Cost-effectiveness of Open Reduction and Internal Fixation Compared With Hemiarthroplasty in the Management of Complex Proximal Humerus Fractures:

Journal of Shoulder and Elbow Arthroplasty

Robert JThorsness¹ 

关键词: Open reduction;    internal fixation;    hemiarthroplasty;    complex proximal humerus fractures;    open reduction;    internal fixation;    hemiarthroplasty;    cost-effective;   

DOI  :  10.1177/2471549217751453

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

ObjectivesTo determine if open reduction and internal fixation (ORIF) is more cost-effective than hemiarthroplasty (HA) in the management of proximal humerus fracture.DesignRetrospective cohort study with cost-effectiveness analysis.SettingTertiary referral center in Rochester, NY.Patients/participantsThe records of 459 consecutive patients in whom a proximal humerus fracture was treated surgically at our institution between the years 2002 and 2012 were studied retrospectively. We identified 30 consecutive patients with a mean follow-up of 60.3 months (13.6–134.5 months) of which 15 patients underwent primary ORIF and another 15 underwent primary HA for the management of head-splitting fracture or fracture-dislocation of the proximal humerus.InterventionHA or ORIF for the management of proximal humerus fracture.Main outcome measurementsSF-36 scores were converted to utility weights, and a cost-effectiveness model was designed to evaluated ORIF and HA.ResultsGiven the baseline assumptions, ORIF was slightl...

【 授权许可】

CC BY