Shelf Pricing for Distal Radius Fracture Implants

Beredjiklian, Pedro K.

doi:10.1007/s11999-016-5165-9

Cited by 4 publications

(1 citation statement)

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“…Second, geographic price differences may affect cost as our study was conducted in the Northeast, but 70% of patients in the study by Shah et al are from the South [ 19 ]. Though therapy contributes to treatment costs, the highest contributors to cost in operatively treated distal radius fractures are the implants used, with higher costs associated with different manufacturers and the number of implants used [ 23 , 24 ]. These studies do not reference the cost of dorsal bridge plates, and further studies are necessary to understand the total cost difference in utilizing dorsal bridge plate fixation, including differences in cost for a second procedure, implant cost, and office visits.…”

Section: Discussionmentioning

confidence: 99%

Distal Radius Fracture Therapy Utilization Following Traditional Open Reduction and Internal Fixation and Dorsal Bridge Plate Fixation

Fones,

O'Mara,

Gallant

et al. 2024

Cureus

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Background Many distal radius fractures are treated with a volar locking plate, but a minority undergo dorsal bridge plate fixation. This study's primary purpose was to compare therapy utilization following distal radius fractures treated with traditional open reduction and internal fixation (ORIF) versus dorsal bridge plate fixation. Secondary outcomes were time to first and last therapy visits and therapy costs. Methods Patients over 18 years old who underwent distal radius ORIF between January 2021 and August 2022 at a single regional orthopedic practice were identified. Patients who underwent post-operative hardware removal were retrospectively reviewed to identify dorsal bridge plate fixation patients. This resulted in "traditional ORIF" and "dorsal bridge plate" groups. Therapy visit number, cost, and payor (insurance type including Medicare, private insurance, worker's compensation, automobile policy, and private pay) were collected. Results In total, 1,376 patients met the inclusion criteria. Of these, 713 of the 1,283 (55.6%) patients in the traditional ORIF group and 25 of the 44 patients (56.8%) in the dorsal bridge plate group attended therapy at our institution. Traditional ORIF and dorsal bridge plate patients averaged 12.6(±10) and 24(±18.7) therapy visits in the one-year following ORIF, respectively. Time to last therapy visit was 90.9(±60) and 175.2(±72.1) days in the traditional ORIF and dorsal bridge plate groups, respectively. Total therapy cost was $1,219(±$1,314) and $2,015(±$1,828) in the traditional ORIF and dorsal bridge plate groups with similar out-of-pocket costs. Conclusions Dorsal bridge plate fixation patients attended a greater number of therapy sessions, had a longer time from surgery until therapy end, and had a higher therapy total cost relative to traditional ORIF, but both groups had similar patient out-of-pocket therapy costs.

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Section: Discussionmentioning

confidence: 99%