Potential Economic Benefits of Limited Clinical and Radiographic Follow-up After Plate Fixation of Midshaft Clavicle Fractures.

J Am Acad Orthop Surg

From the Musculoskeletal Institute, Geisinger Medical Center, Danville, PA (Dr. Sanchez Morales, Dr. Borade, Dr. Maniar, and Dr. Horwitz), and the Department of Orthopaedic Surgery, University of South Florida, Tampa, FL, (Dr. Serrano Riera and Dr. Sanders).

Published: June 2019

AI Article Synopsis

  • The study evaluated the necessity of routine follow-up after clavicle fractures have healed by reviewing 246 cases treated surgically at trauma centers.
  • Results showed that there were no significant changes in fracture alignment or implant position after healing, with an average follow-up time of 31.4 months.
  • The research suggests that limiting routine follow-up could be safe and cost-effective, saving healthcare resources as further imaging does not yield additional valuable information.

Article Abstract

Introduction: The role of routine clinical and radiographic follow-up after clavicle fractures are healed was evaluated.

Methods: A retrospective study performed in two level-1 trauma centers included 246 adults with healed clavicle fractures treated surgically between 2000 and 2013 and at least 24-month follow-up. Based on radiographs, changes in fracture alignment or implant position from union to final follow-up were documented. The average reimbursement for a follow-up clinical visit and a clavicle radiograph was estimated.

Results: Mean time to union and mean time of follow-up were of 4.8 and 31.4 months, respectively. No changes in implant position or fracture alignment occurred after the fracture had healed. The amount reimbursed to our institution for two clinical visits and two clavicle radiographs was approximately $300 to $540.

Conclusion: Once clavicle fractures are healed, further radiographic imaging does not provide any notable information. Limiting routine follow-up is safe and could be cost-effective for the healthcare system.

Level Of Evidence: Level-III retrospective cohort study.

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Source
http://dx.doi.org/10.5435/JAAOS-D-17-00598DOI Listing

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