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Comparison of efficiency and cost of anterior ankle arthroscopy performed with needle versus standard arthroscope
Andrew P Burnikel1, J Brett Goodloe2, Caroline Hoch3
1Prisma Health Orthopaedics, United States.
Background:
This study uses time-driven activity-based costing (TD-ABC) to compare the cost and efficiency of a 2.0 disposable needle arthroscope to a reusable 2.7-mm arthroscope in anterior ankle arthroscopy.
Methods:
This prospective, hand-timed cohort study of 60 anterior ankle arthroscopy procedures (needle=41, traditional=19) with retrospective cost review calculated procedure and OR turnover costs at a single institution from 2021 to 2023.
Results:
Needle arthroscopy demonstrated significantly shorter OR turnover time (28.53 vs 35.65 min, p = .021), incision to joint space time (1.06 vs 2.14 min, p = .007), and total arthroscopic time (12.58 vs 16.87 min, p = .023). Total costs were not significantly different ($1891.91 vs $1957.74, p = .546). Excluding OR turnover costs, traditional arthroscopy was less costly ($669.23 vs $850.78, p < .001).
Conclusion:
Needle arthroscopy was more time efficient with no significant cost difference, offering surgeons a useful option to increase the efficiency of ankle arthroscopy and OR turnover.
