The use of single-use ancillaries does not increase the cost of osteosynthesis in orthopaedic surgery: A case study of plate osteosynthesis for distal radius fractures

Injury. 2022 Jun;53(6):2095-2101. doi: 10.1016/j.injury.2022.04.016. Epub 2022 Apr 21.

Abstract

Objective: To compare the cost of using single-use instruments (SUIs) and conventional ancillary instruments (CAIs) during osteosynthesis for distal radius fracture (DRF).

Material and methods: We conducted a prospective, monocentric study of ancillary instruments, including a cost minimisation analysis by micro-costing. DRF reduction and postoperative complications were monitored for 3 months.

Results: In 103 procedures, the overall cost and operating times were similar between the two groups. The costs of using unit screws, sterilisation, and operating room and pharmacy staff were superior when using SUIs, compared with CAIs. The postoperative outcomes were comparable between groups.

Conclusion: In our centre, SUI use was associated with logistical advantages, but it was not associated with increased costs. However, the SUI kit should be optimised in the future.

Keywords: Distal radius fractures; Economic impacts; Orthopaedic surgery; Single-use ancillaries.

MeSH terms

  • Bone Plates
  • Fracture Fixation, Internal / methods
  • Humans
  • Prospective Studies
  • Radius Fractures* / complications
  • Radius Fractures* / surgery