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A comparison of the relative costs of cast treatment and intramedullary nailing for tibial diaphyseal fractures in the UK

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Downing, N. D., Griffin, Damian R. and Davis, T. R. C. (1997) A comparison of the relative costs of cast treatment and intramedullary nailing for tibial diaphyseal fractures in the UK. Injury, 28 (5-6). pp. 373-375. doi:10.1016/S0020-1383(97)00028-4 ISSN 0020-1383.

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Official URL: https://doi.org/10.1016/S0020-1383(97)00028-4

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Abstract

A retrospective study was undertaken to compare the costs of treating tibial diaphyseal fractures non-operatively in a cast or operatively with locked intramedullary nailing. In total 39 patients with isolated closed or grade I open, two-part, displaced tibial diaphyseal fractures were studied. Of these, 18 were treated by manipulation under anaesthesia and cast immobilization, and 21 by closed, reamed, locked intramedullary nailing. A detailed analysis of the cost of treatment of each patient was performed and analysed in terms of the in-hospital costs and the overall costs, taking into account time off work. The mean hospital costs were £2226 for plaster treatment and £3727 for intramedullary nailing (significantly different, p < 0.05). The mean time off work was 9 weeks longer in the plaster group and when the cost of lost production through time off work was added to the hospital costs, the overall costs of plaster treatment and intramedullary nailing were £6810 and £6592 (difference not significant). This study suggests that the cost to the hospital of treating these fractures is less with plaster treatment but that the overall cost to the community is no different.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Injury
Publisher: Elsevier
ISSN: 0020-1383
Official Date: 1997
Dates:
DateEvent
1997Published
1 June 1997Accepted
Volume: 28
Number: 5-6
Page Range: pp. 373-375
DOI: 10.1016/S0020-1383(97)00028-4
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 17 July 2018

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