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Prostheses for total hip joint replacement in total hip arthroplasty procedures (THA), which is sometimes called total hip replacement (THR).
1. It is essential to match a patient's activity level with the type of prosthesis implanted.
2. Before purchasing, facilities should consider cemented versus cementless fixation techniques and the design of associated components.
3. Buyers also need to consider the discounts given by the various suppliers, and the Medicare payments as they relate to the increasing costs of implant.
4. Facilities are strongly encouraged to standardize types of implants for cost effectiveness, and to study the effectiveness of certain designs, patient types, and other parameters.
5. Facilities have shifted their use of expensive, all-porous coated hip implants to lower-priced hybrid devices over time. This was caused by cost-cutting efforts and managed-care pressures to use lower-cost devices whenever possible.
6. Facilities should carefully consider the cost of the prosthesis and related components. They should look into the costs of cement, instrumentation, and other supplies, as well as operating room time, length of the patient's hospital stay, nursing and rehabilitation, and other hospitalization costs.
7. Recycling opened, unused metal, or plastic implants may result in cost savings, as well as in reducing the amount of discarded, unused surgical supplies, and monitoring the amount of cement used during each procedure.
8. Other ways to help reduce costs associated with THA include establishing an implant and related supplies inventory tracking program, and increasing cost awareness among surgical staff.