Economic analysis of roentgenogram use in the closed treatment of stable ankle fractures.
Fractures of the ankle are one of the most commonly treated injuries by orthopedic surgeons.
The adequacy of closed treatment of stable lateral malleolar ankle fractures is frequently assessed by repeated roentgenograms.
There are no standards, nor studies, however, that provide guidelines as to the necessity of such roentgenograms.
This study was designed to determine the average frequency of follow-up roentgenograms in ankle fractures treated by casting, as well as the clinical impact of these roentgenograms.
The clinical radiographic data base of a university hospital was reviewed to identify all ankle fractures treated between January 1,1992 and June 30,1993.
A total of 82 patients satisfied the study criteria of having sustained a stable ankle fracture that was treated by closed means, with sufficient clinical and radiographic follow-up to assess healing of the fracture.
All patients healed their fractures at an average of 8.4 weeks (±3.0 weeks), with weight-bearing initiated at 4.0 weeks (±2.7 weeks).
No patients developed radiographic evidence of a talar shift during treatment, and none required surgery for a failure of closed treatment.
At no time did any ankle exhibit a significant change in fibular alignment relative to the initial injury films.
Each patient had an average of 4.5 (±2.0) radiographic studies performed throughout their treatment.
This study indicates that secondary displacement of either the talus or fibula in a stable ankle fractu...
Mots-clés Pascal : Fracture, Cheville, Homme, Surveillance, Evaluation, Orthèse, Economie santé, Analyse coût, Maryland, Etats Unis, Amérique du Nord, Amérique, Radiographie, Os, Membre inférieur, Système ostéoarticulaire pathologie, Traumatisme, Traitement orthopédique, Exploration radiologique, Radiodiagnostic
Mots-clés Pascal anglais : Fracture, Ankle, Human, Surveillance, Evaluation, Orthosis, Health economy, Cost analysis, Maryland, United States, North America, America, Radiography, Bone, Lower limb, Diseases of the osteoarticular system, Trauma, Orthopedic treatment, Radiologic investigation, Radiodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0081032
Code Inist : 002B16H. Création : 199608.