Cost analysis and performance in distal pediatric forearm fractures: is a short-arm cast superior to a sugar-tong splint?
The aim of this study is to compare splint versus cast immobilization for maintaining alignment following closed reduction of distal 1/3 radius and both-bone forearm fractures. We performed a retrospective review of patient records between 5 and 14 years old with a distal 1/3 radius or radius and ulna fracture requiring reduction. A cost comparison was also performed using facility costs for materials. Reduction was maintained with acceptable alignment in most cases (94%). Although a sugar-tong splint slightly maintained fracture alignment better, this was not significant. Cost analysis favored initial placement of a short-arm cast ($23.59) versus a splint with later cast conversion ($26.95). Pediatric patients with a distal 1/3 radius and/or both-bone fracture requiring reduction maintain postreduction alignment irrespective of the immobilization method used, but initial placement of a short-arm cast is more cost-effective.
aRiverside County Regional Medical Center, Moreno Valley bChildren's Hospital of Orange County, Orange cWestern University of Health Sciences, Pomona, California, USA.
Joshua S
JS
Acree
John
J
Schlechter
Scott
S
Buzin
D000293:Adolescent; D002370:Casts, Surgical / Q000191:economics* / Q000592:standards; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D003362:Cost-Benefit Analysis / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D011885:Radius Fractures / Q000191:economics* / Q000628:therapy; D013165:Splints / Q000191:economics* / Q000592:standards; D014458:Ulna Fractures / Q000191:economics* / Q000628:therapy