Hip fracture surgery is the 5th most common procedure in women older than 65 years. in the USA. There are more than 170,000 pertrochanteric hip fractures per year in the USA. Intramedullary fixation of these hip fractures is the most common type of treatment. The volume of cases is larger than any other type of fracture fixation.
Increased hospital costs are related to:
Utilization of resources
Shelf space by one product line
Sterile processing inefficiency
Complexity of instrument designs
Value of the EPIX VAN™ System to the Hospital
Reduced Inventory by a Factor of Three
Static nail systems utilize three different angled nails. Most commonly, nails are produced at 120-135 degree angles in 5-degree increments. These static nails must have a large inventory of more than 160 nails in order to accommodate variations in patient anatomy. The EPIX VAN System gives the surgeon the opportunity to dynamically change the lag screw to nail angle either on the back table or after insertion to fit every patient perfectly. Therefore, for the short nail only one nail is used. If the surgeon choses a long nail, the total inventory is 54 nails instead of more than 160. The shelf space needed is therefore decreased significantly.
One set of instruments supports the EPIX VAN System
Perioperative costs related to number of sets that need to be opened and re-sterilized are minimized with the EPIX VAN System. The nail, lag screw, set screw/cap, and distal locking screw are all peel packed. Only the instruments need to be sterilized in the hospital.
Increase Intraoperative Efficiency
The EPIX VAN System is user friendly and intuitive. All of the instruments are color coded and numbered to assist during surgery.
Decrease the Need for Intraoperative Revisions to Another Implant
With the EPIX VAN System t he surgeon will have the ability to change the angle between the lag screw and the nail easily when needed during surgery. Therefore, if the lag screw-nail angle does not exactly fit the patient’s anatomy, it can be changed quickly and efficiently. Moreover, if the fracture is not reduced perfectly, the surgeon will not need to remove the implant and insert a different one. The surgeon can correct the neck-shaft angle after insertion of the nail and lag screw. This will move the bone to a more vertical anatomic position, decreasing operative time and implant waste.
Hospital Discharge Efficiency
It is well known that earlier discharge from the hospital and return to function will be better for the patient and the hospital. There is a 10-12% of varus malreduction causing leg shortening, abductor weakness and limp. Conversely, patients with an anatomic reduction and maintenance of leg length have excellent outcomes. With better reductions using the EPIX VAN™ System, patients may have anatomical mechanical alignment of the bone and correct length of the abductor muscles. Physical therapy and rehabilitation are facilitated by better alignment and leg length after surgery.
Algorithmic Approach to Osteoporotic Hip Fracture Care
The EPIX team is committed to supporting the hospital algorithmic approach to osteoporotic hip fracture patient care. Protocols that have been proven to decrease complications, cost, narcotic use and hospital days are available.