Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2009 Oct;33(5):1445-8.
doi: 10.1007/s00264-009-0798-x. Epub 2009 May 13.

Cost-effectiveness of replacing skeletal traction by interlocked intramedullary nailing for femoral shaft fractures in a provincial trauma hospital in Cambodia

Richard A Gosselin  1 , Merja Heitto, Lew Zirkle
Affiliations
Comparative Study

Cost-effectiveness of replacing skeletal traction by interlocked intramedullary nailing for femoral shaft fractures in a provincial trauma hospital in Cambodia

Richard A Gosselin et al. Int Orthop. 2009 Oct.

Abstract

In this article the costs and effectiveness of introducing the SIGN nailing system for femoral shaft fractures in a provincial trauma hospital in Cambodia are compared to those of Perkin's traction treatment. At an average cost per patient of $1,107 in the traction group and $888 in the nail group (p < 0.01), and with better clinical outcomes in the nail group, internal fixation is more cost-effective than conservative treatment.

PubMed Disclaimer

References

    1. Bozic KJ, Rosenberg AG, Huckman RS, Herndon JH. Economic evaluation in orthopaedics. J Bone Jt Surg (Am) 2003;85:129–142. - PubMed
    1. Busse JW, Bhandari M, Sprague S, et al. An economic analysis of management strategies for closed and open grade 1 tibial shaft fractures. Acta Orthopaedica. 2005;76(5):705–712. doi: 10.1080/17453670510041808. - DOI - PubMed
    1. Clinkscales CM, Peterson HA. Isolated closed diaphyseal fractures of the femur in children: comparison of effectiveness and cost of several treatment methods. Orthopedics. 1997;20(12):1131–1136. - PubMed
    1. Downing ND, Griffin DR, Davis TR. A comparison of the relative costs of cast treatment and intramedullary nailing for tibial diaphyseal fractures in the UK. Injury. 1997;28:373–375. doi: 10.1016/S0020-1383(97)00028-4. - DOI - PubMed
    1. Gosselin RA, Lavaly DJ. Perkins traction for adult femoral shaft fractures: a report on 53 patients in Sierra Leone. Int Orthop Vol. 2007;31(5):697–702. doi: 10.1007/s00264-006-0233-5. - DOI - PMC - PubMed

Publication types