NDLI: Complications after distal radius fracture surgery: results from a Swedish nationwide registry study.

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Complications after distal radius fracture surgery: results from a Swedish nationwide registry study.

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Complications after distal radius fracture surgery: results from a Swedish nationwide registry study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Navarro, Cecilia Mellstrand Pettersson, Hans J. Enocson, Anders
Description	Country affiliation: Sweden Author Affiliation: Navarro CM ( *Orthopaedics Section, Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden)
Abstract	OBJECTIVES: To evaluate complications after distal radius fracture surgery. DESIGN: Prospective registry study. SETTING: Nationwide registry study. PATIENTS: A total of 36,618 patients who underwent surgery because of a distal radius fracture during the period from January 1, 2001 to December 31, 2009 were followed from the date of operation until the occurrence of either reoperation, a new distal radius fracture, death, or December 31, 2010, whichever occurred first. MAIN OUTCOME MEASUREMENT: The occurrence of reoperations after different surgical methods is presented as proportions, incidence rates, and in a Kaplan-Meier survival analysis curve. Types and distributions of complications are presented for pinning, external fixation (EF), and plating, respectively. RESULTS: The incidence of reoperation after fracture surgery using EF, pins, and plating was 100 [95% confidence interval (CI): 93-107], 140 (95% CI: 127-153), and 222 (95% CI: 207-237) per 10,000 person years, respectively. After stratified analysis adjusting for age and gender, the differences remained significant when comparing plating with EF (P = 0.001) and pinning (P = 0.01). Pinning and EF patients displayed an earlier onset of the complications when compared with plated patients. CONCLUSIONS: The incidence of reoperation was higher for patients treated with a plate than for patients treated with pins or EF. The timing of the reoperations differed in that pinning and EF patients displayed an earlier onset when compared with plated patients. LEVEL OF EVIDENCE: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
File Format	HTM / HTML
ISSN	08905339
Issue Number	2
Volume Number	29
e-ISSN	15312291
Journal	Journal of Orthopaedic Trauma
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2015-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Discipline Sports Medicine Fracture Fixation Adverse Effects Radius Fractures Complications Registries Adolescent Adult Aged Aged, 80 And Over Female Methods Humans Male Middle Aged Prognosis Prospective Studies Surgery Reoperation Young Adult Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery Sports Science

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