Risk factors for complications after volar plate fixation of distal radial fractures

2018 ◽  
Vol 44 (5) ◽  
pp. 456-461 ◽  
Author(s):  
Kai Sirniö ◽  
Tapio Flinkkilä ◽  
Marko Vähäkuopus ◽  
Antti Hurskainen ◽  
Pasi Ohtonen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Complication Rate ◽  
Plate Fixation ◽  
Volar Plate ◽  
Distal Radial Fractures ◽  
Level Of Evidence ◽  
Patient Age ◽  
Patient Âgé ◽  
Volar Plate Fixation ◽  
Low Volume

This study assessed risk factors for complications after volar plate fixation of distal radial fractures. An assessment of electronic patient records from 2008 to 2016 identified 867 patients with a total of 881 distal radial fractures who underwent volar plating in our hospital. A total of 132 complications after volar plate fixation of distal radial fractures were observed (complication rate 15%). Surgery performed by a low-volume surgeon and patient age less than 40 years were the most important risk factors for plate-related complications. In logistic regression analysis, operation performed by a low-volume surgeon and patient age less than 40 years were independent predictors of plate-related complications. Patient age less than 40 years and low-volume surgeon were also found to be independent risk factors for plate-related secondary operations. Surgical delay had no effect on the complication rate. Level of evidence: IV

Fracture of the Distal Radius: Risk Factors for Complications After Locked Volar Plate Fixation

2011 ◽  
Vol 36 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Maximillian Soong ◽  
Roderick van Leerdam ◽  
Thierry G. Guitton ◽  
Christopher Got ◽  
Julia Katarincic ◽  
...  
Keyword(s):  
Risk Factors ◽  
Distal Radius ◽  
Plate Fixation ◽  
Volar Plate ◽  
Volar Plate Fixation

scholarly journals Predictors of Serious Complications Associated with Lower Gastrointestinal Endoscopy in a Major City-Wide Health Region

2010 ◽  
Vol 24 (7) ◽  
pp. 425-430 ◽  
Author(s):  
Harminder Singh ◽  
Robert B Penfold ◽  
Carolyn De Coster ◽  
Wendy Au ◽  
Charles N Bernstein ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Practice ◽  
Hospital Admissions ◽  
Patient Age ◽  
Index Procedure ◽  
Gi Endoscopy ◽  
Patient Âgé ◽  
Usual Clinical Practice ◽  
Low Volume ◽  
And Performance

BACKGROUND: There are limited data regarding complications associated with colonoscopy and flexible sigmoidoscopy in usual clinical practice in Canada.OBJECTIVE: To determine the risk factors for lower gastrointestinal (GI) endoscopy-associated complications in usual clinical practice.METHODS: All outpatient lower GI endoscopies performed in Winnipeg (Manitoba) between April 1, 2004 and March 31, 2006, were identified from the provincial physicians’ claims database. All subsequent hospital admissions within 30 days that documented potential complications associated with lower GI endoscopies were identified from the electronic hospital discharges database and reviewed. Multivariate generalized estimating equation regression analysis was performed to determine independent factors (patient, endoscopist and procedure) associated with the risk of developing complications.RESULTS: There were 29,990 outpatient lower GI endoscopies performed in Winnipeg during the years studied. Seventy-seven (0.26%) procedures were associated with complications requiring hospitalization within 30 days of the index procedure. Stricture dilation (rate ratio [RR] 23.14; 95% CI 6.70 to 76.51), polypectomy (RR 5.93; 95% CI 3.66 to 9.62), increasing patient age (for each year increase in age, RR 1.03; 95% CI 1.01 to 1.05) and performance of endoscopy by low-volume endoscopists (fewer than 200 procedures per year, RR 2.28; 95% CI 1.18 to 4.42) and family physicians (RR 2.23; 95% CI 1.39 to 3.58) were independently associated with complications.CONCLUSIONS: The results of the present study suggest that increasing patient age, complex procedures and performance of the index procedure by low-volume endoscopists are independent risk factors for lower GI endoscopy-associated complications in usual clinical practice. This suggests that it may be time to consider implementing minimum volume requirements for endoscopists performing non-screening lower GI endoscopies.

Volar Plate Fixation Versus Plaster Immobilization in Acceptably Reduced Extra-Articular Distal Radial Fractures

2019 ◽  
Vol 101 (9) ◽  
pp. 787-796 ◽  
Author(s):  
Marjolein A.M. Mulders ◽  
Monique M.J. Walenkamp ◽  
Susan van Dieren ◽  
J. Carel Goslings ◽  
Niels W.L. Schep
Keyword(s):  
Plate Fixation ◽  
Volar Plate ◽  
Distal Radial Fractures ◽  
Volar Plate Fixation ◽  
Plaster Immobilization

Cost Analysis of Volar Plate Fixation Versus Plaster Cast Immobilization for Intra-Articular Distal Radial Fractures

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
C.A. Selles ◽  
M.A.M. Mulders ◽  
S. van Dieren ◽  
J.C. Goslings ◽  
N.W.L. Schep ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Plate Fixation ◽  
Plaster Cast ◽  
Volar Plate ◽  
Cast Immobilization ◽  
Distal Radial Fractures ◽  
Volar Plate Fixation

Volar Plate Fixation Versus Cast Immobilization in Acceptably Reduced Intra-Articular Distal Radial Fractures

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
C.A. Selles ◽  
M.A.M. Mulders ◽  
J. Winkelhagen ◽  
P.V. van Eerten ◽  
J.C. Goslings ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Volar Plate ◽  
Cast Immobilization ◽  
Distal Radial Fractures ◽  
Volar Plate Fixation

scholarly journals Relationship between plate removal and Soong grading following surgery for fractured distal radius

2017 ◽  
Vol 43 (2) ◽  
pp. 137-141 ◽  
Author(s):  
Caroline A. Selles ◽  
Sam T.H. Reerds ◽  
Gert Roukema ◽  
Kees H. van der Vlies ◽  
Berry I. Cleffken ◽  
...  
Keyword(s):  
Cohort Study ◽  
Distal Radius ◽  
Retrospective Cohort ◽  
Plate Fixation ◽  
Volar Plate ◽  
Level Of Evidence ◽  
Plate Removal ◽  
Total Incidence ◽  
Volar Plate Fixation ◽  
The Relationship

The aim of this study was to determine the relationship between volar plate removal and the Soong classification following fixation for fractured distal radius. In this retrospective cohort study, all consecutive patients who had volar plate fixation for a distal radius fracture in 2011–2015 were reviewed. Differences in Soong classification between patients who had plate removal and those who did not were analysed. The total incidence of plate removal was calculated and the indications analysed. A total of 323 patients were included. The incidence of plate removal in all patients was 17%. Soong classification was significantly higher in patients who had plate removal compared with those who did not. For patients with plate placement classified as Soong grade 2, the incidence of plate removal was almost six times higher than those classified as Soong grade 0. The relationship between volar plate removal and a higher Soong grading stresses the importance of accurate plate positioning. Level of evidence: IV

scholarly journals Dorsal or Volar Plate Fixation of the Distal Radius: Does the Complication Rate Help Us to Choose?

2016 ◽  
Vol 05 (03) ◽  
pp. 202-210 ◽  
Author(s):  
P.F.W. Hannemann ◽  
M. Poeze ◽  
P.R.G. Brink ◽  
D.J.G. Disseldorp
Keyword(s):  
Distal Radius ◽  
Complication Rate ◽  
Plate Fixation ◽  
Volar Plate ◽  
Volar Plate Fixation
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