Analysis of the Minimum Cost of Femoral Neck Fracture at the Klaten Islamic General Hospital

Faiza Kamila Abraar; Rahmat Hidayat; Kharima Jayak Pratama

doi:10.55227/ijhet.v4i4.401

Authors

Faiza Kamila Abraar Duta Bangsa University
Rahmat Hidayat Duta Bangsa University
Kharima Jayak Pratama Duta Bangsa University

DOI:

https://doi.org/10.55227/ijhet.v4i4.401

Keywords:

Femoral neck fracture, surgical cost, Cost Minimization Analysis, ORIF, Orthopedic

Abstract

Femoral neck fracture is one of the most common orthopedic cases, particularly among the elderly. Management usually involves surgical interventions such as Open Reduction Internal Fixation (ORIF), Hemiarthroplasty, and Total Hip Arthroplasty. The high cost of surgery poses a challenge for both patients and hospitals, highlighting the need for pharmacoeconomic evaluation to determine the most cost-efficient alternative. This study aims to analyze the minimal cost of orthopedic surgery for femoral neck fractures at Klaten Islamic General Hospital using the Cost Minimization Analysis (CMA) method. An observational analytic study with a retrospective approach was conducted on 48 patients who underwent surgery between January and August 2025. The data analyzed included hospitalization costs, surgical procedures, medications, laboratory and diagnostic examinations, physician fees, and nursing services. The results showed that the average cost per patient was IDR 30,236,637 for ORIF, IDR 31,250,786 for Hemiarthroplasty, and IDR 39,436,763 for Total Hip Arthroplasty. The Kruskal–Wallis test indicated a significant difference in costs among surgical procedures (p=0.000; <0.05). The study concludes that ORIF is the most cost-minimal procedure, although all interventions provide equivalent clinical effectiveness. These findings may serve as a reference for hospital and healthcare providers in making clinical decisions related to cost efficiency.

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