Operative Distal Radial Fractures: A Comparison of Time to Surgery After Evaluation by Surgical and Nonsurgical Providers in a Walk-in Clinic

Orthop Clin North Am. 2020 Apr;51(2):235-239. doi: 10.1016/j.ocl.2019.11.006. Epub 2019 Dec 25.

Abstract

To determine if orthopedic surgeons are more efficient than nonsurgical providers at care of operative injuries in walk-in clinics, patients in a walk-in clinic for evaluation of acute injury who subsequently had surgical treatment of isolated distal radial fracture were compared based on whether the initial visit was with a surgical or nonsurgical provider. Initial evaluation in a walk-in orthopedic clinic setting versus a conventional hand surgeon's clinic was associated with longer delay between initial evaluation and surgical treatment, but this difference may not be significant. Evaluation by a nonsurgical provider was not associated with increased duration to definitive treatment.

Keywords: Distal radial fracture; Evaluation; Nonsurgical providers; Walk-in clinic.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Ambulatory Care
  • Ambulatory Care Facilities
  • Female
  • Fracture Fixation, Internal
  • Fracture Healing
  • Humans
  • Male
  • Middle Aged
  • Radius Fractures / surgery*
  • Radius Fractures / therapy
  • Time-to-Treatment
  • Young Adult