Complexity of Distal Radius Fractures in Tertiary Level Hospitals

Authors

  • Alisson Augusto Muraro dos Reis Médico Residente do Programa de Cirurgião de Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil https://orcid.org/0000-0002-0281-9242
  • Thomas Tatsuya Nakanishi Médico Residente do Programa de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil https://orcid.org/0000-0003-3080-0714
  • Jorge Cocicov Neto Médico Residente do Programa de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil
  • Pedro Luís de Souza Montanheiro Médico Residente do Programa de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil https://orcid.org/0000-0002-6757-6368
  • Luis Guilherme Rosifini Alves Rezende Médico Assistente do Serviço da Cirurgião de Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil https://orcid.org/0000-0002-2037-0135
  • Filipe Jun Shimaoka Médico Assistente do Serviço da Cirurgião de Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil
  • Nilton Mazzer Professor Titular e Chefe do Serviço da Cirurgião de Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto – SP, Brasil

DOI:

https://doi.org/10.21270/archi.v11i5.5934

Keywords:

Radius Fracture, Prostheses and Implants, Trauma Centers

Abstract

Distal radius fractures are among the most common fractures in the orthopedic trauma setting. They present a bimodal component of age distribution regarding genders. The aim of this study is to present the pattern of the complexity of distal radius fractures in tertiary hospitals and the types of management for these fractures. Methods: 113 patients with distal radius fractures who underwent surgical management were retrospectively evaluated, and their variables were analyzed. Results: a statistical difference was observed for: the use of Locked Volar Plates in Type C3 Fractures (P=0.001), for the association of ulna fractures (p=0.026), and for carpal injuries (p=0.001). There was a statistical difference for males for the mechanism of automobile trauma (p=0.028). No relationships were observed between complications and the type of implant used (p=0.938). Conclusion: Despite the pattern and magnitude of the trauma, the individuality of the fracture determines the best access for its management, although greater complications are expected for the combined volar and dorsal approaches (p=0.001) and the use of more than one plate (p=0.001).

Downloads

Download data is not yet available.

References

Oliveira FAM, Albeny TAP, Rezende LGRA, Shimaoka FJ, Cagnolati AF, Irusta AEC, et al. Perfil epidemiológico das fraturas radiais distais em hospital de referência em Ribeirão Preto, Brasil. Arch Health Invest. 2020;9(3):228-32.

Albeny TAP, Vaz BA de S, Rezende LGRA, Shimaoka FJ, Cagnolati AF, Irusta AC, et al. Correlação clínico-radiográfica das fraturas articulares completas do rádio distal tratadas cirurgicamente. Arch Health Invest. 2020;9(3):211-15.

Bruce KK, Merenstein DJ, Narvaez MV, Neufeld SK, Paulus MJ, Tan TP et al. Lack of Agreement on Distal Radius Fracture Treatment. J Am Board Fam Med. 2016;29(2):218-25.

MacIntyre NJ, Dewan N. Epidemiology of distal radius fractures and factors predicting risk and prognosis. J Hand Ther. 2016;29(2):136-45.

Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006;37(8):691-97.

Nellans KW, Kowalski E, Chung KC. The epidemiology of distal radius fractures. Hand Clin. 2012;28(2):113-25.

Lindau TR, Aspenberg P, Arner M, Redlundh-Johnell I, Hagberg L. Fractures of the distal forearm in young adults. An epidemiologic description of 341 patients. Acta Orthop Scand. 1999;70(2):124-28.

Diamantopoulos AP, Rohde G, Johnsrud I, Skoie IM, Hochberg M, Haugeberg G. The epidemiology of low-and high-energy distal radius fracture in middle-aged and elderly men and women in Southern Norway. PLoS One. 2012;7(8):e43367.

Wilcke MK, Hammarberg H, Adolphson PY. Epidemiology and changed surgical treatment methods for fractures of the distal radius: a registry analysis of 42,583 patients in Stockholm County, Sweden, 2004–2010.Acta Orthop. 2013;84(3): 292-96.

Sigurdardottir K, Halldorsson S, Robertsson J. Epidemiology and treatment of distal radius fractures in Reykjavik, Iceland, in 2004. Comparison with an Icelandic study from 1985. Acta Orthop. 2011;82(4):494-98.

Solgaard S, Petersen VS. Epidemiology of distal radius fractures. Acta Orthop Scand. 1985;56(5):391-93.

Brogren E, Petranek M, Atroshi I. Incidence and characteristics of distal radius fractures in a southern Swedish region. BMC Musculoskelet Disord. 2007;8:48.

Tsai CH, Muo CH, Fong YC, Lo WY, Chen YJ, Hsu HC et al. A population-based study on trend in incidence of distal radial fractures in adults in Taiwan in 2000-2007. Osteoporos Int. 2011;22(11):2809-15.

Koo OT, Tan DM, Chong AK. Distal radius fractures: an epidemiological review. Orthop Surg. 2013;5(3):209-13.

Dóczi J, Renner A. Epidemiology of distal radius fractures in Budapest. A retrospective study of 2,241cases in 1989. Acta Orthop Scand. 1994;65(4):432-33.

Chen NC, Jupiter JB. Management of distal radial fractures. J Bone Joint Surg Am. 2007; 89(9):2051-62.

Pagano M, Gauvreau K. Princípios de Bioestatística. 2.ed. São Paulo: Pioneira Thompson Learning; 2004.

Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006;37(8): 691-7.

Fanuele J, Koval KJ, Lurie J, Zhou W, Tosteson A, Ring D. Distal radial fracture treatment: what you get may depend on your age and address. J Bone Joint Surg Am. 2009;91(6):1313-319.

Jupiter JB, Marent-Huber M; LCP Study Group. Operative management of distal radial fractures with 2.4-millimeter locking plates: a multicenter prospective case series. Surgical technique. J Bone Joint Surg Am. 2010;92 Suppl 1 Pt 1:96-106.

Downloads

Published

2022-10-10

How to Cite

Reis, A. A. M. dos, Nakanishi, T. T., Cocicov Neto, J. ., Montanheiro, P. L. de S., Rezende, L. G. R. A., Shimaoka, F. J., & Mazzer, N. (2022). Complexity of Distal Radius Fractures in Tertiary Level Hospitals. ARCHIVES OF HEALTH INVESTIGATION, 11(5), 871–875. https://doi.org/10.21270/archi.v11i5.5934

Issue

Vol. 11 No. 5 (2022)

Section

Original Articles