Original Paper

International Orthopaedics

, Volume 33, Issue 5, pp 1445-1448

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

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

  • Richard A. GosselinAffiliated withSchool of Public Health, University of California at Berkeley Email author 
  • , Merja HeittoAffiliated withEmergency Hospital
  • , Lew ZirkleAffiliated withSurgical Implant Generation Network (SIGN)

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.