scholarly journals ChASTOTA PERELOMOV BEDRA I PREDPLECh'Ya I ZATRATY NA IKh LEChENIE V MOSKOVSKOY OBLASTI

2005 ◽  
Vol 8 (2) ◽  
pp. 8-13
Author(s):  
A V DREVAL' ◽  
L A MARChENKOVA ◽  
I V KRYuKOVA
Keyword(s):  
Retrospective Study ◽  
Medical Care ◽  
Hip Fractures ◽  
Forearm Fracture ◽  
Moscow Region ◽  
Medical Care Cost ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Medical Aid ◽  
Distal Forearm Fractures

The aim of the study was to assess incidence of hip and distal forearm fractures and quality of the early medical aid and direct financial expenses for treatment those fractures in Moscow Region in the period of 1998-2002. Methods: For performing retrospective study among population aged 50 years Kolomensky area of Moscow Region was chosen. Source documents about patients with hip and distal forearm fractures were obtained from traumatologic hospital and traumatologic station of Kolomensky area. Cost of medical aid was calculated on the basis of the prices of the State Obligatory Medical Insurance of Russian Federation. Results: 527 hip fractures and 2420 distal forearm fractures were registered during 1998-2002. Hip fractures incidence varied from 77.1/100 000 to 156.6/100 000 among males (p0.05). Distal forearm fractures incidence changed from 247.1/100 000 to 309.3/100 000 among males (p>0.05) and from 1213.0/100 000 to 1025.0/100 000 among females (p>0.05). Incidence of both fractures was significantly higher (p70 years old and there was no any dependence of distal forearm fractures incidence on age. Only 4% of hip fractures were surgically operated at the first 2 months after fracture. Direct financial expenses for treatment of patients with hip fracture for first the 2 months after fracture had made was over 582 - in average and early medical care cost for all hip fractures was about 104 714 - in Kolomensky area in the period of 1998-2002. Medical aid to patients with distal forearm fracture cost over 10- in average and financial expenses for treatment of all distal forearm fractures had made about 25 180 - in Kolomensky area for 5 years. We consider provisional amount of hip fractures may be about 23 500 and amount of distal forearm fractures may be about 105 300 during 1998-2002 in Moscow Region. Early medical care cost for all hip fractures was about 3 644 047- and for all distal forearm fractures about 876 264- in total in the period of study. Conclusions: Retrospective study among Moscow Region population aged 50 years revealed high incidence of hip and distal forearm fractures both in males and females in the period of 1998-2002. The investigation revealed that patients with hip fractures did not receive an adequate qualified medical aid and very high financial assets were spent for early medical care to fractures in Moscow Region.

X-ray Follow-up after Open Reduction Internal Fixation of Distal Forearm Fracture

2020 ◽  
Author(s):  
Henrik Johan Sjølander ◽  
Sune Jauffred ◽  
Michael Brix ◽  
Per H. Gundtoft
Keyword(s):  
Diagnostic Imaging ◽  
Forearm Fracture ◽  
Minimal Risk ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Distal Forearm Fracture ◽  
Standard Regimen ◽  
Prolonged Immobilization ◽  
Distal Forearm Fractures

Abstract Background Following surgery, the standard regimen for fractures of the distal forearm includes radiographs taken 2-weeks postoperatively. However, it is unclear whether these radiographs have any therapeutic risks or benefits for patients. Objective The purpose of this study is to determine the importance of radiographs taken 2-weeks after surgery on distal forearm fractures, especially if it leads to further operations, and to establish whether this practice should be continued. Materials and Methods This is a retrospective cohort study of patients with a distal forearm fracture treated surgically with a volar locking plate at two university hospitals in Denmark. Standard aftercare at both departments is 2 weeks in a cast. Patients attend a 2-week follow-up, at which the cast is replaced with a removable orthosis and radiographs are taken. It was recorded whether these radiographs had resulted in any change of treatment in terms of further operations, prolonged immobilization, additional clinical follow-up, or additional diagnostic imaging. Results A total of 613 patients were included in the study. The radiographs led to a change of standard treatment for 3.1% of the patients. A second operation was required by 1.0%; 0.5% were treated with prolonged immobilization, and 1.6% had additional outpatient follow-up due to the findings on the radiographs. Additional diagnostic imaging was performed on 1.9% of the patients. Conclusion The radiographs taken at the 2-weeks follow-up resulted in a change of treatment in 3.1% of the cases. Given the low cost and minimal risk of radiographs of an extremity, we concluded that the benefits outweigh the costs of routine radiographs taken 2 weeks after surgical treatment of distal forearm fractures.

scholarly journals Different risk profiles for hip fractures and distal forearm fractures: A prospective study

1996 ◽  
Vol 6 (6) ◽  
pp. 427-431 ◽  
Author(s):  
W. C. Graafmans ◽  
M. E. Ooms ◽  
P. D. Bezemer ◽  
L. M. Bouter ◽  
P. Lips
Keyword(s):  
Prospective Study ◽  
Hip Fractures ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Risk Profiles ◽  
A Prospective Study ◽  
Distal Forearm Fractures

scholarly journals Variations in situational risk factors for fractures of the distal forearm, hip, and vertebrae in older women

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wen-Yu Yu ◽  
Hei-Fen Hwang ◽  
Mau-Roung Lin
Keyword(s):  
Risk Factors ◽  
Soft Tissue ◽  
Older Women ◽  
Individual Characteristics ◽  
Situational Factors ◽  
Control Group ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Protective Response ◽  
Distal Forearm Fractures

Abstract Background Situational factors during a fall among three common types of fractures of the distal forearm, hip, and vertebrae among older women in Taiwan were investigated. Methods In 2016 ~ 2017, study participants were identified from those aged ≥65 years who visited emergency departments due to a fall in two university-affiliated hospitals in Taipei. In addition to individual characteristics, situational factors during the fall (location, activity, change of center of mass, fall mode, fall direction, initiating a protective response, and being hit) were collected. A sample of 203 distal-forearm fractures, 189 vertebral fractures, and 375 hip fractures was recruited, while 717 women with a soft-tissue injury were used as a control group. The identification of situational risk factors for each type of fracture was validated by using those who sustained one of the other two types of fracture as a control group. Results After adjusting for age and other individual characteristics, compared to soft-tissue injuries, distal-forearm fractures were significantly more likely to occur with slips (odds ratio [OR] = 11.0; 95% confidence interval [CI] = 4.76 ~ 25.4), trips (OR = 3.40; 95% CI = 1.42 ~ 8.17), step-downs (OR = 4.95; 95% CI = 2.15 ~ 11.4), and from sideways falls (OR = 1.73; 95% CI = 1.12 ~ 2.67) and significantly less likely to occur indoors (OR = 0.62; 95% CI = 0.42 ~ 0.90) or from backwards falls (OR = 0.62; 95% CI = 0.41 ~ 0.95). Hip fractures were significantly more likely to occur with step-downs (OR = 1.76; 95% CI = 1.13 ~ 2.75) and from backwards (OR = 3.16; 95% CI = 2.15 ~ 4.64) or sideways falls (OR = 5.56; 95% CI = 3.67 ~ 8.41) and significantly less likely when hitting an object (OR = 0.26; 95% CI = 0.13 ~ 0.52) or initiating a protective response (OR = 0.58; 95% CI = 0.36 ~ 0.93). Vertebral fractures were significantly more likely to occur with slips (OR = 2.42; 95% CI = 1.30 ~ 4.50), step-downs (OR = 2.53; 95% CI = 1.43 ~ 4.48), and backwards falls (OR = 2.15; 95% CI = 1.39 ~ 3.32). Similar results were found in the validation analyses. Conclusions Large variations in situational risk factors for the three types of fracture in older women existed. A combination of individual and situational risk factors may display a more-comprehensive risk profile for the three types of fracture, and an intervention that adds training programs on safe landing strategies and effective compensatory reactions may be valuable in preventing serious injuries due to a fall.

scholarly journals Short and long-arm fiberglass cast immobilization for displaced distal forearm fractures in children: a randomized controlled trial

2020 ◽  
Author(s):  
Michelle Seiler ◽  
Peter Heinz ◽  
Alessia Callegari ◽  
Thomas Dreher ◽  
Georg Staubli ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Range Of Motion ◽  
Daily Life ◽  
Controlled Trial ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Normal Range ◽  
Randomized Controlled ◽  
Loss Of Reduction ◽  
Distal Forearm Fractures

Abstract Purpose The aim of this study was to investigate whether short-arm fiberglass cast (SAC) immobilization provides fracture stabilization comparable to that of long-arm cast (LAC) treatment of displaced distal forearm fractures after closed reduction in paediatric patients. Methods A prospective, randomized, controlled trial of children aged four to 16 years (mean 9.9 years) was designed with a sample of 120 children, whose size was set a priori, with 60 treated with SAC and 60 with LAC. The primary outcome was fracture stability and rate of loss of reduction. The secondary outcome analysis evaluated duration of analgesic therapy, restriction in activities of daily life, and the duration until patients regained normal range of motion in the elbow. Results No statistically significant differences were found between the two groups in loss of reduction or duration of analgesic therapy. In contrast, the duration until normal range of motion in the elbow was regained was significantly longer in the LAC group (median 4.5 days, P < 0.001). Restriction in activities of daily life did not differ significantly between the two groups except for the item “help needed with showering in the first days after trauma” (SAC 60%, LAC 87%, P = 0.001). Conclusion Fracture immobilization with short-arm fiberglass cast in reduced distal forearm fractures is not inferior to long-arm casts in children four years and older, excluding completely displaced fractures. Furthermore, short-arm casting reduces the need for assistance during showering. Trial registration NCT03297047, September 29, 2017

Plaster cast treatment for distal forearm fractures in children

2020 ◽  
Vol 29 (2) ◽  
pp. 179-186
Author(s):  
Domenico Ravier ◽  
Ilaria Morelli ◽  
Valentina Buscarino ◽  
Chiara Mattiuz ◽  
Luca M. Sconfienza ◽  
...  
Keyword(s):  
Plaster Cast ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Fractures In Children ◽  
Distal Forearm Fractures

Reduction versus remodeling in pediatric distal forearm fractures: a preliminary cost analysis

2003 ◽  
Vol 12 (2) ◽  
pp. 109-115
Author(s):  
Twee T. Do ◽  
William M. Strub ◽  
Susan L. Foad ◽  
Charles T. Mehlman ◽  
Alvin H. Crawford
Keyword(s):  
Cost Analysis ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Distal Forearm Fractures
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