using Real-time Feedback of Performance

Published on: January 17, 2013

13.7K

Related Experiment Videos

Last Updated: Dec 2, 2025

Standardized Histomorphometric Evaluation of Osteoarthritis in a Surgical Mouse Model
07:32

Standardized Histomorphometric Evaluation of Osteoarthritis in a Surgical Mouse Model

Published on: May 6, 2020

12.8K
A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
06:58

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study

Published on: November 6, 2015

10.0K
Movement Retraining using Real-time Feedback of Performance
08:16

Movement Retraining using Real-time Feedback of Performance

Published on: January 17, 2013

13.7K

Area of Science:

  • Orthopedic Surgery
  • Health Economics
  • Biostatistics

Background:

  • Wrist osteoarthritis significantly impacts patient quality of life.
  • Conservative management often fails, necessitating surgical intervention.
  • Evaluating the cost-effectiveness of surgical options is crucial for healthcare resource allocation.

Purpose of the Study:

  • To compare the cost-effectiveness of three surgical strategies for wrist osteoarthritis: four-corner fusion, proximal row carpectomy, and total wrist arthroplasty.
  • To determine the most economically viable and clinically beneficial treatment option from a hospital perspective.

Main Methods:

  • A simulation model was developed to analyze a hypothetical cohort of wrist osteoarthritis patients.
  • Three surgical strategies were compared over a lifetime time horizon.
  • Outcomes assessed included clinical effectiveness, quality-adjusted life-years (QALYs), and total lifetime costs.

Main Results:

  • Proximal row carpectomy demonstrated the lowest complication rates (17.4%) and secondary surgery rates (57%).
  • Proximal row carpectomy yielded the highest QALYs (30.5) and lowest mean lifetime cost ($6003).
  • Four-corner fusion had the highest complication (27.1%) and secondary surgery (87%) rates, with the highest lifetime cost ($13,632).

Conclusions:

  • Proximal row carpectomy is the most cost-effective surgical strategy for wrist osteoarthritis, irrespective of uncertainties.
  • This finding has significant implications for healthcare policy and clinical decision-making in universal healthcare systems.