Article Figures & Tables
Figures
- Fig. 1
Comparison of (A) patient-rated wrist evaluation (PRWE) scores, (B) flexion, (C) extension and (D) supination in patients who underwent closed reduction and percutaneous pinning (CRPP) or open reduction and internal fixation with volar locking plates (VLP) to treat distal radial fractures. *p < 0.05.
- Fig. 2
Estimated total cost of closed reduction and percutaneous pinning (CRPP) versus open reduction and internal fixation with volar locking plates (VLP) to treat distal radial fractures.
Tables
- Table 1
Demographic and clinical characteristics of patients who underwent closed reduction with percutaneous pinning or open reduction and internal fixation with volar locking plates to treat distal radius fractures
Variable Group; no. (%)* p value CRPP, n = 20 VLP, n = 24 Age, yr; mean ± SD 40.3 ± 12.4 50.3 ± 14.7 0.009 Sex, female 15 (75) 17 (70.8) 0.76 Fracture distribution (% intra-articular) 18 (90) 21 (87.5) 0.72 Dominant hand involved 9 (45) 11 (47.8) 0.96 WSIB involvement 1 (5) 2 (8.3) 0.66 CRPP = closed reduction and percutaneous pinning; SD = standard deviation; VLP = volar locking plates; WSIB = Workplace Safety and Insurance Board.
↵* Unless otherwise indicated.
- Table 2
Objective outcomes for radial deviation, ulnar deviation, pronation and grip strength
Outcome; time CRPP VLP p value Radial deviation 3 mo 20.8 14.1 0.06 6 mo 19.0 17.9 0.40 12 mo 17.4 17.4 0.50 Ulnar deviation 3 mo 24.5 22.2 0.33 6 mo 24.1 25.3 0.35 12 mo 27.4 22.6 0.07 Pronation 3 mo 63.4 71.1 0.07 6 mo 74.2 72.3 0.32 12 mo 75.9 73.5 0.26 Grip strength 3 mo 14.1 17.7 0.15 6 mo 25.6 24.5 0.44 12 mo 20.6 24.9 0.13 CRPP = closed reduction and percutaneous pinning; VLP = volar locking plates.
- Table 3
Cost estimation of closed reduction with percutaneous pinning versus open reduction and internal fixation with volar locking plates to treat distal radius fractures
Costs Group; mean ± SD* p value CRPP VLP OR 0.029 Time, min. 86.5 ± 7.8 113.9 ± 39.5 Cost, $121/h $174.44 $229.70 Clinical < 0.001 No. visits 7.8 ± 1.3 5.2 ± 1.4 Nursing costs, $9/first visit and $5/subsequent visits $43 $30 Radiographs 0.031 No. films ordered 9 ± 2.4 7.4 ± 2.68 Cost, $28.05/film $252.45 $207.57 Implants No. used per case 4 k-wires 5 hole VLP + screws (5 locking screws + 1 cortical screw) Cost $40 $750 Surgeon costs $224.02 $420 Total cost of treatment/case $733.91 $1637.27 < 0.001 CRPP = closed reduction and percutaneous; OR = operating room; SD = standard deviation; VLP = volar locking plates.
↵* Unless otherwise indicated.
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