• Injury · Jun 2022

    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.

    • Soline Huet, Romain Desclée de Maredsous, Martine Almeida, Sonia Brischoux, and Pierre-Sylvain Marcheix.
    • Service de pharmacie centrale, CHU Dupuytren. 2, Avenue Martin Luther King, 87042 LIMOGES cedex.
    • Injury. 2022 Jun 1; 53 (6): 2095-2101.

    ObjectiveTo compare the cost of using single-use instruments (SUIs) and conventional ancillary instruments (CAIs) during osteosynthesis for distal radius fracture (DRF).Material And MethodsWe 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.ResultsIn 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.ConclusionIn 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.Copyright © 2022. Published by Elsevier Ltd.

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