JSES reviews, reports, and techniques最新文献

{"title":"Return to play and recovery metrics after arthroscopic Bankart repair with augmentations in rugby players","authors":"Yuki Miyasaka RPT, Med ,&nbsp;Shota Hoshika MD, PhD ,&nbsp;Keisuke Matsuki MD, PhD ,&nbsp;Takashi Takamura RPT, MD ,&nbsp;Hideki Kamijo MD, PhD ,&nbsp;Tomoyuki Matsuba MD, PhD ,&nbsp;Tomoshige Tamaki MS ,&nbsp;Norimasa Takahashi MD, PhD ,&nbsp;Hiroyuki Sugaya MD, PhD","doi":"10.1016/j.xrrt.2025.100649","DOIUrl":"10.1016/j.xrrt.2025.100649","url":null,"abstract":"<div><h3>Background</h3><div>There is limited data on the relationship between recovery metrics, including psychological factors, and shoulder function in rugby players after arthroscopic Bankart repair. The purpose of this study was to investigate return to play (RTP) in rugby players who underwent shoulder stabilization for anterior shoulder instability and to assess the relationship between postoperative ranges of motion (ROMs) and various recovery metrics, including performance, pain, and psychological conditions.</div></div><div><h3>Methods</h3><div>We retrospectively investigated subjects who underwent arthroscopic shoulder stabilization at our institute from January 2012 to April 2022. Inclusion criteria were as follows: (1) rugby players with traumatic anterior shoulder instability and (2) arthroscopic Bankart repair with rotator interval closure and Hill–Sachs remplissage. Exclusion criteria were as follows: (1) revision surgery and (2) incomplete questionnaire at the final follow-up. A questionnaire at the final follow-up was used to evaluate the recovery metrics as a visual analog scale (VAS), including athletic performance, pain, and fear of contact. Regression analyses were performed to assess the relationship between the VAS scores and ROMs.</div></div><div><h3>Results</h3><div>Ninety-one shoulders in 82 patients met the inclusion criteria, and 32 shoulders were excluded due to revision surgery, one shoulder; incomplete questionnaire, 31 shoulders. The remaining 59 shoulders in 50 patients were included in this study. The patients consisted of 48 males and 2 females, with a mean age at surgery of 19 years (range, 14-36). The mean follow-up was 31 months (range, 13-56). The mean time to start contact practice was 7 ± 5 months (range, 3-36), and the mean time to RTP was 8 ± 5 months (range, 4-36). Forty-nine patients (98%) returned to their preinjury sports level. The median of VAS values were as follows: 91 for athletic performance (range, 25-100), 100 for pain (range, 10-100), and 70 for fear of contact (range, 10-100). ROM data were available in 52 shoulders. Multiple regression analyses showed significant relationships between total VAS scores and ROMs at postoperative three months (anterior elevation, <em>P</em> = .015; external rotation at the side, <em>P</em> = .002).</div></div><div><h3>Conclusion</h3><div>Arthroscopic shoulder stabilization resulted in a 98% RTP rate in rugby players. The VAS score for fear of contact was relatively low, even in patients with complete return. The total VAS value was correlated with ROMs at three months postoperatively. A rehabilitation protocol that simultaneously addresses psychological and physical aspects may be required for better RTP.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100649"},"PeriodicalIF":0.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of reverse total shoulder arthroplasty vs. other surgical fixation methods for proximal humerus fractures in elderly patients","authors":"Julie Mekhail MS ,&nbsp;Ryan Mullan BS ,&nbsp;James L. Cross BS ,&nbsp;Om Jahagirdar MS ,&nbsp;Xuan Luo MD ,&nbsp;Motasem Salameh MD","doi":"10.1016/j.xrrt.2025.100644","DOIUrl":"10.1016/j.xrrt.2025.100644","url":null,"abstract":"<div><h3>Background</h3><div>Proximal humerus fractures (PHFs) are among the most common osteoporotic injuries in elderly patients, typically resulting from low-energy mechanisms such as ground-level falls. Multiple surgical options exist, including reverse total shoulder arthroplasty (rTSA), open reduction and internal fixation (ORIF), and hemiarthroplasty (HA), but the optimal treatment remains debated. This up-to-date systematic review and meta-analysis aimed to evaluate the comparative effectiveness of rTSA, HA, and ORIF for treating PHFs in the geriatric population.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed (MEDLINE), EMBASE, and Web of Science were searched through January 2025. Eligible studies included randomized controlled trials or cohort studies comparing rTSA with HA and/or ORIF in patients aged ≥ 65 years. Two reviewers independently screened studies using predefined inclusion criteria. The primary outcome was postoperative functional scores; secondary outcomes included: complication rates, revision surgery rates, shoulder range of motion, and quality of life metrics.</div></div><div><h3>Results</h3><div>Twenty studies met the inclusion criteria. rTSA demonstrated significantly better Constant–Murley Scores (standardized mean difference [SMD] = 0.67, <em>P</em> &lt; .001), visual analog scale pain scores (SMD = −0.36, <em>P</em> = .034), forward flexion (SMD = 0.95, <em>P</em> &lt; .001), abduction (SMD = 0.90, <em>P</em> &lt; .001), and complication rates (risk ratio = 0.79, <em>P</em> = .047) than HA. Compared to ORIF, rTSA was associated with significantly lower revision rates (risk ratio = 0.31, <em>P</em> &lt; .001), with no difference in functional outcomes or complication rates. No significant differences in mortality rates were observed between rTSA and either HA or ORIF.</div></div><div><h3>Conclusion</h3><div>rTSA offers superior functional outcomes and complication rates compared to HA and a more favorable revision profile than ORIF in elderly patients with PHFs. These findings support the growing preference for rTSA as the primary surgical treatment in this population, though further high-quality, long-term studies are needed to guide individualized decision-making.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100644"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A biomechanical comparison of hook plate vs. superolateral locking plate with coracoclavicular suture fixation for distal third clavicle fractures with coracoclavicular ligament disruption","authors":"Alexander A. Hysong MD ,&nbsp;Jonathan Day MD ,&nbsp;Manaswini Chennoju MS ,&nbsp;Gabriel J. Yohe MS ,&nbsp;Pooyan Abbasi MSc ,&nbsp;Christopher L. Forthman MD ,&nbsp;Aviram M. Giladi MD, MS","doi":"10.1016/j.xrrt.2025.100645","DOIUrl":"10.1016/j.xrrt.2025.100645","url":null,"abstract":"<div><h3>Background</h3><div>Unstable distal third clavicle fractures involving coracoclavicular (CC) ligament disruption are prone to nonunion and often require surgical fixation. While hook plates (HPs) and superolateral locking plate (SLP) with CC suture augmentation are both commonly used, biomechanical comparisons are limited.</div></div><div><h3>Methods</h3><div>Eighteen fresh-frozen adult cadaveric shoulders (9 contralateral matched pairs) were randomized to receive either HPs or SLP with CC suture fixation constructs after simulated Neer type IIb distal clavicle fractures. Constructs were cyclically loaded at 70 N for 500 cycles, followed by load-to-failure testing. Displacement and failure modes were recorded and statistically analyzed using paired <em>t</em>-tests (<em>P</em> &lt; .05).</div></div><div><h3>Results</h3><div>At 50 N and 70 N, SLP with CC suture fixation demonstrated significantly less displacement than HPs (<em>P</em> &lt; .05) across all measured cycles. Comparisons were made using a paired <em>t</em>-test. Mean displacement at 70 N at cycle 500 was 5.5 mm (HPs) vs. 3.0 mm (SLP with CC suture fixation). SLP with CC suture fixation constructs also had significantly higher load to failure (364.8 N vs. 281.9 N, <em>P</em> &lt; .05). Failure modes differed. HPs typically failed by hook bending and screw pullout, while SLP with CC suture fixation failed primarily via suture rupture or anchor pullout.</div></div><div><h3>Conclusion</h3><div>SLP with CC suture fixation constructs provide superior biomechanical stability compared to HPs in Neer type IIb fractures, with less displacement and greater failure strength under load. These results support the clinical use of SLP with CC suture fixation as a robust alternative to traditional hook plating.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100645"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute pectoralis major tendon tear repair with semitendinosus augmentation: case series","authors":"Giovanna Medina MD, PhD,&nbsp;Luiz Henrique Boraschi Vieira Ribas MD,&nbsp;Breno Schor MD, PhD,&nbsp;Juliana R. Mauad MD,&nbsp;Antonio Guilherme Padovani Garofo MD","doi":"10.1016/j.xrrt.2025.100653","DOIUrl":"10.1016/j.xrrt.2025.100653","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100653"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe glenohumeral ankylosis following revision reverse shoulder arthroplasty","authors":"Artem Klimov MD ,&nbsp;Florian Freislederer MD ,&nbsp;Alexander Pieringer MD ,&nbsp;Markus Scheibel MD","doi":"10.1016/j.xrrt.2025.100647","DOIUrl":"10.1016/j.xrrt.2025.100647","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100647"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A modern advanced analytic approach to cost and performance loss analysis of ulnar collateral ligament surgery to Major League Baseball teams","authors":"Michael A. Mastroianni MD,&nbsp;Ritt R. Givens MD,&nbsp;Dongyeon J. Kim MD,&nbsp;Matthew R. LeVasseur MD,&nbsp;Andrew J. Luzzi MD,&nbsp;Frank J. Alexander MS, ATC,&nbsp;Christopher S. Ahmad MD","doi":"10.1016/j.xrrt.2025.100651","DOIUrl":"10.1016/j.xrrt.2025.100651","url":null,"abstract":"<div><h3>Background</h3><div>Ulnar collateral ligament (UCL) surgery has become increasingly prevalent among Major League Baseball (MLB) pitchers. While its clinical implications have been extensively studied, the economic and performance impact on MLB teams remains incompletely understood.</div></div><div><h3>Methods</h3><div>Cost analysis on all MLB pitchers who underwent UCL reconstruction between 2014 and 2024 was conducted. Pitchers were identified, and data were collected using public databases affiliated with MLB and used in previous studies. Economic losses were calculated using 2 primary components: (1) salary cost of recovery (COR), which quantified salaries paid to injured players during recovery, and (2) performance cost, a metric we defined using common FanGraphs wins above replacement (fWAR) conversions to estimate lost player contributions.</div></div><div><h3>Results</h3><div>During the study period, a total of 276 UCL surgeries were performed from 2014 to 2024. Over the past 5 seasons (2020-2024), the number of UCL reconstructions in MLB pitchers has significantly increased to an average of 29.0 ± 4.7 surgeries per year compared to 21.8 ± 4.3 surgeries per year the 6 seasons prior (2014-2019; <em>P</em> = .05), with a peak of 35 surgeries in 2023. From 2014 to 2024, the COR salary losses adjusted for inflation totaled over $1.26 billion, with an increase in average COR over the past 5 seasons ($141 million ± 72 million) compared to the 6 seasons prior ($92 million ± 52 million; <em>P</em> = .14). The estimated COR per player for starters, relievers, and closers was $7.3 million, $2.3 million, and $11.5 million, respectively. The average cumulative fWAR lost per pitcher was 1.9, translating to an estimated annual market loss of $14.3 million per player. The total cumulative fWAR loss across all players was 452.8. Using the conversion of 1 fWAR is equal to approximately $7.5 million in salary, an estimated $3.4 billion worth of performance value was lost for the entire study period.</div></div><div><h3>Conclusion</h3><div>UCL injuries that require surgery impose an increasingly significant financial burden on MLB teams, leading to the loss of $1.26 billion dollars in salary paid out to injured players and likely over $3 billion worth of performance value lost to injury to teams over 10 years. Players also struggle to provide the same value in fWAR as they did prior to injury. This study shows that investing in UCL prevention and recovery efforts can potentially save teams, players, and local communities millions of dollars.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100651"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Talus allograft for bipolar bone loss in locked anterior shoulder fracture dislocation","authors":"Cameron R. Guy MD,&nbsp;Jonathan Burke MS, ATC,&nbsp;Tyler Thorne MD,&nbsp;Christopher D. Joyce MD","doi":"10.1016/j.xrrt.2025.100652","DOIUrl":"10.1016/j.xrrt.2025.100652","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100652"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anatomical characterization of sternoclavicular joint and correlation of arthroscopic portals and structures at risk: a cadaveric study on Colombian specimen","authors":"Fabio Alfonso Suarez Romero MD ,&nbsp;Deisy Consuelo Celeita Medina MD ,&nbsp;María Camila Ruiz Cardenas MD ,&nbsp;Andrea Juliana Hernández Caicedo MD ,&nbsp;Federico Suarez MD","doi":"10.1016/j.xrrt.2025.100650","DOIUrl":"10.1016/j.xrrt.2025.100650","url":null,"abstract":"<div><h3>Background</h3><div>The sternoclavicular joint (SCJ) is a synovial saddle joint and the only articulation between the axial skeleton and the upper limb. Although SCJ pathology is rare, it may include degenerative, autoimmune, infectious, tumoral, or traumatic conditions. Arthroscopic approaches to this region carry a risk of damaging vital mediastinal structures. This study aims to anatomically characterize the SCJ and surrounding neurovascular structures, emphasizing the posterior capsule as a critical safety barrier during arthroscopy.</div></div><div><h3>Methods</h3><div>Ten cadaveric specimens were bilaterally dissected. Arthroscopic portals were first marked and used to identify the posterior capsule. Open dissections were performed to measure the distances between the portals and nearby mediastinal structures using digital calipers. Data were recorded in Excel 2024 (Microsoft Corp., Redmond, WA, USA) and REDCap (Vanderbilt University, Nashville, TN, USA) and analyzed with SPSS version 28 (IBM Corp., Armonk, NY, USA).</div></div><div><h3>Results</h3><div>The posterior capsule consistently acted as a protective boundary between the joint and mediastinal structures. The average distances from the superomedial (SM) and inferolateral (IL) portals to the posterior capsule were 26.3 mm and 26.5 mm, respectively. From the posterior capsule, the average distances to key mediastinal structures were: common carotid artery: 42.5 mm (SM), 44.1 mm (IL), brachiocephalic trunk: 40.5 mm (SM), 43.5 mm (IL), innominate vein: 37.8 mm (SM), 39.7 mm (IL), and vagus nerve: 45.4 mm (SM), 46.5 mm (IL).</div></div><div><h3>Discussion and/or Conclusion</h3><div>The posterior capsule provides a reliable anatomical safety margin between the SCJ and vital mediastinal structures. During SCJ arthroscopy, referencing the anterior sternoclavicular ligament and maintaining a minimum 5.1 cm safety margin posteriorly can minimize the risk of catastrophic injury. These findings support safer surgical planning and highlight the importance of precise portal placement.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100650"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcomes of coronal shear fractures of the distal humerus associated with olecranon fractures","authors":"Momosuke Shoda MD ,&nbsp;Takahiro Yamazaki MD, PhD ,&nbsp;Yusuke Matsuura MD, PhD ,&nbsp;Takeru Ohara MD, PhD ,&nbsp;Hiromasa Wakita MD, PhD ,&nbsp;Seiji Ohtori MD, PhD","doi":"10.1016/j.xrrt.2025.100654","DOIUrl":"10.1016/j.xrrt.2025.100654","url":null,"abstract":"<div><h3>Background</h3><div>Coronal shear fracture (CSF) of the distal humerus is rare, accounting for approximately 1% of elbow fractures; cases combined with olecranon fracture are even rarer. This study aimed to clarify the relationship between surgical methods and clinical outcomes in this uncommon injury.</div></div><div><h3>Methods</h3><div>Between 2017 and 2025, we retrospectively reviewed 8 patients (8 elbows) with CSF associated with olecranon fracture who underwent open reduction and internal fixation in a multicenter case series and were followed for more than 6 months. Patient demographics, fracture classifications, surgical methods, postoperative complications, additional surgeries, elbow range of motion, and Mayo Elbow Performance Score at the final follow-up were analyzed descriptively.</div></div><div><h3>Results</h3><div>The mean age was 64 years (range, 51–79 years), and the mean follow-up was 27 months (range, 10–96 months). Dubberley classification was type 2A in 2 cases, type 3A in 2, and type 3B in 4. A posterolateral extended approach was used in 6 patients and a combined lateral–posterior approach in 2. Postoperative complications included elbow release in 2 cases and ulnar neuropathy in 2. At final follow-up, the mean Mayo Elbow Performance Score was 92.5 (range, 75–100), and the mean range of motion was −21°/121.3°.</div></div><div><h3>Conclusion</h3><div>Outcomes of CSF with concomitant olecranon fracture appeared to depend on CSF severity, and complications were more frequent than in isolated CSF. Given the small sample size and observational design, these findings should be regarded as preliminary and hypothesis-generating rather than definitive evidence favoring any particular method.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100654"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of inpatient charges and costs between revision and primary total elbow arthroplasty in the New York state","authors":"Dashaun A. Ragland BS ,&nbsp;Brian O. Molokwu MS ,&nbsp;Jacquelyn J. Xu MA ,&nbsp;Andrew J. Cecora BS ,&nbsp;Sallie Yassin MS ,&nbsp;Erel Ben-Ari MD ,&nbsp;Joseph A. Bosco III MD ,&nbsp;Mandeep S. Virk MD","doi":"10.1016/j.xrrt.2025.100648","DOIUrl":"10.1016/j.xrrt.2025.100648","url":null,"abstract":"<div><h3>Background</h3><div>The primary aim of this study is to evaluate differences in inpatient charges between primary (pTEA) and revision (rTEA) total elbow arthroplasty among Medicare and Medicaid patients. Our secondary aim is to assess whether these charges vary across hospitals with differing total elbow arthroplasty (TEA) procedural volumes. We hypothesize that rTEA would be more expensive than pTEA and that charges would be higher for low-volume hospitals.</div></div><div><h3>Methods</h3><div>The Statewide Planning and Research Cooperative System database was queried for all Medicare and Medicaid Services patients who underwent a pTEA or rTEA in New York State from 2010 to 2020. Hospitals were classified as high-volume (≥3 surgeries/year), medium-volume (between 2-3 surgeries/year), or low-volume (less than 2 surgeries/year). Facilities performing fewer than 1 surgery per year or with fewer than 4 years of TEA data were excluded. Total inpatient charges were collected and subsequently subdivided into ancillary and accommodation charges. Inpatient charges and readmission data were compared across the 2 procedures and volume groups.</div></div><div><h3>Results</h3><div>During the study period, 1,303 patients underwent pTEA and 273 underwent rTEA. After adjusting for patient age, sex, race, and hospital volume, rTEA was independently associated with significantly higher accommodation, ancillary, and total inpatient charges (<em>P</em> &lt; .001 for all). Additionally, rTEA patients had a higher likelihood of 90-day readmission (<em>P</em> = .005) and longer inpatient stays (<em>P</em> &lt; .001) compared to pTEA patients. There were observable differences in total, accommodation, and ancillary charges across hospital volume groups for both pTEA and rTEA. Low-volume hospitals demonstrated the highest total charges for pTEA during the study period vs. high- and medium- volume hospitals (<em>P</em> &lt; .001 for pTEA, <em>P</em> &gt; .05 for rTEA).</div></div><div><h3>Conclusion</h3><div>rTEA is associated with longer inpatient stay, higher inpatient charges, and greater readmission rates compared to pTEA. Primary TEA in low-volume hospitals is associated with higher total charges compared to medium and high-volume hospitals. These findings provide valuable insights for hospital administrators and public health officials aiming to create effective strategies to manage costs and combat the growing burden of healthcare expenses in the United States.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100648"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}