Volar plating demonstrated cost-efficacy relative to cast immobilization for displaced Distal radial

The authors presented their findings in the Orthopaedic Trauma Association meeting 2018.

90 patients with a displaced- extraarticular distal radius fracture were randomized to either volar plate fixation or to nonoperative treatment with immobilization. The purpose of this study was to assess cost-effectiveness. Total cost per patient over 12 months was reported to be lower in the volar plate group compared to the nonoperative group, while quality-adjusted life-years gained was greater in the volar plate group. As a result, the incremental cost-effectiveness ratio favoured volar plate fixation.

What should I remember most?

In management of displaced, extraarticular distal radius fracture, the incremental cost-effectiveness ratio favoured volar plating as an alternative to cast immobilization.

How will this affect the care of my patients?

The results of this study suggest that volar plate fixation for a displaced, extraarticular distal radius fracture may be cost-effective when weighed against nonoperative management.

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