Analysis of Postoperative Complications and Related Factors Affecting Prognosis in 50 Patients with Distal Radius Fractures

Objective. To explore the postoperative complications of distal radius fractures and analyze the related factors that affect its prognosis. Methods. The clinical data of 50 patients with distal radius fractures admitted to our hospital from October 2016 to September 2019 were retrospectively analyzed. All patients were followed up for 6–12 months, and their postoperative complications were recorded. Collect general patient information and related clinical data. During the follow-up process, Gartland and Werley wrist function scoring system was used to evaluate the prognosis of patients’ joint function. Univariate analysis and multiple logistic regression models were used to analyze the related factors that affected the prognosis of patients. Results. 15 patients with postoperative complications were found during the follow-up period, with an incidence rate of 30.00%. Univariate analysis showed that the patient’s age, cause of injury, AO classification, shortened deformity, whether it was osteoporosis, surgical method, whether it was combined with other fractures on the same side, whether it was comminuted fracture, and the time to start postoperative exercise were all related to the distal radius. The prognosis of fractures is related ( P < 0.05 ). Multivariate logistic analysis showed that age, AO classification, surgical method, whether it was combined with other fractures on the same side, whether it was comminuted fracture, and the time to start postoperative exercise were the independent factors affecting the prognosis of distal radius fractures ( P < 0.05 ). Conclusion. The postoperative complications of distal radius fractures are higher. The prognosis is related to the patient’s age, AO classification, surgical method, whether it is combined with other fractures on the same side, whether it is comminuted fracture, and the time to start postoperative exercise. Therefore, choosing an appropriate surgical method and starting exercise in time can effectively improve the recovery of the patient’s wrist function and reduce the occurrence of complications.

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Effect of Downsized Screw Selection on Bone Healing and Postoperative Complications in Volar Plating of Distal Radius Fractures

Orthopedics ◽

10.3928/01477447-20201210-08 ◽

2020 ◽

Author(s):

Katsunori Ohno ◽

Naohide Takigawa ◽

Chisato Watanabe ◽

Akihiko Oda ◽

Tsunehiko Ishizu ◽

...

Keyword(s):

Postoperative Complications ◽

Distal Radius ◽

Bone Healing ◽

Distal Radius Fractures ◽

Volar Plating ◽

Radius Fractures

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Factors affecting functional outcome of displaced intra-articular distal radius fractures

The Journal Of Hand Surgery ◽

10.1016/0363-5023(94)90028-0 ◽

1994 ◽

Vol 19 (2) ◽

pp. 325-340 ◽

Cited By ~ 336

Author(s):

Thomas E. Trumble ◽

Susan R. Schmitt ◽

Nicholas B. Vedder

Keyword(s):

Functional Outcome ◽

Distal Radius ◽

Distal Radius Fractures ◽

Radius Fractures ◽

Factors Affecting

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Is the Additional Effort for an Intraoperative CT Scan Justified for Distal Radius Fracture Fixations? A Comparative Clinical Feasibility Study

Journal of Clinical Medicine ◽

10.3390/jcm9072254 ◽

2020 ◽

Vol 9 (7) ◽

pp. 2254 ◽

Cited By ~ 1

Author(s):

Sascha Halvachizadeh ◽

Till Berk ◽

Alexander Pieringer ◽

Emanuael Ried ◽

Florian Hess ◽

...

Keyword(s):

Surgical Treatment ◽

Radiation Dose ◽

Ct Scan ◽

Distal Radius ◽

Distal Radius Fractures ◽

Ct Scans ◽

Radius Fractures ◽

Ao Classification ◽

Intraoperative Ct ◽

Duration Of Surgery

Introduction: It is currently unclear whether the additional effort to perform an intraoperative computed tomography (CT) scan is justified for articular distal radius fractures (DRFs). The purpose of this study was to assess radiological, functional, and clinical outcomes after surgical treatment of distal radius fractures when using conventional fluoroscopy vs. intraoperative CT scans. Methods: Inclusion criteria: Surgical treatment of DRF between 1 January 2011 and 31 December 2011, age 18 and above. Group distribution: intraoperative conventional fluoroscopy (Group Conv) or intraoperative CT scans (Group CT). Exclusion criteria: Use of different image intensifier devices or incomplete data. DRF classification according to the Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification. Outcome variables included requirement of revision surgeries, duration of surgery, absorbed radiation dose, and requirement of additional CT scans during hospitalization. Results: A total of 187 patients were included (Group Conv n = 96 (51.3%), Group CT n = 91 (48.7%)). AO Classification: Type A fractures n = 40 (50%) in Group Conv vs. n = 16 (17.6%) in Group CT, p < 0.001; Type B: 10 (10.4%) vs. 11 (12.1%), not significant (n.s.); Type C: 38 (39.6%) vs. 64 (70.3%), p < 0.001. In Group Conv, four (4.2%) patients required revision surgeries within 6 months, but in Group CT no revision surgery was required. The CT scan led to an intraoperative screw exchange/reposition in 23 (25.3%) cases. The duration of the initial surgery (81.7 ± 46.4 min vs. 90.1 ± 43.6 min, n.s.) was comparable. The radiation dose was significantly higher in Group CT (6.9 ± 1.3 vs. 2.8 ± 7.8 mGy, p < 0.001). In Group Conv, 11 (11.5%) patients required additional CT scans during hospitalization. Conclusion: The usage of intraoperative CT was associated with improved reduction and more adequate positioning of screws postoperatively with comparable durations of surgery. Despite increased efforts by utilizing the intraoperative CT scan, the decrease in reoperations may justify its use.

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Use of Cobra External Fixator for treatment of Distal Radius Fractures

Asian Journal of Medical Sciences ◽

10.3126/ajms.v9i6.20594 ◽

2018 ◽

Vol 9 (6) ◽

pp. 84-89

Author(s):

Niraj Ranjeet ◽

Pratyenta Raj Onta ◽

Krishna Sapkota ◽

Pabin Thapa ◽

Krishna Wahegoankar ◽

...

Keyword(s):

Distal Radius ◽

External Fixator ◽

Treatment Options ◽

Distal Radius Fractures ◽

Medical Sciences ◽

Radius Fractures ◽

Ao Classification ◽

Functional Activities ◽

Clavicle Fractures

Background: Distal radius fractures are one of the commonest injuries only after clavicle fractures. These fractures poses challenges to the treating surgeons as a result of which these fractures are sometime treated unacceptably and leads to poor outcome. Among various treatment options for these fractures wrist sparing Cobra external fixator is one of the options with an impressive stability and outstanding functional outcomes.Aims and Objectives: To determine whether this system can achieve adequate reduction of a variety of DRF, is able to maintain reduction despite hand and wrist movements, whether it compromises hand and wrist functions and leads to long term problems.Materials and Methods: From July 1, 2016 - June 30, 2017, all skeletally matured patients with acute distal radius fractures (AO-A2, B1, C1, C2) were adequately reduced and fixed with Cobra ex-fix. Immediately post-op patients were encouraged to start range of motion of the wrist as the pain decreased. The patients were followed up in 2,4 and 8 weeks and were analyzed clinically, radiologically, their functional outcomes and any complications.Results: Twenty-two patients were included in our study. Nine were males and 13 were females. Using the AO classification, 15 were classified as A2, 2 were B1, 3 were C1, and 2 were C2. The mean number of weeks the cobra fixator was maintained was 5.3 weeks. The Cobra ex-fix was able to achieve excellent maintenance of radial height and radial inclination and good maintenance of dorsal tilt. Recovery of functional activities according to Gartland and Werley’s functional scoring system was good to excellent in all patients at 8 weeks follow-up.Conclusion: The Cobra external fixation system is an outstanding device for use in fractures of the distal radius. It achieves superior anatomic correction and is dependable in maintaining fracture reduction even with hand and wrist use.Asian Journal of Medical Sciences Vol.9(6) 2018 84-89

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Level of osteoporosis awareness and its related factors in low density distal radius fractures patients aged 50 years and older in Asian country

Osteoporosis and Sarcopenia ◽

10.1016/j.afos.2017.08.042 ◽

2017 ◽

Vol 3 (3) ◽

pp. S23

Author(s):

Muhammad Muzzammil ◽

Ayesha Mughal ◽

Muhammad Saeed Minhas ◽

Syed Jahanzeb ◽

Abdul Qadir ◽

...

Keyword(s):

Distal Radius ◽

Asian Country ◽

Distal Radius Fractures ◽

Low Density ◽

Radius Fractures ◽

Related Factors

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A Matched Comparison of Postoperative Complications Between Smokers and Nonsmokers Following Open Reduction Internal Fixation of Distal Radius Fractures

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2020.09.020 ◽

2021 ◽

Vol 46 (1) ◽

pp. 1-9.e4

Author(s):

Anoop R. Galivanche ◽

Shannon FitzPatrick ◽

Christopher Dussik ◽

Rohil Malpani ◽

Afamefuna Nduaguba ◽

...

Keyword(s):

Postoperative Complications ◽

Internal Fixation ◽

Distal Radius ◽

Open Reduction ◽

Open Reduction Internal Fixation ◽

Distal Radius Fractures ◽

Radius Fractures ◽

Matched Comparison

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Functional Outcomes in Volar-Displaced Distal Radius Fractures Patients with Marginal Rim Fragment Treated by Volar Distal Locking Plates

Journal of Hand and Microsurgery ◽

10.1055/s-0038-1675245 ◽

2018 ◽

Vol 11 (02) ◽

pp. 100-105 ◽

Cited By ~ 4

Author(s):

Kiyohito Naito ◽

Yoichi Sugiyama ◽

Mayuko Kinoshita ◽

Hiroyuki Obata ◽

Kenji Goto ◽

...

Keyword(s):

Distal Radius ◽

Functional Outcomes ◽

Visual Analog Scale Score ◽

Distal Radius Fractures ◽

Radius Fractures ◽

Pronator Quadratus ◽

Ao Classification ◽

The Mean ◽

Pronator Quadratus Muscle

Abstract Background Treatment of volar-displaced distal radius fractures (DRF) accompanied by marginal rim fragment has recently been actively discussed. It is difficult to obtain a sufficient buttress effect on this fragment. Therefore, we actively apply a distal volar locking plate (DVLP) to fractures with this fragment. Here, we report the treatment outcomes and caveats of surgery of fractures with this fragment. Materials and Methods The subjects were 32 patients (male: 11, female: 21, and mean age: 59.4 years) with volar dislocated DRF accompanied by the marginal rim fragment treated using DVLP. The fracture type of AO classification was B3 in 6 patients, C1 in 12, C2 in 6, and C3 in 8. Results The mean duration of follow-up was 13.8 (12–30) months. The plate could be covered with the pronator quadratus muscle in surgery in all patients. On the final follow-up, visual analog scale score was 1.4/10, quick disabilities of the arm, shoulder, and hand score was 9.2/100, and the Mayo wrist score was 93.7/100. No complication was observed in the soft tissue, such as the nerves and flexor tendons. Conclusion The factor determining retention of the reduction position of the marginal rim fragment is a sufficient buttress effect, and DVLP is a useful implant in terms of this point.

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