Utility and cost analysis of radiographs taken 2 weeks following plate fixation of distal radius fractures

Abstract

Purpose To evaluate the utility of radiographs taken 2 weeks following plate fixation of distal radius fractures. Methods 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. Results 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. Conclusions 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.