Novak P J, Bach B R, Bush-Joseph C A, Badrinath S
Department of Orthopaedic Surgery, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois, USA.
Arthroscopy. 1996 Apr;12(2):160-4. doi: 10.1016/s0749-8063(96)90005-5.
Two matched groups of patients who underwent endoscopic anterior cruciate ligament reconstruction using the middle one third of the patellar tendon were retrospectively reviewed to compare hospitalization charges. Group 1 had the procedure performed in the outpatient surgical center owned by our hospital, and group 2 underwent the surgical procedure in the main operating suite of Rush-Presbyterian-St. Luke's Medical Center. The charges of the surgical procedure and their relation to postoperative hospitalization were reviewed. An average charge difference of $7,390 (range, $3,679 to $12,202) was obtained in the outpatient surgical center. A number of surgical and anesthetic techniques are discussed that allow major reductions in charges for anterior cruciate ligament reconstruction and allow outpatient surgery to be performed routinely.
回顾性分析两组配对患者，他们均采用髌腱中三分之一进行关节镜下前交叉韧带重建，以比较住院费用。第1组在我院拥有的门诊手术中心进行手术，第2组在拉什长老会圣卢克医疗中心的主手术室进行手术。对手术费用及其与术后住院的关系进行了评估。门诊手术中心的平均费用差异为7390美元（范围为3679美元至12202美元）。文中讨论了多种手术和麻醉技术，这些技术可大幅降低前交叉韧带重建的费用，并使门诊手术能够常规开展。
