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Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia
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translates to improvements in quality-adjusted life years (QALYs), a quality metric employed in cost-effectiveness analyses which measures preferences for certain health states over time. 10 The potential for advanced health technologies to improve a
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Care and Public Health Research Institute (CAPHRI) Maastricht University, Maastricht, the Netherlands
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role in the search for optimization of cost-effectiveness ( 1 ). Several studies have investigated the impact of postoperative pain, function, and QoL investigating any superiority and the incidence of (serious) adverse events ((S)AEs) ( 9 , 10 , 11
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fractures and 423/430 (98%) metatarsal fractures healed with LIPUS treatment. Given most acute foot and ankle fractures will heal, often with conservative treatment alone, it is unclear the treatment effect size and the cost effectiveness of adjunctive LIPUS
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historic systems where high early complication rates were noted during the learning phase associated with increased soft tissue damage. This included patella tendon injuries relating to inadequate surgical exposure. 14 , 69 Cost-effectiveness
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is small, it seems to lead to similar functional outcomes and reduced rates of implant removal. However, all papers report hardware failure of up to 5.7%. 72 - 76 Cost-effectiveness In a society in which health costs continue to increase
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practice. Robotic technology offers promise in the early stages but further studies reporting on long-term functional outcomes, implant survivorship, complications, and cost-effectiveness are required before this technique may be adopted into mainstream THA
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stay, faster return to sporting and work activities, and better quality of life scores, which lead to improved cost-effectiveness and better resource use compared to TKA. 6 – 8 , 10 , 11 Despite these advantages, UKA is often less favoured due to
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offering a cost-effective and time-efficient alternative to single-use instruments in the long term ( 44 ). Kwak et al. assessed the effectiveness of PSI compared to conventional methods ( 45 ). The PSI group ( n = 19) showed significantly smaller
Princess Grace Hospital, London, UK
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high-quality studies with longer-term follow-up on functional outcomes, implant survivorship, complications, and cost-effectiveness are required before this technique is adopted into mainstream TKA practice. Open access This article is
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reasonably needs further research for greater clinical effectiveness, which included but is not limited to robot-assisted spinal decompression and tumors resection. More attention is needed to the efficacy, complications, and cost–effectiveness ratio. Further
