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Patterns of injury and treatment for distal radius fractures at a major trauma centre
AIMS: Fractures of the distal radius are common, and form a considerable proportion of the trauma workload. We conducted a study to examine the patterns of injury and treatment for adult patients presenting with distal radius fractures to a major trauma centre serving an urban population. METHODS: W...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The British Editorial Society of Bone & Joint Surgery
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422898/ https://www.ncbi.nlm.nih.gov/pubmed/35938303 http://dx.doi.org/10.1302/2633-1462.38.BJO-2022-0027.R1 |
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author | Francis, Jonathan L. Battle, Joseph M. Hardman, John Anakwe, Raymond E. |
author_facet | Francis, Jonathan L. Battle, Joseph M. Hardman, John Anakwe, Raymond E. |
author_sort | Francis, Jonathan L. |
collection | PubMed |
description | AIMS: Fractures of the distal radius are common, and form a considerable proportion of the trauma workload. We conducted a study to examine the patterns of injury and treatment for adult patients presenting with distal radius fractures to a major trauma centre serving an urban population. METHODS: We undertook a retrospective cohort study to identify all patients treated at our major trauma centre for a distal radius fracture between 1 June 2018 and 1 May 2021. We reviewed the medical records and imaging for each patient to examine patterns of injury and treatment. We undertook a binomial logistic regression to produce a predictive model for operative fixation or inpatient admission. RESULTS: Overall, 571 fractures of the distal radius were treated at our centre during the study period. A total of 146 (26%) patients required an inpatient admission, and 385 surgical procedures for fractures of the distal radius were recorded between June 2018 and May 2021. The most common mechanism of injury was a fall from a height of one metre or less. Of the total fractures, 59% (n = 337) were treated nonoperatively, and of those patients treated with surgery, locked anterior-plate fixation was the preferred technique (79%; n = 180). CONCLUSION: The epidemiology of distal radius fractures treated at our major trauma centre replicated the classical bimodal distribution described in the literature. Patient age, open fractures, and fracture classification were factors correlated with the decision to treat the fracture operatively. While most fractures were treated nonoperatively, locked anterior-plate fixation remains the predominant method of fixation for fractures of the distal radius; this is despite questions and continued debate about the best method of surgical fixation for these injuries. Cite this article: Bone Jt Open 2022;3(8):623–627. |
format | Online Article Text |
id | pubmed-9422898 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The British Editorial Society of Bone & Joint Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-94228982022-09-16 Patterns of injury and treatment for distal radius fractures at a major trauma centre Francis, Jonathan L. Battle, Joseph M. Hardman, John Anakwe, Raymond E. Bone Jt Open Trauma AIMS: Fractures of the distal radius are common, and form a considerable proportion of the trauma workload. We conducted a study to examine the patterns of injury and treatment for adult patients presenting with distal radius fractures to a major trauma centre serving an urban population. METHODS: We undertook a retrospective cohort study to identify all patients treated at our major trauma centre for a distal radius fracture between 1 June 2018 and 1 May 2021. We reviewed the medical records and imaging for each patient to examine patterns of injury and treatment. We undertook a binomial logistic regression to produce a predictive model for operative fixation or inpatient admission. RESULTS: Overall, 571 fractures of the distal radius were treated at our centre during the study period. A total of 146 (26%) patients required an inpatient admission, and 385 surgical procedures for fractures of the distal radius were recorded between June 2018 and May 2021. The most common mechanism of injury was a fall from a height of one metre or less. Of the total fractures, 59% (n = 337) were treated nonoperatively, and of those patients treated with surgery, locked anterior-plate fixation was the preferred technique (79%; n = 180). CONCLUSION: The epidemiology of distal radius fractures treated at our major trauma centre replicated the classical bimodal distribution described in the literature. Patient age, open fractures, and fracture classification were factors correlated with the decision to treat the fracture operatively. While most fractures were treated nonoperatively, locked anterior-plate fixation remains the predominant method of fixation for fractures of the distal radius; this is despite questions and continued debate about the best method of surgical fixation for these injuries. Cite this article: Bone Jt Open 2022;3(8):623–627. The British Editorial Society of Bone & Joint Surgery 2022-08-08 /pmc/articles/PMC9422898/ /pubmed/35938303 http://dx.doi.org/10.1302/2633-1462.38.BJO-2022-0027.R1 Text en © 2022 Author(s) et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Trauma Francis, Jonathan L. Battle, Joseph M. Hardman, John Anakwe, Raymond E. Patterns of injury and treatment for distal radius fractures at a major trauma centre |
title | Patterns of injury and treatment for distal radius fractures at a major trauma centre |
title_full | Patterns of injury and treatment for distal radius fractures at a major trauma centre |
title_fullStr | Patterns of injury and treatment for distal radius fractures at a major trauma centre |
title_full_unstemmed | Patterns of injury and treatment for distal radius fractures at a major trauma centre |
title_short | Patterns of injury and treatment for distal radius fractures at a major trauma centre |
title_sort | patterns of injury and treatment for distal radius fractures at a major trauma centre |
topic | Trauma |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422898/ https://www.ncbi.nlm.nih.gov/pubmed/35938303 http://dx.doi.org/10.1302/2633-1462.38.BJO-2022-0027.R1 |
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