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Total hip arthroplasty (THA) performed in the setting of fracture is associated with greater case complexity, worse outcomes, and increased costs when compared with THA performed for osteoarthritis. Despite the increased complexity, the work relative value units (wRVUs) assigned to THA may not adequately compensate for this difference in surgical effort and time. The purpose of this study was to determine the wRVU per minute rates and reimbursement in dollars per minute for THA performed for fracture compared with THA performed for osteoarthritis. Data were collected through the National Surgical Quality Improvement Program database from 2006 to 2018 to identify all patients who underwent primary THA for osteoarthritis or for fractures. Total wRVU, operation time, wRVU per minute, and dollars per minute were assessed between the osteoarthritis and fracture cohorts. Bivariate and multivariate analyses were utilized for the study. The mean operation times for primary THA for osteoarthritis and for fractures were 91.96 and 99.43 minutes, respectively (p

Background While previous studies have investigated the association between bleeding disorders and outcomes with hip or knee surgeries, no studies have investigated the association between bleeding disorders and outcomes in upper extremity surgery. Questions/Purposes The purpose of this study was to investigate if a past history of bleeding disorders is associated with which, if any postoperative complications for patients receiving distal radius fracture open reduction internal fixation. Patients and Methods Patients undergoing operative treatment for distal radius fracture from 2007 to 2018 were identified in the National Surgical Quality Improvement Program database. Patients were stratified into two cohorts: patients with a bleeding disorder and patients without a bleeding disorder. In this analysis, 30-day postoperative complications were assessed, as well as mortality, extended length of stay, reoperation, and readmission. Bivariate and multivariate analyses were performed. Results Of the 16,489 total patients undergoing operative treatment for distal radius fracture, 16,047 patients (97.3%) did not have a bleeding disorder, whereas 442 (2.7%) had a bleeding disorder. Following adjustment on multivariate analyses, an increased risk of postoperative transfusion requirement (odds ratio [OR] 17.437; p = 0.001), extended length of hospital stay more than 3 days (OR 1.564; p = 0.038), and readmission (OR 2.515; p Conclusion History of bleeding disorders is an independent risk factor for transfusions, extended length of stay, and readmission. We recommend a multidisciplinary team approach to addressing bleeding disorders before patients receive distal radius fracture open reduction internal fixation. Level of Evidence Level III, retrospective study.