{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T01:01:41Z","timestamp":1793754101198,"version":"4.6.1"},"reference-count":29,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"9","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:p> This study compares the cost-effectiveness of treating dorsally displaced distal radial fractures with a volar locking plate and percutaneous fixation. It was performed from the perspective of the National Health Service (NHS) using data from a single-centre randomised controlled trial. In total 130 patients (18 to 73 years of age) with a dorsally displaced distal radial fracture were randomised to treatment with either a volar locking plate (n = 66) or percutaneous fixation (n = 64). The methodology was according to National Institute for Health and Care Excellence guidance for technology appraisals. . <\/jats:p><jats:p> There were no significant differences in quality of life scores between groups at any time point in the study. Both groups returned to baseline one year post-operatively. <\/jats:p><jats:p> NHS costs for the plate group were significantly higher (p &lt; 0.001, 95% confidence interval 497 to 930). For an additional \u00a3713, fixation with a volar locking plate offered 0.0178 additional quality-adjusted life years in the year after surgery. The incremental cost-effectiveness ratio (ICER) for plate fixation relative to percutaneous fixation at list price was \u00a340 068. When adjusting the prices of the implants for a 20% hospital discount, the ICER was \u00a331 898. Patients who underwent plate fixation did not return to work earlier. <\/jats:p><jats:p> We found no evidence to support the cost-effectiveness, from the perspective of the NHS, of fixation using a volar locking plate over percutaneous fixation for the operative treatment of a dorsally displaced radial fracture. <\/jats:p><jats:p> Cite this article: Bone Joint J 2015;97-B:1264\u201370. <\/jats:p>","DOI":"10.1302\/0301-620x.97b9.35560","type":"journal-article","created":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T10:47:59Z","timestamp":1441104479000},"page":"1264-1270","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":37,"title":["Cost\u2013effectiveness of volar locking plate <i>versus<\/i> percutaneous fixation for distal radial fractures"],"prefix":"10.1302","volume":"97-B","author":[{"given":"A.","family":"Karantana","sequence":"first","affiliation":[{"name":"Academic Orthopaedics, Trauma and Sports\rMedicine, Arthritis Research UK Pain and Sports,  Exercise\rand Osteoarthritis Centres, School of MedicineUniversity\rof Nottingham and Nottingham University Hospitals NHS Trust."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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