An Epidemiologic Perspective on Scaphoid Fracture Treatment and Frequency of Nonunion Surgery in the USA.

ABSTRACT:

Background

Scaphoid fractures treated non-operatively and operatively may be complicated by nonunion.

Questions/purposes

We sought to test the primary hypothesis that the incidence density of scaphoid fracture treatment is higher than previously estimated, to determine the frequency and risk factors for nonunion treatment, and to determine whether the frequency of surgical treatment increased over time.

Methods

The MarketScan^® database was queried for all records of treatment (casting and surgery) for closed scaphoid fractures over a 6-year period. We examined subsequent claims to determine frequency of additional procedures for nonunion treatment (revision fixation or vascularized grafting occurring 28 days or more after initial treatment). Trend analyses

SUBMITTER: Dy CJ 

PROVIDER: S-EPMC6148584 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature