Table 2

Average baseline per patient costs of hip, knee and spine surgery in 2009 values*

CostPrimary THAPrimary TKAPrimary spinal decompressionPrimary spinal fusion
Acute surgical cost
 Operating room6 0425 1031 8748 799
 Nursing4 1093 9621 0003 227
 Medical imaging147147155434
 Laboratories38129389141
 Pharmacy781778260745
 Allied health645676399265
Total acute surgical costs12 10510 9593 77713 611
Postdischarge rehabilitation2 5342 534NA§NA§
Revision cost per patient1448571951 932
Revision rate at 2 years, %1.058.3321.416.67
Revision cost13 71410 28891111 590
Total per-patient cost14 78314 3503 97215 543
  • NA = not applicable; THA = total hip arthroplasty; TKA = total knee arthroplasty.

  • * Unless otherwise indicated.

  • Costs expressed in Canadian dollars and discounted at a 3% annualized rate.

  • Revision cost includes any necessary diagnostic imaging (radiography or magnetic resonance imaging), perioperative and postdischarge rehabilitation costs.

  • § All spine patients were discharged home with instructions for home exercise.