Operative vs. Non-operative Management of Type II Supracondylar Humeral Fractures in Children: An Expected Value Decision Analysis & Direct Cost Comparison

Background: Supracondylar humeral fractures account for up to 15% of pediatric fractures. Although most physicians agree on Gartland Type I and III fracture management, debate remains regarding Type II fracture management. By comparing the costs and expected utility produced by operative and non-operative management, this study helps health-care providers make management decisions which maximize patient utility and reduce health-care costs. Hypothesis: Comparing charges and expected utilities of operative and non-operative management of Type II supracondylar humeral fractures in children can …