Cargando…

Risk Factors for Non-Union after Open Reduction and Internal Fixation in Patients with Distal Humerus Fractures

Background: Only a few studies have reported on the risk factors for non-union after open reduction and internal fixation (ORIF) in distal humerus fractures. Methods: We retrospectively reviewed 155 patients who underwent ORIF for distal humerus fractures from January 2008 to June 2020. Various pati...

Descripción completa

Detalles Bibliográficos
Autores principales: Ku, Ki-Hyeok, Baek, Jong-Hun, Kim, Myung-Seo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9147525/
https://www.ncbi.nlm.nih.gov/pubmed/35628806
http://dx.doi.org/10.3390/jcm11102679
_version_ 1784716829090906112
author Ku, Ki-Hyeok
Baek, Jong-Hun
Kim, Myung-Seo
author_facet Ku, Ki-Hyeok
Baek, Jong-Hun
Kim, Myung-Seo
author_sort Ku, Ki-Hyeok
collection PubMed
description Background: Only a few studies have reported on the risk factors for non-union after open reduction and internal fixation (ORIF) in distal humerus fractures. Methods: We retrospectively reviewed 155 patients who underwent ORIF for distal humerus fractures from January 2008 to June 2020. Various patient factors, including body mass index (BMI), diabetes mellitus (DM), and combined fracture, as well as surgical factors, including fixation methods (e.g., orthogonal plate/parallel plate/single plate/tension bend wiring [TBW]) and combined fracture operations, were evaluated as risk factors for non-unions. Results: Among the patient factors, BMI (25.0 ± 3.4 vs. 22.7 ± 3.4, p = 0.032), DM (5/13 [38.5%] vs. 20/142 [14.1%], p = 0.038) and combined fracture (5/13 [38.5%] vs. 16/142 [11.3%], p = 0.018) were significantly different between groups with non-union and union. Among the surgical factors, combined fracture operation (5 [38.5%] vs. 9 [6.3%], p = 0.002) and the fixation method (3 [23.1%]/1 [7.7%]/4 [30.8%]/5 [38.5%] vs. 84 [59.2%]/7 [4.9%]/40 [28.2%]/11 [7.7%], p = 0.005) showed a significant difference between groups with non-union and union. Multivariate regression analysis showed that combined fracture operation (OR 10.467; 95% CI 1.880–58.257; p = 0.007) and TBW (OR 9.176; 95% CI 1.474–57.135; p = 0.018) among the fixation methods posed as a significant risk factor for non-union. Conclusions: The risk of non-union increased in patients who underwent surgery for another fracture combined with distal humerus fracture and in patients who underwent ORIF with TBW.
format Online
Article
Text
id pubmed-9147525
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-91475252022-05-29 Risk Factors for Non-Union after Open Reduction and Internal Fixation in Patients with Distal Humerus Fractures Ku, Ki-Hyeok Baek, Jong-Hun Kim, Myung-Seo J Clin Med Article Background: Only a few studies have reported on the risk factors for non-union after open reduction and internal fixation (ORIF) in distal humerus fractures. Methods: We retrospectively reviewed 155 patients who underwent ORIF for distal humerus fractures from January 2008 to June 2020. Various patient factors, including body mass index (BMI), diabetes mellitus (DM), and combined fracture, as well as surgical factors, including fixation methods (e.g., orthogonal plate/parallel plate/single plate/tension bend wiring [TBW]) and combined fracture operations, were evaluated as risk factors for non-unions. Results: Among the patient factors, BMI (25.0 ± 3.4 vs. 22.7 ± 3.4, p = 0.032), DM (5/13 [38.5%] vs. 20/142 [14.1%], p = 0.038) and combined fracture (5/13 [38.5%] vs. 16/142 [11.3%], p = 0.018) were significantly different between groups with non-union and union. Among the surgical factors, combined fracture operation (5 [38.5%] vs. 9 [6.3%], p = 0.002) and the fixation method (3 [23.1%]/1 [7.7%]/4 [30.8%]/5 [38.5%] vs. 84 [59.2%]/7 [4.9%]/40 [28.2%]/11 [7.7%], p = 0.005) showed a significant difference between groups with non-union and union. Multivariate regression analysis showed that combined fracture operation (OR 10.467; 95% CI 1.880–58.257; p = 0.007) and TBW (OR 9.176; 95% CI 1.474–57.135; p = 0.018) among the fixation methods posed as a significant risk factor for non-union. Conclusions: The risk of non-union increased in patients who underwent surgery for another fracture combined with distal humerus fracture and in patients who underwent ORIF with TBW. MDPI 2022-05-10 /pmc/articles/PMC9147525/ /pubmed/35628806 http://dx.doi.org/10.3390/jcm11102679 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ku, Ki-Hyeok
Baek, Jong-Hun
Kim, Myung-Seo
Risk Factors for Non-Union after Open Reduction and Internal Fixation in Patients with Distal Humerus Fractures
title Risk Factors for Non-Union after Open Reduction and Internal Fixation in Patients with Distal Humerus Fractures
title_full Risk Factors for Non-Union after Open Reduction and Internal Fixation in Patients with Distal Humerus Fractures
title_fullStr Risk Factors for Non-Union after Open Reduction and Internal Fixation in Patients with Distal Humerus Fractures
title_full_unstemmed Risk Factors for Non-Union after Open Reduction and Internal Fixation in Patients with Distal Humerus Fractures
title_short Risk Factors for Non-Union after Open Reduction and Internal Fixation in Patients with Distal Humerus Fractures
title_sort risk factors for non-union after open reduction and internal fixation in patients with distal humerus fractures
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9147525/
https://www.ncbi.nlm.nih.gov/pubmed/35628806
http://dx.doi.org/10.3390/jcm11102679
work_keys_str_mv AT kukihyeok riskfactorsfornonunionafteropenreductionandinternalfixationinpatientswithdistalhumerusfractures
AT baekjonghun riskfactorsfornonunionafteropenreductionandinternalfixationinpatientswithdistalhumerusfractures
AT kimmyungseo riskfactorsfornonunionafteropenreductionandinternalfixationinpatientswithdistalhumerusfractures