SECTION II ORIGINAL ARTICLE: Lower Extremity: PDF OnlyRevision and Primary Hip and Knee Arthroplasty: A Cost AnalysisLavernia, Carlos, J.*; Drakeford, Michael, K.*; Tsao, Audrey, K.*; Gittelsohn, Allan†; Krackow, Kenneth, A.**; Hungerford, David, S.**Section Editor(s): Brand, Richard A. MD; Bourne, Robert B. MD Author Information *Department of Orthopaedics, University of Miami, School of Medicine, Miami, FL. **Departments of Orthopaedics †Biostatistics, Johns Hopkins University School of Medicine, Baltimore, MD. Reprint requests to Carlos J. Lavernia, MD, Division of Arthritis Surgery, Department of Orthopaedics and Rehabilitation (D-27), University of Miami, School of Medicine, PO Box 016960, Miami, FL 33101. Received: Received December 15, 1993. Revised: August 15, 1994. Accepted: September 30, 1994. Clinical Orthopaedics and Related Research: February 1995 - Volume 311 - Issue - p 136-141 Free Abstract The cost of health care in the United States has been rising steadily during the past 10 years. Total joint arthroplasty, a commonly performed orthopaedic procedure, accounts for approximately $10 billion dollars per year. The objective of this study was to perform a clinician-oriented cost analysis of primary and revision hip and knee arthroplasty. Twenty-five consecutive cases each of total knee arthroplasty, total hip arthroplasty, revision total knee arthroplasty, and revision total hip arthroplasty were analyzed. The length of stay and number of minutes spent in the operating room were significantly higher for the patients with revision hip surgery than for the other groups. The total charges for the prosthesis in the 4 groups exceeded 40% of the total charges for the procedure. Primary hip and knee surgery had similar billed costs, and work for revision hip surgery has a significantly higher billed cost than physician's work. The implant selection process by an orthopaedic surgeon performing arthroplasty of the hip and knee needs to include economic aspects. © Lippincott-Raven Publishers.