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Wheeless' Textbook of Orthopaedics

Wheeless' Textbook of Orthopaedics

C.R. Wheeless MD

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Wheeless' Textbook of Orthopaedics

Long-term cost comparison of major limb salvage using the Ilizarov method і

versus amputation. Á Williams MO. Baptist Medical Center of Oklahoma, Oklahoma City. Clinical Orthopaedics & Related Research. (301):156-8, 1994 Apr. Hospital costs and professional fees of Ilizarov limb reconstruction patients were compared with hospital costs, professional fees, and prosthetic costs of lower-extremity amputation patients. Ten patients with tibial nonunions, osteomyelitis, infected nonunions, and/or bone defects Á The average age was 41 years for the Ilizarov group and 40 years for the  amputation group. Both the Ilizarov and the amputation groups required an average of four surgical procedures. The average hospital length of stay was 16 days for the Ilizarov group and 25 days for the amputation group. The total average treatment time was 322 days for the Ilizarov group and 175 days for the amputation group. The total cost of the Ilizarov limb reconstruction averaged $59,213.71. The hospital costs and professional fees for the amputation group averaged $30,148.02 without prosthetic costs, but with the projected lifetime prosthetic costs included, averaged $403,199.18. This study suggests that Ilizarov limb reconstruction is cost-effective when compared with amputation when prosthetic costs are also considered.

Long-term cost comparison of major limb salvage using the Ilizarov method і

versus amputation. Á Williams MO. Baptist Medical Center of Oklahoma, Oklahoma City. Clinical Orthopaedics & Related Research. (301):156-8, 1994 Apr. Hospital costs and professional fees of Ilizarov limb reconstruction patients were compared with hospital costs, professional fees, and prosthetic costs of lower-extremity amputation patients. Ten patients with tibial nonunions, osteomyelitis, infected nonunions, and/or bone defects Á The average age was 41 years for the Ilizarov group and 40 years for the  amputation group. Both the Ilizarov and the amputation groups required an average of four surgical procedures. The average hospital length of stay was 16 days for the Ilizarov group and 25 days for the amputation group. The total average treatment time was 322 days for the Ilizarov group and 175 days for the amputation group. The total cost of the Ilizarov limb reconstruction averaged $59,213.71. The hospital costs and professional fees for the amputation group averaged $30,148.02 without prosthetic costs, but with the projected lifetime prosthetic costs included, averaged $403,199.18. This study suggests that Ilizarov limb reconstruction is cost-effective when compared with amputation when prosthetic costs are also considered.
 
 
 
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