Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Cost Justification - January 2017

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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2 0 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E J A N U A R Y 2 0 1 7 And we didn't have to shell out huge money upfront to add the technology. With a capital lease program — basically a lease-to-own arrangement with monthly payments spread out over several years — our one payment covers everything from hardware to software upgrades to maintenance fees. 2. Better outcomes Outcomes can be the key to driving and shifting market share, and the improvements robots pro- vide is dramatic. In a widely quoted 2011 study of 1,823 total hips done at Massachusetts General Hospital (osmag.net/ds5vfd), surgeons without robots managed to place acetabular cups within both the desired abduction range and the desired version range (the angle of femoral neck in relationship to the shaft of the femur) only about half the time. Why should that matter? When implants aren't in optimal position, there's a higher risk of dislocation, there are variances in leg lengths, and there's likely to be accelerated wear and loosening of parts. It may take long-term studies to prove that improved accuracy afforded by robotics promotes longer implant wear, but we're already seeing decreased dislocation rates and indications that patients have better functional outcomes when all of the implant parts are placed in optimal positions. Beyond that, imagine telling patients that you're going to replace their joints the way it's been done for the last 40 years or so, and, by the way, your surgeons have only about a 50% shot of getting it completely right. I think most people would say there has to be a better way. And there is. With robotics, surgeons can hit a much smaller target and improve implant placement at least 95% of the time. • FINE TUNING Robotic platforms help surgeons place implants in optimal positions, which can improve functional outcomes.

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