Virkus, Walter W.Wetzel, Robert J.McKinley, Todd O.Sorkin, Anthony T.Cheesman, Jeffrey S.Hill, Lauren C.Kempton, Laurence B.2019-04-032019-04-032018-06Virkus, W., Wetzel, R., McKinley, T., Sorkin, A., Cheesman, J., Hill, L., & Kempton, L. (2018). Costs and Radiographic Outcomes of Rotational Ankle Fractures Treated by Orthopaedic Surgeons With or Without Trauma Fellowship Training. Journal of the American Academy of Orthopaedic Surgeons, 26(12). https://doi.org/10.5435/JAAOS-D-16-00687https://hdl.handle.net/1805/18759Introduction: We evaluated the radiographic outcomes and surgical costs of surgically treated rotational ankle fractures in our health system between providers who had completed a trauma fellowship and those who had not. Methods: We grouped patients into those treated by trauma-trained orthopaedic surgeons (TTOS) and non–trauma-trained orthopaedic surgeons (NTTOS). We graded the quality of fracture reductions and calculated implant-related costs of treatment. Results: A total of 208 fractures met the inclusion criteria, with 119 in the TTOS group and 89 in the NTTOS group. Five patients lost reduction during the follow-up period. The adequacy of fracture reduction at final follow-up did not differ (P = 0.29). The median surgical cost was $2,940 for the NTTOS group and $1,233 for the TTOS group (P < 0.001). Discussion: We found no notable differences in radiographic outcomes between the TTOS and NTTOS groups. Cost analysis demonstrated markedly higher implant-related costs for the NTTOS group, with the median surgical cost being more than twice that for the TTOS group. Level of Evidence: Level IIIenPublisher Policytrauma fellowshiprotational ankle fracturesradiographic outcomesArticle