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Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 – too many patients are yet operated on?

BACKGROUND: Although optimal treatment of distal radius fractures is controversial, surgery has gained popularity. The purpose of this study was to evaluate recent trends in the surgical treatment of distal radius fractures in Finns aged 50 years or more. METHODS: A nationwide hospital discharge reg...

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Autores principales: Hevonkorpi, Teemu P., Launonen, Antti P., Huttunen, Tuomas T., Kannus, Pekka, Niemi, Seppo, Mattila, Ville M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5834887/
https://www.ncbi.nlm.nih.gov/pubmed/29499673
http://dx.doi.org/10.1186/s12891-018-1983-0
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author Hevonkorpi, Teemu P.
Launonen, Antti P.
Huttunen, Tuomas T.
Kannus, Pekka
Niemi, Seppo
Mattila, Ville M.
author_facet Hevonkorpi, Teemu P.
Launonen, Antti P.
Huttunen, Tuomas T.
Kannus, Pekka
Niemi, Seppo
Mattila, Ville M.
author_sort Hevonkorpi, Teemu P.
collection PubMed
description BACKGROUND: Although optimal treatment of distal radius fractures is controversial, surgery has gained popularity. The purpose of this study was to evaluate recent trends in the surgical treatment of distal radius fractures in Finns aged 50 years or more. METHODS: A nationwide hospital discharge register-based study was conducted among all patients 50 years of age or older who had a surgically treated distal radius fracture in Finland between 1998 and 2016. The number and rate of different surgical procedures were calculated per 100,000 person-years. RESULTS: Altogether 21,965 surgically treated distal radius fractures were identified. During the study period the rate of percutaneous pinning and external fixation diminished while the rate of plate fixation significantly increased. The rate of operative treatment increased continually from 1998 to 2008 whereupon the peak of the incidence was achieved. After 2008, the rate of operative treatment of distal radius fracture remained quite constant, ranging between 61.1 and 67.8 per 100,000 person-years. CONCLUSIONS: Plate fixation has almost completely replaced both external fixation and percutaneous pinning in the surgical treatment of distal radius fractures in Finland. Despite growing evidence for less invasive treatment options in elderly patients, operative treatment of distal radius fracture is still rather popular today.
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spelling pubmed-58348872018-03-05 Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 – too many patients are yet operated on? Hevonkorpi, Teemu P. Launonen, Antti P. Huttunen, Tuomas T. Kannus, Pekka Niemi, Seppo Mattila, Ville M. BMC Musculoskelet Disord Research Article BACKGROUND: Although optimal treatment of distal radius fractures is controversial, surgery has gained popularity. The purpose of this study was to evaluate recent trends in the surgical treatment of distal radius fractures in Finns aged 50 years or more. METHODS: A nationwide hospital discharge register-based study was conducted among all patients 50 years of age or older who had a surgically treated distal radius fracture in Finland between 1998 and 2016. The number and rate of different surgical procedures were calculated per 100,000 person-years. RESULTS: Altogether 21,965 surgically treated distal radius fractures were identified. During the study period the rate of percutaneous pinning and external fixation diminished while the rate of plate fixation significantly increased. The rate of operative treatment increased continually from 1998 to 2008 whereupon the peak of the incidence was achieved. After 2008, the rate of operative treatment of distal radius fracture remained quite constant, ranging between 61.1 and 67.8 per 100,000 person-years. CONCLUSIONS: Plate fixation has almost completely replaced both external fixation and percutaneous pinning in the surgical treatment of distal radius fractures in Finland. Despite growing evidence for less invasive treatment options in elderly patients, operative treatment of distal radius fracture is still rather popular today. BioMed Central 2018-03-02 /pmc/articles/PMC5834887/ /pubmed/29499673 http://dx.doi.org/10.1186/s12891-018-1983-0 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Hevonkorpi, Teemu P.
Launonen, Antti P.
Huttunen, Tuomas T.
Kannus, Pekka
Niemi, Seppo
Mattila, Ville M.
Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 – too many patients are yet operated on?
title Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 – too many patients are yet operated on?
title_full Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 – too many patients are yet operated on?
title_fullStr Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 – too many patients are yet operated on?
title_full_unstemmed Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 – too many patients are yet operated on?
title_short Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 – too many patients are yet operated on?
title_sort incidence of distal radius fracture surgery in finns aged 50 years or more between 1998 and 2016 – too many patients are yet operated on?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5834887/
https://www.ncbi.nlm.nih.gov/pubmed/29499673
http://dx.doi.org/10.1186/s12891-018-1983-0
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