2021 AOSSM-AANA Combined Annual Meeting Recordings-Case Volume as a Predictor of Graft Selection and Cost for Anterior Cruciate Ligament Reconstruction

Case Volume as a Predictor of Graft Selection and Cost for Anterior Cruciate Ligament Reconstruction

Video Transcription

Video Summary

The video summary discusses the impact of case volume on graft selection and cost for anterior cruciate ligament (ACL) reconstruction. The study was conducted by a fellow at Brown University in collaboration with Dr. Brett Owens, with support from the HCUP ambulatory surgery database in Florida. The findings indicate that low volume surgeons and centers are associated with increased risk factors and higher failure rates in ACL reconstruction. The utilization of allograft is also linked to higher failure rates, particularly in younger patients. Factors such as general anesthesia, medical conditions, and operating room time significantly increase the cost of the procedure. High volume surgeons and centers were found to be more cost-effective despite performing more meniscal repair procedures. Allograft usage contributes significantly to the cost of ACL reconstruction, and the study highlights the importance of surgeon control in selecting grafts. (Word count: 163)

Asset Caption

Steven Bokshan, MD

Keywords

case volume

graft selection

cost

ACL reconstruction

allograft usage