کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4060158 1603984 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Template-Directed Instrumentation Reduces Cost and Improves Efficiency for Total Knee Arthroplasty: An Economic Decision Analysis and Pilot Study
ترجمه فارسی عنوان
ابزار دقیق الگو به کاهش هزینه ها و بهبود کارایی برای آرتروپلاستی کامل زانو کمک می کند: تجزیه و تحلیل تصمیم گیری اقتصادی و مطالعه خلبان
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

Template-directed instrumentation (TDI) for total knee arthroplasty (TKA) may streamline operating room (OR) workflow and reduce costs by preselecting implants and minimizing instrument tray burden. A decision model simulated the economics of TDI. Sensitivity analyses determined thresholds for model variables to ensure TDI success. A clinical pilot was reviewed. The accuracy of preoperative templates was validated, and 20 consecutive primary TKAs were performed using TDI. The model determined that preoperative component size estimation should be accurate to ± 1 implant size for 50% of TKAs to implement TDI. The pilot showed that preoperative template accuracy exceeded 97%. There were statistically significant improvements in OR turnover time and in-room time for TDI compared to an historical cohort of TKAs. TDI reduces costs and improves OR efficiency.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Arthroplasty - Volume 30, Issue 10, October 2015, Pages 1699–1704
نویسندگان
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