2021 Annual Meeting Knee Access Pass-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

This study analyzed the impact of surgeon and facility case volume on graft selection and cost in anterior cruciate ligament (ACL) reconstruction using Florida’s ambulatory surgery data. Findings showed that low-volume surgeons were 3.5 times more likely to use costly allografts in patients under 18, despite higher failure rates in young patients. High-volume surgeons and facilities, while more likely to perform meniscal repairs, incurred lower overall costs and improved cost-effectiveness. Allograft use increased costs by approximately $10,000, highlighting a surgeon-controlled factor influencing ACL reconstruction expenses. The study underscores the value of experience and volume in optimizing outcomes and reducing costs.

Asset Caption

Dr. Steven Bokshan | ACL Graft and Revision

Keywords

ACL reconstruction

surgeon case volume

facility case volume

allograft cost

meniscal repair