Cost Comparison of Femoral Head Banking versus Bone Substitutes

Purpose. To compare the costs of femoral head banking versus bone substitutes. Methods. Records of femoral head banking from 1998 to 2008 were reviewed. The cost of allogenic cancellous bone graft was calculated by estimating the direct expenditure of femoral head procurement, screening tests, and s...

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Main Authors: Hon-Bong Leung, Margaret Woon-Man Fok, Lorraine Chi-Yan Chow, Chi-Hung Yen
Format: Article
Language:English
Published: SAGE Publishing 2010-04-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949901001800111
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author Hon-Bong Leung
Margaret Woon-Man Fok
Lorraine Chi-Yan Chow
Chi-Hung Yen
author_facet Hon-Bong Leung
Margaret Woon-Man Fok
Lorraine Chi-Yan Chow
Chi-Hung Yen
author_sort Hon-Bong Leung
collection DOAJ
description Purpose. To compare the costs of femoral head banking versus bone substitutes. Methods. Records of femoral head banking from 1998 to 2008 were reviewed. The cost of allogenic cancellous bone graft was calculated by estimating the direct expenditure of femoral head procurement, screening tests, and storage, and then divided by the amount of bone harvested. Results. 326 females and 141 males (mean age, 80.3 years) donated 470 femoral heads. Each transplantable femoral head costs US$978. Each gram of transplantable allogenic bone graft costs US$86, compared with US$9 to 26 per gram for commercially available bone substitutes. Conclusion. Compared with bone substitutes, femoral head banking in Hong Kong was less economical. Unless allografts yield superior outcomes, harvesting femoral heads for general usage (such as filling bone voids for fresh fractures) is not justified from a financial perspective, especially in banks dedicated to procuring bone from femoral heads only.
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spelling doaj.art-c3d599c7c5014143b8296a99674518472022-12-21T19:18:25ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902010-04-011810.1177/230949901001800111Cost Comparison of Femoral Head Banking versus Bone SubstitutesHon-Bong Leung0Margaret Woon-Man Fok1Lorraine Chi-Yan Chow2Chi-Hung Yen3 Department of Orthopaedics and Traumatology, Queen Mary Hospital, Hong Kong Department of Orthopaedics and Traumatology, Queen Mary Hospital, Hong Kong Department of Surgery, Queen Mary Hospital, Hong Kong Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong KongPurpose. To compare the costs of femoral head banking versus bone substitutes. Methods. Records of femoral head banking from 1998 to 2008 were reviewed. The cost of allogenic cancellous bone graft was calculated by estimating the direct expenditure of femoral head procurement, screening tests, and storage, and then divided by the amount of bone harvested. Results. 326 females and 141 males (mean age, 80.3 years) donated 470 femoral heads. Each transplantable femoral head costs US$978. Each gram of transplantable allogenic bone graft costs US$86, compared with US$9 to 26 per gram for commercially available bone substitutes. Conclusion. Compared with bone substitutes, femoral head banking in Hong Kong was less economical. Unless allografts yield superior outcomes, harvesting femoral heads for general usage (such as filling bone voids for fresh fractures) is not justified from a financial perspective, especially in banks dedicated to procuring bone from femoral heads only.https://doi.org/10.1177/230949901001800111
spellingShingle Hon-Bong Leung
Margaret Woon-Man Fok
Lorraine Chi-Yan Chow
Chi-Hung Yen
Cost Comparison of Femoral Head Banking versus Bone Substitutes
Journal of Orthopaedic Surgery
title Cost Comparison of Femoral Head Banking versus Bone Substitutes
title_full Cost Comparison of Femoral Head Banking versus Bone Substitutes
title_fullStr Cost Comparison of Femoral Head Banking versus Bone Substitutes
title_full_unstemmed Cost Comparison of Femoral Head Banking versus Bone Substitutes
title_short Cost Comparison of Femoral Head Banking versus Bone Substitutes
title_sort cost comparison of femoral head banking versus bone substitutes
url https://doi.org/10.1177/230949901001800111
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