Abstract
Total hip arthroplasty (THA) has emerged as one of the most successful interventions in orthopaedics. Many long-term follow-up studies have reported clinical success rates, in terms of patient satisfaction, pain reduction, functional improvement and the absence of further surgery, of greater than 90% at minimum 10-year follow-up evaluation [1]. However, primary THA is an expensive procedure whereas financial resources of health care systems are continuously decreasing and demand for primary total hip replacement is increasing. One major reason for increasing demand is a higher life-expectancy of today’s western society with more people at advanced ages suffering from osteoarthritis of the hip and femoral neck fractures. Further reasons are improvements in surgical technique, implant material and design as well as different indication criteria leading to changed thresholds for surgery. Differences in health care systems, total expenditure on health care per capita, population age structure and documentation systems are considered to be reasons for international variations in costs for total hip replacement [2]. Orthopaedic surgeons are more and more required to justify costs for primary total hip replacement. In order to do so, a thorough analysis of costs and costeffectiveness is required which ultimately should lead to the development of strategies to increase the latter and decrease the former.
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Dreinhöfer, K., Ziegler, D., Röderer, G., Dornacher, D., Reichel, H. (2009). The Cost of the Procedure. In: Puhl, W., Günther, KP., Dieppe, P., Dreinhöfer, K.E. (eds) EUROHIP. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74137-4_5
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