Document Detail

Clinical and financial comparison of operative and nonoperative treatment of displaced clavicle fractures.
MedLine Citation:
PMID:  22960145     Owner:  NLM     Status:  Publisher    
HYPOTHESIS: Surgical stabilization of displaced clavicle fractures was once considered to have rare indications. Our purpose was to present the clinical and economic effects of surgical management using data collected from operative and nonoperative patients. METHODS: Our fracture database was queried from January 1, 2005, to January 1, 2010, identifying 204 patients with displaced midclavicular fractures. Radiographs and charts were reviewed, and questionnaires were distributed. RESULTS: Operative patients had less chronic pain (6.1% vs 25.3%), less cosmetic deformity (18.2% vs 32.5%), less weakness (10.6% vs 33.7%), less loss of motion (15.2% vs 31.3%), and fewer nonunions (0% vs 4.8%). Operative patients missed fewer days of work (8.4 days vs 35.2 days) and required less assistance (3 days vs 7 days) for care at home. Mean income lost was $321.69 versus $10,506.25. Operative patients had a mean emergency department bill of $2,060.51 versus $1,871.92 and had a mean hospital bill of $8,520.30 versus $3,692.65, and anesthesia charges averaged $946.11. Operative patients required less physical therapy, and the mean physical therapy cost was $971.76 versus $1,820. Nonoperative patients required more pain medication ($43.22 vs $45.98). Overall, the cost was $12,976.94 for operative patients and $18,068.27 for nonoperative patients. CONCLUSIONS: Patients with displaced clavicle fractures benefit clinically and financially from stabilization. They have less chronic pain, less deformity, less weakness, and better range of motion. They return to work sooner, take less pain medication, and require less physical therapy. Their initial hospital bill is higher because of surgical charges but is balanced by less income loss, resulting in a cost savings of $5,091.33 in operative patients.
Peter L Althausen; Steven Shannon; Minggen Lu; Timothy J O'Mara; Timothy J Bray
Related Documents :
24332395 - A novel tumor: specimen index for assessing adequacy of resection in early stage oral t...
25302105 - Randomised experimental comparison of 23g versus 22g -needle for ultrasound guided inva...
24676415 - Evaluation of the american society of anesthesiologists physical status classification ...
24945935 - Endoscopic forehead approach for minimally invasive benign tumor excisions.
20173615 - Day case laparoscopic cholecystectomy carried out using the harmonic scalpel: analysis ...
7063675 - Percutaneous drainage of pancreatic pseudocysts and abscesses.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-7
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  -     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.
Reno Orthopaedic Clinic, Reno, NV, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Historical profiling of maize duplicate genes sheds light on the evolution of C4 photosynthesis in g...
Next Document:  The possible role of the transcription factor nuclear factor-?B on evolution of rotator cuff tear an...