Reoperation Rates and Costs of Radial Head Arthroplasty Versus Open Reduction and Internal Fixation of Radial Head and Neck Fractures: A Retrospective Database Study
| Autor: | E. Bruce Toby, Daniel Reinhardt, Jacob Brubacher |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Reoperation
medicine.medical_specialty medicine.medical_treatment Elbow Arthroplasty Retrospective database 03 medical and health sciences 0302 clinical medicine Radial head arthroplasty Elbow Joint medicine Humans Internal fixation Orthopedics and Sports Medicine Humerus Reduction (orthopedic surgery) Retrospective Studies Surgery Articles 030222 orthopedics business.industry Radial head Retrospective cohort study Surgery Open Fracture Reduction medicine.anatomical_structure 030220 oncology & carcinogenesis business |
| Zdroj: | Hand (N Y) |
| ISSN: | 1558-9455 1558-9447 |
| DOI: | 10.1177/1558944719837691 |
| Popis: | Background: We conducted a retrospective study to compare reoperation/conversion rates and costs between open reduction and internal fixation (ORIF) and radial head arthroplasty (RHA) in patients with radial head/neck fractures. Methods: We examined the Humana Orthopedic data sets using the PearlDiver Application from January 2007 to June 2016 to identify patients with radial head and neck fractures with and without a concurrent elbow dislocation. Time to revision surgery, odds ratios, and survival curves for reoperations/conversions were calculated comparing ORIF and RHA. Results: A total of 7520 patients were identified who had undergone either ORIF or RHA. Overall, ORIF patients were less likely to undergo a conversion procedure (2.76% vs 7.03%) but more likely to undergo any reoperation (21.36% vs 17.63%) with a higher average cost ($19 688.46 vs $11 626.64). Patients who underwent ORIF without a concurrent elbow dislocation were also less likely to undergo a conversion procedure (2.12% vs 7.24%) but more likely to undergo any reoperation (20.22% vs 16.99%) with a higher average cost ($19 420.21 vs $11 123.61). Patients who underwent ORIF with a concurrent elbow dislocation were more likely to undergo both a conversion procedure (15.86% vs 6.39%) and any reoperation (44.98% vs 19.63%) with a higher average cost per patient ($24 999.62 vs $13 192.00). The average time to reoperation/conversion surgery was less than a year for all patient groups. Conclusions: Overall reoperation rates are high in patients undergoing operative treatment of radial head and neck fractures. RHA is less expensive and has fewer reoperations/conversions in short-term follow-up when compared with ORIF in radial head/neck fracture dislocations of the elbow. |
| Databáze: | OpenAIRE |
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