Literature DB >> 23412191

Is early operative fixation of unstable ankle fractures cost effective? Comparison of the cost of early versus late surgery.

Dimitrios Manoukian1, Dimitra Leivadiotou, William Williams.   

Abstract

INTRODUCTION: A retrospective study of all patients who sustained an ankle fracture requiring operative treatment was performed. 98 patients were admitted over a 14-month time period. All fractures treated conservatively were excluded.
MATERIALS AND METHODS: The inpatient length of stay and the cost of operating less than and more than 24 and 48 h from admission was determined.
RESULTS: There was a significant difference (p value <0.001) in cost and length of stay in patients operated less than and more than 24 h, and less than and more than 48 h from admission. There was no difference in cost and length of stay between the 2 groups of less than 24 and 48 h. However, length of stay and cost rose significantly if the operation was delayed more than 48 h.
CONCLUSION: The results show that the length of stay and cost is significantly reduced by operating on ankle fractures early. There is no significant difference in the length of stay or cost if the operation is performed earlier than 24 or 48 h from admission.

Entities:  

Mesh:

Year:  2012        PMID: 23412191     DOI: 10.1007/s00590-012-1059-z

Source DB:  PubMed          Journal:  Eur J Orthop Surg Traumatol        ISSN: 1633-8065


  9 in total

1.  An innovative and cost-effective way of managing ankle fractures prior to surgery--home therapy.

Authors:  John M Lloyd; Rachel Martin; Senthil Rajagopolan; Nedal Zieneh; Richard Hartley
Journal:  Ann R Coll Surg Engl       Date:  2010-07-30       Impact factor: 1.891

2.  Timing of operative intervention in the management of acutely fractured ankles and the cost implications.

Authors:  L A James; N Sookhan; D Subar
Journal:  Injury       Date:  2001-07       Impact factor: 2.586

3.  Cost benefit with early operative fixation of unstable ankle fractures.

Authors:  P Pietzik; I Qureshi; J Langdon; S Molloy; M Solan
Journal:  Ann R Coll Surg Engl       Date:  2006-07       Impact factor: 1.891

4.  Early versus delayed treatment of severe ankle fractures: a comparison of results.

Authors:  G Konrath; D Karges; J T Watson; B R Moed; K Cramer
Journal:  J Orthop Trauma       Date:  1995       Impact factor: 2.512

5.  Cost description of inpatient treatment for ankle fracture.

Authors:  Ashley M Murray; Sinead E McDonald; Pooler Archbold; Grainne E Crealey
Journal:  Injury       Date:  2010-09-23       Impact factor: 2.586

6.  The factors associated with prolonged inpatient stay after surgical fixation of acute ankle fractures.

Authors:  Daniel J Westacott; Adbulbaset A Abosala; Nasser M Kurdy
Journal:  J Foot Ankle Surg       Date:  2010 May-Jun       Impact factor: 1.286

7.  The efficacy of the A-V Impulse system in the treatment of posttraumatic swelling following ankle fracture: a prospective randomized controlled study.

Authors:  J Caschman; S Blagg; M Bishay
Journal:  J Orthop Trauma       Date:  2004-10       Impact factor: 2.512

8.  Soft tissue problems in ankle fractures treated surgically. A prospective study of 154 consecutive closed ankle fractures.

Authors:  P Höiness; L Engebretsen; K Strömsöe
Journal:  Injury       Date:  2003-12       Impact factor: 2.586

9.  Immediate or delayed operative treatment of fractures of the ankle.

Authors:  R S Breederveld; J van Straaten; P Patka; J C van Mourik
Journal:  Injury       Date:  1988-11       Impact factor: 2.586

  9 in total
  2 in total

1.  Miniarthrotomy assisted percutaneous screw fixation for displaced medial malleolus fractures - A novel technique.

Authors:  Pramod Saini; Abhinav Aggrawal; Sanjay Meena; Vivek Trikha; Samarth Mittal
Journal:  J Clin Orthop Trauma       Date:  2014-08-08

2.  The costs of operative complications for ankle fractures: a case control study.

Authors:  Frank R Avilucea; Sarah E Greenberg; W Jeffrey Grantham; Vasanth Sathiyakumar; Rachel V Thakore; Samuel K Nwosu; Kristin R Archer; William T Obremskey; Hassan R Mir; Manish K Sethi
Journal:  Adv Orthop       Date:  2014-11-27
  2 in total

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