Department of Pediatric Orthopaedics, Cohen Children's Medical Center, Northwell Health System, New Hyde Park, New York.
J Surg Orthop Adv. 2021 Spring;30(1):20-23.
The objective of this study is to report operative time and associated complications of six types of implants and to determine if surgeons are adequately compensated. Hardware removals were analyzed from 2014-2019. Implants were flexible nails, intramedullary rigid nails, long plates, screw(s), single guided-growth plates, and multiple guided-growth plates. Patient demographics, operative time, blood loss, complications, and relative value units (RVU)/min were collected. RVU/min was used to maximize rate. In total, 392 patients were analyzed. Long plate removals took significantly longer than screw removal, therefore RVU/min was significantly lower (p < 0.001). Long plate removals also took significantly longer, and RVU/min was significantly lower compared to guided-growth plate removal (p < 0.001). Intramedullary nails took significantly longer compared to flexible nails, nearly double the RVU/min (p = 0.02). The results from this study indicate that the RVU/ minute for these six different types of implant removals are not equal. Surgeons can use this data to set up their schedule to ensure maximum utilization. (Journal of Surgical Orthopaedic Advances 30(1):020-023, 2021).
本研究旨在报告六种植入物的手术时间和相关并发症，并确定外科医生是否得到充分补偿。对 2014 年至 2019 年的硬件移除进行了分析。植入物为灵活钉、髓内刚性钉、长板、螺钉、单导向生长板和多导向生长板。收集了患者人口统计学资料、手术时间、失血量、并发症和相对价值单位（RVU）/分钟。使用 RVU/min 来最大化速率。总共分析了 392 名患者。长板移除所需时间明显长于螺钉移除，因此 RVU/min 明显较低（p<0.001）。与导向生长板移除相比，长板移除所需时间明显更长，且 RVU/min 明显更低（p<0.001）。髓内钉与灵活钉相比所需时间明显更长，RVU/min 几乎增加了一倍（p=0.02）。本研究结果表明，这六种不同类型植入物移除的 RVU/分钟并不相等。外科医生可以使用这些数据来安排他们的日程，以确保最大程度的利用。（《手术矫形进展杂志》30(1):020-023, 2021）。
