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Direct and indirect costs in the conservative management of undisplaced scaphoid fractures

Fusetti, C. ; Garavaglia, G. ; Papaloizos, M. ; Wasserfallen, J. ; Büchler, U. ; Nagy, L.

In: European Journal of Orthopaedic Surgery & Traumatology, 2003, vol. 13, no. 4, p. 241-244

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    Titre
    • Direct and indirect costs in the conservative management of undisplaced scaphoid fractures
    Auteur
    • Fusetti, C.. Division of Hand Surgery, Department of Orthopaedics, Plastic and Hand Surgery, University of Bern, Inselspital, Bern, Switzerland
    • Garavaglia, G.. Orthopaedic Surgery, Department of Surgery, Hôpitaux Universitaires, Geneva, Switzerland
    • Papaloizos, M.. Centre de Chirurgie et de Thérapie de la Main, Geneva, Switzerland
    • Wasserfallen, J.. Medical Direction, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
    • Büchler, U.. Division of Hand Surgery, Department of Orthopaedics, Plastic and Hand Surgery, University of Bern, Inselspital, Bern, Switzerland
    • Nagy, L.. Division of Hand Surgery, Department of Orthopaedics, Plastic and Hand Surgery, University of Bern, Inselspital, Bern, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • European Journal of Orthopaedic Surgery & Traumatology, 2003, vol. 13, no. 4, p. 241-244. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:314251
    Summary
    The scaphoid is the most commonly fractured carpal bone, and preferable treatment of undisplaced fractures is controversial. In order to assess the socio-economic impact of treatment modalities, we analysed the cost of conservative management of 54 undisplaced scaphoid fractures. Global costs amounted to 14.077 Swiss francs (9385 euros) per patient. Direct costs represent only 10% of global costs. No significant correlation was found between costs and timing of diagnosis, hand dominance or complications. Thirty-four percent of patients were able to resume their job with the wrist immobilised without complication, but at an obvious impact on indirect and global costs. If early resumption of professional activities during conservative treatment of undisplaced scaphoid fractures does not impair successful fracture healing, patients should be encouraged to return to work as early as possible, as is routinely done after percutaneous fracture fixation. This will contribute to massively reducing the cost of conservative treatment