High probability of cost-efficacy for nailing vs. plating of distal tibia Frx at low WTP thresholds
A comparison of the cost-effectiveness of intramedullary nail fixation and locking plate fixation in the treatment of adult patients with an extra-articular fracture of the distal tibia
Bone Joint J. 2018 May 1;100-B(5):624-633321 patients with a distal tibial fracture were randomized to fixation with either an intramedullary nail (IMN) or a locking plate (LP). The purpose of this study was to compare cost-effectiveness of an intrmaedullary nail to a locking plate based on 12-month follow-up. Cost data demonstrated lower total societal cost and National Health Service (NHS) cost in the IMN group compared to the LP group, with similar gain in quality-adjusted life years between groups. Resulting probabilities of IMN fixation being cost-effective relative to LP fixation were above 90% at each willingness-to-pay threshold of £15,000, £20,000, and £30,000.
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