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The Scientific World Journal
Volume 2012, Article ID 196515, 6 pages
Clinical Study

Economic Impact of Infected Total Knee Arthroplasty

1Departement for Orthopaedic Surgery, University of Rostock, Doberaner Straβe 142, 18057 Rostock, Germany
2Institute for Medical Microbiology, Virology and Hygiene, University of Rostock, Schillingallee 70, 18057 Rostock, Germany

Received 4 October 2011; Accepted 21 December 2011

Academic Editors: J. Haukka and O. Wahlstrom

Copyright © 2012 Maximilian Haenle et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. An enormous economic impact can be observed for infected total knee arthroplasties (TKA). The aim of the present study was to evaluate whether a cost covering treatment of infected TKA is feasible in the German DRG System. Patients and Methods. Average total treatment costs were evaluated for infected TKA and compared with a matched pair of primary TKA. Data was generated using the health record and the hospitals’ health information system. Results were evaluated and compared regarding the total personnel and material costs with respect to the financial receipts. Results. A total of 28 patients diagnosed with an infected TKA were included. A significant increase in the average length of stay, use of medical supplies and third party medical examinations were found for the infected TKA. An average deficiency of 6,356€ per patient was observed for the infected TKA. An average profit of 927€ per patient was made performing primary TKA. Conclusions. A cost-effective treatment of infected TKA was not feasible with the receipts from the German DRG System. An adaption of the receipts has to be evaluated. Moreover, other measures have to be considered in order to achieve a comprehensive medical yet financial reasonable standard in the treatment of infected TKA and THA.