Is Surgery for Displaced, Midshaft Clavicle Fractures in Adults Cost-Effective?
Podium No: 226 Thursday, February 26, 2009 08:00 AM – 08:06 AM Location: Venetian Hotel Room 3105 Adam Pearson, MD Lebanon NH Anna Tosteson, ScD Lebanon NH Kenneth J Koval, MD Lebanon NH Michael D McKee, MD Toronto ON Canada Robert V Cantu, MD Lebanon NH John-Erik Bell, MD Hanover NH Drew Crapser Hanover NH Milena Vicente, RN Toronto ON Canada Garrett C Davis, MD Lebanon NH Moderator(s): Kenneth A Egol, MD New York NY Nirmal C Tejwani, MD New York NY The cost-effectiveness of clavicle ORIF is dependent on the duration of benefit of ORIF, the increased time to union associated with nonoperative treatment, and the actual cost of treatment. Open reduction internal fixation (ORIF) of displaced, midshaft clavicle fractures in adults has been shown to improve shoulder function compared to non-operative treatment. However, it is unclear if the cost of ORIF justifies this relatively small functional benefit. Decision analysis was used to model both short- and long-term outcomes for ORIF and no
