PDF(Pubmed)
Abstract：
Background Distal radius fractures are the most common fracture of the upper extremity. While some distal radius fractures can be managed with closed reduction and immobilization, operative treatment is the standard of care, with open reduction internal fixation (ORIF) as a predominant operative method. Questions/Purpose To investigate how patient and surgical characteristics affect the overall costs of internal fixation of distal radius fractures in adults. Patients and Methods The 2014 State Ambulatory Surgery and Services Databases for six states were used to identify cases and surgical characteristics of distal radius fracture ORIF in adult patients. Results Surgical variables that significantly increased cost were postoperative admission within 30 days, regional anesthesia, simultaneous endoscopic carpal tunnel release, and increasing operating room time. Conclusion Substantial contributors to total cost are postoperative hospital admission within 30 days of surgery, use of regional anesthesia, simultaneous endoscopic carpal tunnel release, and longer operative time. Level of Evidence Level III, retrospective cohort study.
摘要：
背景桡骨远端骨折是最常见的上肢骨折。虽然一些桡骨远端骨折可以通过闭合复位和固定来治疗，手术治疗是护理的标准，以切开复位内固定（ORIF）为主要手术方法。问题/目的调查患者和手术特征如何影响成人桡骨远端骨折内固定的总费用。患者和方法使用2014年6个状态的门诊手术和服务数据库，对成人桡骨远端骨折ORIF的病例和手术特点进行分析。结果显著增加费用的手术变量是术后30天内入院，区域麻醉,同时内镜下腕管松解术，增加手术室时间。结论手术后30天内住院是总费用的主要贡献者。使用区域麻醉，同时内镜下腕管松解术，和更长的手术时间。证据等级III级,回顾性队列研究。
