Costs and Radiographic Outcomes of Rotational Ankle Fractures Treated by Orthopaedic Surgeons With or Without Trauma Fellowship Training

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dc.contributor.authorVirkus, Walter W.
dc.contributor.authorWetzel, Robert J.
dc.contributor.authorMcKinley, Todd O.
dc.contributor.authorSorkin, Anthony T.
dc.contributor.authorCheesman, Jeffrey S.
dc.contributor.authorHill, Lauren C.
dc.contributor.authorKempton, Laurence B.
dc.contributor.departmentOrthopaedic Surgery, School of Medicineen_US
dc.date.accessioned2019-04-03T16:01:07Z
dc.date.available2019-04-03T16:01:07Z
dc.date.issued2018-06
dc.description.abstractIntroduction: We evaluated the radiographic outcomes and surgical costs of surgically treated rotational ankle fractures in our health system between providers who had completed a trauma fellowship and those who had not. Methods: We grouped patients into those treated by trauma-trained orthopaedic surgeons (TTOS) and non–trauma-trained orthopaedic surgeons (NTTOS). We graded the quality of fracture reductions and calculated implant-related costs of treatment. Results: A total of 208 fractures met the inclusion criteria, with 119 in the TTOS group and 89 in the NTTOS group. Five patients lost reduction during the follow-up period. The adequacy of fracture reduction at final follow-up did not differ (P = 0.29). The median surgical cost was $2,940 for the NTTOS group and $1,233 for the TTOS group (P < 0.001). Discussion: We found no notable differences in radiographic outcomes between the TTOS and NTTOS groups. Cost analysis demonstrated markedly higher implant-related costs for the NTTOS group, with the median surgical cost being more than twice that for the TTOS group. Level of Evidence: Level IIIen_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationVirkus, W., Wetzel, R., McKinley, T., Sorkin, A., Cheesman, J., Hill, L., & Kempton, L. (2018). Costs and Radiographic Outcomes of Rotational Ankle Fractures Treated by Orthopaedic Surgeons With or Without Trauma Fellowship Training. Journal of the American Academy of Orthopaedic Surgeons, 26(12). https://doi.org/10.5435/JAAOS-D-16-00687en_US
dc.identifier.urihttps://hdl.handle.net/1805/18759
dc.language.isoenen_US
dc.publisherWolters Kluweren_US
dc.relation.isversionof10.5435/JAAOS-D-16-00687en_US
dc.relation.journalJournal of the American Academy of Orthopaedic Surgeonsen_US
dc.rightsPublisher Policyen_US
dc.sourceAuthoren_US
dc.subjecttrauma fellowshipen_US
dc.subjectrotational ankle fracturesen_US
dc.subjectradiographic outcomesen_US
dc.titleCosts and Radiographic Outcomes of Rotational Ankle Fractures Treated by Orthopaedic Surgeons With or Without Trauma Fellowship Trainingen_US
dc.typeArticleen_US
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