• M E Kelly, M Leonard, C Green, R Beggs, C Cheung, J McElwain, and S Morris.
• National Centre for Pelvic & Acetabular Surgery, The Adelaide and Meath Hospital, Dublin, Incorporating the National Children's Hospital, Dublin, Ireland. Electronic address: Kellym11@tcd.ie.
• Injury. 2013 Dec 1;44(12):1816-9.

BackgroundPelvic and acetabular fractures are complex injuries requiring specialist treatment. Our institution is the National Centre for Treatment and Management of these injuries.AimTo audit all referrals to our institution over a 6-month period and calculate the cost incurred by being the national referral centre.MethodsRetrospective review of database, and subsequent allocation of Casemix points to assess total cost of treatment for each patient referred to our institution.Results103 patients referred with pelvic or acetabular fracture for operative management. The furthest referral distance was 181miles. Over-all, the length of stay was 15.4 days. The average inclusive cost for a referral to our unit for operative management was €16,302.ConclusionPelvic and acetabular fractures are complex injuries that require specialist referral unit management. However for these units to remain sustainable money needs to "follow the patient".Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

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