The cost of treatment of distal radial fractures

Kakarlapudi, T.K.; Santini, Alasdair; Shahane, Shantanu; Douglas, David L.

doi:10.1016/s0020-1383(99)00248-x

Cited by 79 publications

(43 citation statements)

References 9 publications

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“…1,2 As many as 20% to 50% of DRFs are considered inadequately reduced and require surgical fixation. [3][4][5] Although DRFs cause substantial physical problems and financial burden to afflicted patients, factors that lead to good or poor outcomes after treatment have not been well characterized. 6 -8 This is due to several reasons: (1) prior studies combined patients having different surgical and nonsurgical treatments, (2) there is no gold standard to assess DRF outcomes, and (3) existing studies used varying study designs and inconsistent follow-up times.…”

mentioning

confidence: 99%

Predictors of Functional Outcomes After Surgical Treatment of Distal Radius Fractures

Chung

Kotsis

Kim

2007

The Journal of Hand Surgery

166

128

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mentioning

confidence: 99%

Predictors of Functional Outcomes After Surgical Treatment of Distal Radius Fractures

Chung

Kotsis

Kim

2007

The Journal of Hand Surgery

166

128

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“…Furthermore, they proposed that the lack of a standardized outpatient treatment protocol led to increased costs. 20 They suggested that further study was necessary to examine the effect of ambulatory care on the treatment of distal radius fractures. Leblanc et al examined the cost and efficiency in the operative treatment of carpal tunnel syndrome and compared the effect of facility.…”

Section: Discussionmentioning

confidence: 99%

Effect of Facility on the Operative Costs of Distal Radius Fractures

Mather

Wysocki

Aldridge

et al. 2011

The Journal of Hand Surgery

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“…Das Erreichen der vor der Verletzung bestehenden Funktion hat direkten Einfl uss auf die Lebensqualit ä t, aber auch auf die Krankheits-und Arbeitsunf ä higkeitsdauer und ist somit auch von sozio ö konomischem Interesse. Zirka die H ä lfte der Patienten steht zum Zeitpunkt der Fraktur in einem Arbeitsverh ä ltnis [5] . Die Dauer der Arbeitsunf ä higkeit nach distaler Radiusfraktur betr ä gt je nach Studie im Mittel zwischen 67 Tagen und 20 Wochen [6,7] .…”

Section: Nachbehandlungunclassified

“…Hier wiesen 2 (10 % ) in Gruppe A (Heimprogramm) und 4 (19 % ) Patienten der Gruppe B (Physiotherapie) eine relativ verminderte L ä nge von ≤ 2 mm auf, eine relative L ä ngenzunahme des Radius wurde bei 7 (33 % ) Patienten der Gruppe A (Heimprogramm) und 8 (38 % ) Patienten der Gruppe B (Physiotherapie) ermittelt. Die anamnestisch erhobenen PRWE-Scores der beiden Untersuchungsgruppen f ü r den Zeitpunkt vor dem Unfall zeigten einen nahezu identischen erhobnen Ausgangswert ( • ▶ Tab 5. …”

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Effekt eines Heimtrainingsprogramms in der Nachbehandlung konservativ behandelter distaler Radiusfrakturen – eine prospektiv randomisierte Studie

Krischak¹,

Krasteva²,

Pandorf-Frediani³

et al. 2009

Phys Rehab Kur Med

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& Purpose: Rehabilitation is an integral part of the concept for wrist fractures treated through immobilization. Our aim was to determine the eff ect of two diff erent therapy concepts on the outcome in a prospective study: treatment by a professional physical therapist and an unassisted home exercise program. Materials and Methods: 42 volunteers with conservatively treated wrist fractures were randomized in treatment by a professional physical therapist (n = 21) with 12 sessions, and an unassisted home exercise program (n = 21). Follow-up six weeks later involved evaluation of range of motion, grip strength using a Jamar dynamometer, and the functional score Patient Related Wrist Evaluation (PRWE). Results: After a six week period of post-operative treatment, the patients performing a self-dependant home exercise program using a training diary reached signifi cantly higher grip strength (83 % vs. 67 % of the starting base value; p = 0.0203). There were no diff erences in the range of motion of pronation / supination, extension and fl exion, or ulnar and radial abduction. However, self training patients showed a signifi cantly greater improvement of the functionality of the wrists according to PRWE score (8.4 vs. 22.5; p = 0.0029). Discussion: The eff ectiveness of a home exercise program requires motivated patients being self-responsible and independent in performing rehabilitation at home. The decision of treating patients self-responsibly has to be considered critically with the patient. Conclusions: In the rehabilitation of conservatively treated wrist fractures, good functional results can be reached using instructions in a home exercise program, and are an eff ective alternative to prescribed rehabilitation treatment.

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The cost of treatment of distal radial fractures

Cited by 79 publications

References 9 publications

Predictors of Functional Outcomes After Surgical Treatment of Distal Radius Fractures

Predictors of Functional Outcomes After Surgical Treatment of Distal Radius Fractures

Effect of Facility on the Operative Costs of Distal Radius Fractures

Effekt eines Heimtrainingsprogramms in der Nachbehandlung konservativ behandelter distaler Radiusfrakturen – eine prospektiv randomisierte Studie

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