Comparison of Direct Perioperative Costs in Treatment of Unstable Distal Radial Fractures Open Reduction and Internal Fixation Versus Closed Reduction and Percutaneous Pinning

摘要

Background: As the United States transitions to value-based insurance, bundled payments, and capitated models, it is paramount to understand health-care costs and resource utilization. The financial implications of open reduction and internal fixation (ORIF) with a volar locking plate for management of unstable distal radial fractures have not been established. We aimed to elucidate cost differences between ORIF and closed reduction and percutaneous pinning (CRPP). Our hypothesis was that ORIF has greater direct perioperative costs than CRPP but that the costs equilibrate over time.