Data compiled within the Humana database are derived from a combination of Medicare/Medicare Advantage and private-payers yielding 18,620,198 patients from 2007-2014.
#Cpt code for orif radial head fracture software#
This software is a publicly available Health Insurance Portability and Accountability Act-compliant database that compiles the entire Humana files into a server. We hypothesize a gradual increase in patients being treated with RHA for RHNF and non-operative management for OF compared with ORIF for these fractures during this time period.Ī retrospective review of the entire Humana database for radial head and neck fractures as well as olecranon fractures in patients over 15 years old was conducted through the use of the Pearl Diver supercomputer (Warsaw, IN, USA). The purpose of this study is to examine the national trends for management of two common elbow fractures-1) radial head and neck fractures (RHNF) 2) olecranon fractures – using the Humana claims database between 20. While the literature has helped to outline those fractures that might best be treated with surgery, and innovations in surgical technique and surgical implants have continued to improve, national trends have not been examined to determine the impact of these advances. Furthermore, those fractures that contain three or more fragments are often managed with radial head arthroplasty (RHA), as osteosysnthesis has been shown to result in high rates of unsatisfactory outcomes. More recently, osteosynthesis has been suggested when the displaced fragments result in a loss of forearm rotation or are combined with ligamentous injuries. Displaced radial head fractures have historically been managed with osteosynthesis or radial head excision. However, there has been a more recent emphasis on non-operative treatment of displaced olecranon fractures (OF) in the elderly. ĭisplaced fractures of the olecranon have historically been managed with variable methods of osteosynthesis.
While minimally-displaced, stable fractures are typically managed with non-operative treatment, those that are significantly displaced or comminuted are commonly treated with surgical intervention.
Fractures of the proximal ulna and radius are the most commonly observed elbow fractures.
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