PDF(Pubmed)
Abstract：
UNASSIGNED: Revision total knee (TKR) and hip (THR) arthroplasty surgeries are disincentivized due to unfavorable reimbursement rates, surgical times, and complication rates. Our study investigates secondary benefits of performing these surgeries by generating subsequent cases for surgeons and practices.
UNASSIGNED: Patients undergoing TKR and THR between April 1, 2011, and January 1, 2019, at our tertiary academic institution were analyzed. Patients were identified with Current Procedural Terminology codes for TKR and THR. We calculated a subsequent surgery rate on the same or different joint by the initial surgeon or another surgeon within the practice to determine the procedure yield after initial revision arthroplasty.
UNASSIGNED: One thousand six hundred twenty-five patients met inclusion criteria. Six hundred forty-nine (39.9%) patients received at least one subsequent procedure on any joint by any orthopaedic surgeon in the practice. Four hundred five patients (24.9%) underwent another procedure on any joint by the same surgeon. Two hundred sixty patients (16.0%) underwent another procedure on the same joint by the same surgeon, with 109 cases (41.9%) being a planned second stage of a 2-stage revision for infection. Two hundred eighty-five patients (17.5%) underwent another procedure on a different joint by the same surgeon, with 122 of these patients (42.8%) undergoing at least one primary total hip or knee arthroplasty.
UNASSIGNED: TKRs and THRs can increase surgeon and practice volumes through the generation of future cases, which are primarily the second stage of a 2-stage revision or primary joint arthroplasties on other joints.
UNASSIGNED: Patients undergoing TKR and THR between April 1, 2011, and January 1, 2019, at our tertiary academic institution were analyzed. Patients were identified with Current Procedural Terminology codes for TKR and THR. We calculated a subsequent surgery rate on the same or different joint by the initial surgeon or another surgeon within the practice to determine the procedure yield after initial revision arthroplasty.
UNASSIGNED: One thousand six hundred twenty-five patients met inclusion criteria. Six hundred forty-nine (39.9%) patients received at least one subsequent procedure on any joint by any orthopaedic surgeon in the practice. Four hundred five patients (24.9%) underwent another procedure on any joint by the same surgeon. Two hundred sixty patients (16.0%) underwent another procedure on the same joint by the same surgeon, with 109 cases (41.9%) being a planned second stage of a 2-stage revision for infection. Two hundred eighty-five patients (17.5%) underwent another procedure on a different joint by the same surgeon, with 122 of these patients (42.8%) undergoing at least one primary total hip or knee arthroplasty.
UNASSIGNED: TKRs and THRs can increase surgeon and practice volumes through the generation of future cases, which are primarily the second stage of a 2-stage revision or primary joint arthroplasties on other joints.
摘要：
■由于不利的报销率，全膝关节（TKR）和髋关节（THR）置换手术被取消，手术次数,和并发症发生率。我们的研究通过为外科医生和实践生成后续病例来调查进行这些手术的次要益处。
■分析了2011年4月1日至2019年1月1日在我们的高等教育机构接受TKR和THR的患者。根据TKR和THR的当前程序术语代码鉴定患者。我们计算了初始外科医生或实践中另一位外科医生在相同或不同关节上的后续手术率，以确定初始翻修关节成形术后的手术产量。
■一千六百二十五名患者符合纳入标准。六百四十九名（39.9％）患者在实践中由任何整形外科医生在任何关节上接受了至少一次后续手术。同一位外科医生在任何关节上接受了45例患者（24.9％）的另一次手术。二百六十位患者（16.0%）在同一关节上接受了同一位外科医生的另一次手术，109例（41.9％）是计划进行的2期感染翻修的第二阶段。二百八十五名患者（17.5％）由同一位外科医生在不同的关节上接受了另一次手术，这些患者中有122例（42.8％）接受了至少一次初次全髋关节或膝关节置换术。
■TKRs和THR可以通过生成未来病例来增加外科医生和实践量，主要是2期翻修的第二阶段或其他关节的主要关节置换术。
■分析了2011年4月1日至2019年1月1日在我们的高等教育机构接受TKR和THR的患者。根据TKR和THR的当前程序术语代码鉴定患者。我们计算了初始外科医生或实践中另一位外科医生在相同或不同关节上的后续手术率，以确定初始翻修关节成形术后的手术产量。
■一千六百二十五名患者符合纳入标准。六百四十九名（39.9％）患者在实践中由任何整形外科医生在任何关节上接受了至少一次后续手术。同一位外科医生在任何关节上接受了45例患者（24.9％）的另一次手术。二百六十位患者（16.0%）在同一关节上接受了同一位外科医生的另一次手术，109例（41.9％）是计划进行的2期感染翻修的第二阶段。二百八十五名患者（17.5％）由同一位外科医生在不同的关节上接受了另一次手术，这些患者中有122例（42.8％）接受了至少一次初次全髋关节或膝关节置换术。
■TKRs和THR可以通过生成未来病例来增加外科医生和实践量，主要是2期翻修的第二阶段或其他关节的主要关节置换术。
