Association of Timing With Postoperative Complications in the Management of Open Distal Radius Fractures.

IF 1.8 Q2 ORTHOPEDICS

HAND Pub Date : 2025-09-01 Epub Date: 2024-06-10 DOI:10.1177/15589447241257644

Kerry A Morrison, Madeline C Rocks, Victoria Comunale, Karan Desai, Rebecca S Nicholas, Ali Azad, Omri Ayalon, Jacques H Hacquebord

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引用次数: 0

Abstract

Background: This study investigates whether open distal radius fractures (ODRFs) treated after 24 hours from time of injury have an increased risk of infection or overall complication profile compared with those treated within 24 hours.

Methods: Retrospective review was performed of all patients treated for ODRF over a 6-year period at a single large academic institution. Postoperative complications included surgical site infections, need for revision irrigation and debridement, delayed soft tissue healing, loss of reduction, nonunion, and malunion.

Results: One-hundred twenty patients were treated for ODRF. Mean (SD) age at time of injury was 59.92 (17.68) years. Twenty patients (16.7%) had postoperative complications. Regarding mechanism of injury, 78 (65.0%) had a low-energy and 42 (35.0%) had a high-energy injury. Age and fracture grade were not significant factors. Mean (SD) open wound size was 1.18 (1.57) cm. Mean (SD) time from injury presentation to the emergency department (ED) and first dose of intravenous antibiotics was 3.07 (4.05) hours and mean (SD) time from presentation to the ED and operative treatment was 11.90 (6.59) hours, which did not show a significant association with postoperative complications. Twenty-four patients (20.0%) were treated greater than 24 hours after presentation to the ED, which was not significantly distinct from those treated within 24 hours.

Conclusion: Patients with ODRFs treated after 24 hours were not associated with a greater risk of postoperative complications. Factors including age, energy and mechanism of injury, and fracture grade did not alter outcome in any statistically significant manner.

Level of evidence: Level IV.

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桡骨远端开放性骨折术后并发症与手术时机的关系

背景：本研究探讨了开放性桡骨远端骨折（ODRF）在受伤后24小时内治疗与24小时内治疗相比是否会增加感染风险或整体并发症情况：本研究探讨了开放性桡骨远端骨折（ODRF）在受伤 24 小时后接受治疗与在 24 小时内接受治疗相比，是否会增加感染风险或总体并发症情况：方法：我们对一家大型学术机构 6 年内所有接受开放性桡骨远端骨折治疗的患者进行了回顾性研究。术后并发症包括手术部位感染、需要再次冲洗和清创、软组织愈合延迟、缩小丧失、不愈合和错位：120名患者接受了ODRF治疗。受伤时的平均（标清）年龄为59.92（17.68）岁。20名患者（16.7%）出现术后并发症。在损伤机制方面，78 例（65.0%）为低能量损伤，42 例（35.0%）为高能量损伤。年龄和骨折等级并非重要因素。开放性伤口的平均（标清）大小为 1.18 (1.57) 厘米。从受伤到送往急诊科（ED）和首次静脉注射抗生素的平均（标清）时间为 3.07（4.05）小时，从送往急诊科到手术治疗的平均（标清）时间为 11.90（6.59）小时，这与术后并发症无明显关联。24名患者（20.0%）在急诊室就诊超过24小时后才接受治疗，这与24小时内接受治疗的患者没有明显区别：结论：在24小时后接受治疗的ODRF患者发生术后并发症的风险并不高。包括年龄、能量、损伤机制和骨折等级在内的因素并未以任何统计学意义上的方式改变结果：证据等级：IV级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HAND Medicine-Surgery

CiteScore

3.30

自引率

0.00%

发文量

209

期刊介绍： HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.