Related Experiment Video
Updated: Jun 23, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
High-volume revision surgeons are more cost-effective following revision total hip and knee arthroplasty
Akram A Habibi1, Utkarsh Anil1, Mackenzie A Roof1
1Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA.
Background:
With the increased rates of revision total hip (rTHA) and total knee arthroplasty (rTKA), the financial burden of these procedures is at risk of straining the healthcare system. Our study sought to create a model to evaluate the cost-effectiveness of rTKA and rTHA performed by high-volume (HV) and low-volume (LV) surgeons.
Methods:
The database of rTKA and rTHA from April 2018 to March 2021 at our academic institution was retrospectively reviewed. Surgeons above the 90th percentile in annual volume were classified as HV surgeons and the remainder were classified as LV surgeons. Previously published cost estimates were utilised for operative time, hospital length of stay (LOS), discharge disposition, 90-day readmission, and 1-year re-revision.
Results:
A total of 442 rTKA were performed by 30 surgeons and 420 rTHA were performed by 32 surgeons. 3 surgeons were HV in each group with HV surgeons performing 213 (48.2%) rTKA and 215 (51.2%) rTHA in the study period. LV surgeons had longer operative times for both rTKA (167.1 vs. 145.8 minutes; p < 0.001) and rTHA (172.5 vs. 151.2 minutes; p < 0.001). Both groups had equivalent discharge disposition, 90-day readmission, and 1-year re-revision. HV surgeons had lower estimated mean costs for rTHA ($22,027.81 vs. $24,617.39) and rTKA ($20,343.23 vs. $18,554.67).
Conclusions:
HV surgeons have a lower estimated mean cost for both rTHA and rTKA. Healthcare systems may benefit from having rTHA and rTKA procedures performed by HV surgeons who are able to perform these revision procedures for a lower cost without negatively impacting patient outcomes.
More Related Videos
07:45The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Related Concept Videos
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:24Healing II: Complications