Wednesday, August 15, 2012

The cost-effectiveness of single-row compared with double-row arthroscopic rotator cuff repair. JBJS

The cost-effectiveness of single-row compared with double-row arthroscopic rotator cuff repair. JBJS

This article uses a decision analytic model to evaluate the cost effectiveness of single vs double row arthroscopic repairs of the cuff. They assigned costs of single row repair as $10.6K and double row as $11.9K. 

The authors conclude that based on this analysis, the additional expense of a double row repair is not supported in terms of reduced retear rates or improved clinical outcomes.

A possible explanation is that the clinical and anatomic outcomes may be more dependent on factors such as cuff tear size, tear duration, tendon retraction, smoking history, and patient age than on the repair technique.

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