Operative vs. conservative treatment of AC-Joint Dislocations Rockwood grade ≥ III -An economical and clinical evaluation

Autor: Richard Niehaus, Alisa Schleicher, Elias Ammann, Philipp Kriechling, Christopher G. Lenz, Michael Masanneck, Sandro Hodel, Karim Eid
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Cost Effectiveness and Resource Allocation, Vol 21, Iss 1, Pp 1-9 (2023)
Druh dokumentu: article
ISSN: 1478-7547
DOI: 10.1186/s12962-023-00468-2
Popis: Abstract Introduction Acromioclavicular joint dislocations (ACD) are one of the most common shoulder injuries. There is no consensus in how to treat higher graded ACD ≥ Rockwood grade III. This study compares operative versus conservative treatment regarding costs and clinical outcome parameters. Materials and Methods This retrospective, consecutive case-control-study includes 14 patients. Seven operatively treated patients were matched, by Rockwood grade, with seven conservatively treated patients. The cost was extracted out of the clinical- and insurance-based cost sheets and furthermore these include the loss of earnings. Clinical examination, demographic data as well as different outcome-questionnaires were recorded. Results There were no significant differences between operative and conservative treated patients for outcome Questionnaires. Of note, there was a significantly higher incidence of tenderness over the AC-joint (p = 0.0038) postoperatively. As expected, economical evaluation showed various findings in favor of the conservative treatment. The costs for medical services (11012.39vs.1163.81USD; p = 0.0061), days of hospitalization (3.3vs.0days; p III) compared to conservative is economically inefficient. Under consideration of clinical comparable results, indications for operative treatment should be set very carefully.
Databáze: Directory of Open Access Journals
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