Process optimization in total knee arthoplasty procedures: Impact of size-specific instrument sets on costs and revenue

Total knee arthroplasty (TKA) is a frequent operation in Germany and in 2017 a total of 191,272 interventions were carried out. These interventions are associated with high costs and involve complex clinical workflow organization and time-consuming instrument logistics. With this in mind, the aim of...

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Bibliographic Details
Published in:Der Orthopäde 2019-11, Vol.48 (11), p.963-968
Main Authors: von Eiff, Maximilian C., von Eiff, Wilfried, Roth, Andreas, Ghanem, Mohamed
Format: Article
Language:English
Subjects:
Chiropractic Medicine
Conservative Orthopedics
Medicine
Medicine & Public Health
Originalie
Orthopedics
Sports Medicine
Surgical Orthopedics
Traumatic Surgery
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Summary:Total knee arthroplasty (TKA) is a frequent operation in Germany and in 2017 a total of 191,272 interventions were carried out. These interventions are associated with high costs and involve complex clinical workflow organization and time-consuming instrument logistics. With this in mind, the aim of this study was to identify the economic potential of the instrument configuration in order to optimize the entire process in TKA. Changing the composition of the set of instruments used in the operating theater for TKA resulted in time and cost saving for the complete TKA procedure, including all personnel and off-shoot procedures. In addition, the operating time saved by the introduction of a patient-specific instrumentation set meant that the operating theater could be used for more or other surgical procedures, also generating additional revenue.
ISSN:0085-4530
1433-0431
DOI:10.1007/s00132-019-03803-9