Stone Jeffrey D, Vaccaro Lisa M, Brabender R Colin, Hess Alfred V
Florida Orthopaedic Institute, Tampa, FL.
Foundation for Orthopaedic Research and Education, Tampa, FL.
J Hand Surg Am. 2015 Jun;40(6):1106-9. doi: 10.1016/j.jhsa.2015.02.013. Epub 2015 Mar 31.
To evaluate the utility of radiographs taken 2 weeks following plate fixation of distal radius fractures.
A retrospective review of patients requiring operative fixation of distal radius fractures was performed with the objective of determining the utility of a 2-week postoperative radiograph in patient management.
Three out of 268 (1%) patients had loss of fixation noted radiographically at the 2-week visit that resulted in a reoperation. There was no statistically significant difference in radial inclination, radial height, or volar tilt measured at 2 weeks, 6 weeks, or final follow-up. The average cost of a series of wrist radiographs was $85 with no additional radiology reading fees.
Routine 2-week postoperative radiographs of operatively treated distal radius fractures rarely resulted in a change in patient management; however, they may have added unnecessary cost to the patient and health care system.
TYPE OF STUDY/LEVEL OF EVIDENCE: Economic and decision analysis IV.
评估桡骨远端骨折钢板固定术后2周所摄X线片的作用。
对需要手术固定桡骨远端骨折的患者进行回顾性研究，目的是确定术后2周X线片在患者管理中的作用。
268例患者中有3例（1%）在术后2周的X线检查中发现内固定松动，需再次手术。在术后2周、6周或最终随访时测量的桡骨倾斜度、桡骨高度或掌倾角，差异均无统计学意义。一系列腕部X线片的平均费用为85美元，无额外的放射科阅片费用。
手术治疗的桡骨远端骨折术后常规2周X线片很少导致患者管理方式的改变；然而，它们可能给患者和医疗系统增加了不必要的费用。
研究类型/证据水平：经济与决策分析IV级。
