Abstract
Aim: To estimate the health economic impact of osteosynthesis (OS) in fracture care over six decades in 17 high-income countries. Patients & methods: Applying a decision tree model, we assumed a hypothetical absence of OS and compared OS (intervention) with conservative treatment (CONS; comparator). We included patients with femur, tibia and radius fractures (age <65years) and for proximal femur fractures also elderly patients (≥70years). Results: We estimated savings in direct and indirect costs of 855billion Swiss francs in the working age population in addition to 4.6million years of life gained. In the elderly population, 69billion Swiss francs were saved in direct costs of proximal femur fractures in addition to 73million years of life gained. Conclusion: OS contributed to maximize health gains of society.
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