An Economic Analysis of Outcomes and Complications of Treating Distal Radius Fractures in the Elderly

Shauver MJ, Clapham PJ, Chung KC (Univ of Michigan Health System, Ann Arbor; Michigan State Univ College of Human Medicine, East Lansing) J Hand Surg 36A:1912-1918.e3, 2011^§

Abstract

Purpose

There is a lack of scientific data regarding which treatment provides the best outcome for distal radius fractures (DRFs) in the elderly. Currently, casting is used to treat the majority of these fractures, although open reduction and internal fixation (ORIF) has been used increasingly in recent years. Given the recent emphasis on the wise use of medical resources, we conducted a cost–utility analysis to assess which of 4 common DRF treatments (casting, wire fixation, external fixation, or ORIF) optimizes the cost–to–patient preference ratio.

Methods

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