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Improving Operating Room Efficiency with Single-Use Disposable Instruments for Total Knee Arthroplasty.

David A Crawford1,2,3, Adolph V Lombardi1,2,4,5, Keith R Berend1,2,5

  • 1JIS Orthopedics, New Albany, Ohio.

Surgical Technology International
|February 14, 2022
PubMed
Summary

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Contemporary bicruciate-retaining total knee arthroplasty implants demonstrate favorable survivorship: a systematic review and meta-analysis of 1576 knees.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie·2026
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A Systematic Review of Registry and Large Database Studies Comparing Contemporary Cementless and Cemented Total Knee Arthroplasty.

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Factor XI and XIa Inhibitors for Venous Thromboembolism Prophylaxis After Total Knee Arthroplasty: A Review From Mechanism to Phase III Trials.

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A Randomized Controlled Trial to Compare a Mobile Bearing Cementless and Cemented Unicompartmental Knee: Results of an Investigational Device Exemption Study in the United States.

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Single-use disposable instruments can enhance operating room efficiency for total knee arthroplasty (TKA). This approach reduces operative time and sterile processing burdens, offering potential cost savings for healthcare facilities.

Area of Science:

  • Orthopedic Surgery
  • Surgical Innovation
  • Healthcare Management

Background:

  • Operating room (OR) efficiency is crucial for total knee arthroplasty (TKA) to reduce costs and improve patient care.
  • Traditional instrumentation in TKA requires significant sterile processing resources.
  • Minimizing operative time and healthcare expenses are key goals in TKA procedures.

Purpose of the Study:

  • To evaluate the efficiency, cost, and time savings of single-use disposable instruments in TKA.
  • To compare disposable instrumentation with traditional reusable instruments for TKA.
  • To assess the impact of single-use instruments on sterile processing workload.

Main Methods:

  • The study involved the use of a specific manufacturer's disposable instruments for TKA.

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  • A comparative analysis of operative time and costs was conducted against traditional instrumentation.
  • The authors documented their experience and institutional findings.

    • Main Results:

    • Single-use disposable instruments demonstrated potential for improving OR efficiency in TKA.
    • Reductions in sterile processing burden were observed with the use of disposable instruments.
    • Cost savings are contingent upon institutional sterile processing expenses and cost allocation models.

    Conclusions:

    • Single-use disposable instruments are a viable option for enhancing TKA OR efficiency.
    • These instruments can decrease sterile processing demands and ensure instrument sterility.
    • Potential cost-effectiveness is influenced by facility-specific financial structures and instrument ownership.