Outcomes of Distal Radius Fractures: A Comparison Between Fellowship-Trained Trauma and Hand Orthopaedic Surgeons.

IF 2.1 Q2 ORTHOPEDICS
John Mickley, William E Long, Patrick Wabnitz, Michael Guyot, Arman Tabarestani, Nicholas James, Porter Young
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Abstract

Purpose: To evaluate outcomes and complications after fixation of distal radius fractures performed by a fellowship-trained trauma versus hand orthopaedic surgeons.

Methods: A retrospective review of operative distal radius fractures between 8/2022 and 8/2024 at a single academic, level I trauma center was performed. The primary outcome was unplanned reoperations. Secondary outcomes included reduction quality and complications.

Results: A total of 134 distal radius fractures (86 trauma and 48 hand) were included with a mean follow-up of 5.8 and 5.4 months, respectively. No notable differences were found in baseline characteristics or initial injury radiograph measurements except for open injuries and fixation method. The trauma group had significantly more open injuries (20% vs/ 6%, P-value = 0.03) and used a volar plate alone (74% vs. 65%, P-value = 0.01) more than the hand group. No differences were found in unplanned revision surgeries between the trauma (10%) and hand (13%) surgeons. A significant difference was found in final radiograph measurements in radial inclination (21.9 vs/ 19.5, P-value = 0.04) and radial height (11.5 vs/ 9.9, P-value = 0.05) for the trauma and hand groups, respectively. No differences were found in any of the other complications recorded for the trauma and hand groups: nonunion (1% vs 2%), superficial infection (5% vs. 6%), deep infection (2% vs. 0%), chronic pain (20% vs. 27%), and tendon rupture (1% vs. 0%).

Conclusion: No notable differences were found in unplanned revision surgeries or complications in surgically treated distal radius fractures between fellowship-trained trauma versus hand surgeons.

桡骨远端骨折的预后:实习创伤外科医生与手部骨科医生的比较。
目的:评价由协会培训的创伤骨科医生与手部骨科医生进行桡骨远端骨折固定后的结果和并发症。方法:回顾性分析2022年8月至2024年8月间在一家学术一级创伤中心进行的桡骨远端骨折手术。主要结果是计划外再手术。次要结果包括降低质量和并发症。结果:共134例桡骨远端骨折(创伤86例,手部48例),平均随访时间分别为5.8个月和5.4个月。除了开放性损伤和固定方法外,基线特征或初始损伤x线片测量没有显着差异。外伤组明显多于手外伤组(20% vs/ 6%, p值= 0.03),单独使用掌侧钢板组(74% vs. 65%, p值= 0.01)。外伤(10%)和手部(13%)外科医生在计划外翻修手术中没有发现差异。外伤组和手外伤组桡骨倾斜(21.9 vs/ 19.5, p值= 0.04)和桡骨高度(11.5 vs/ 9.9, p值= 0.05)的最终x线片测量值差异有统计学意义。外伤组和手部组记录的任何其他并发症均无差异:不愈合(1%对2%)、浅表感染(5%对6%)、深部感染(2%对0%)、慢性疼痛(20%对27%)和肌腱断裂(1%对0%)。结论:在非计划翻修手术或手术治疗的桡骨远端骨折并发症方面,研究人员训练的创伤外科医生与手外科医生无显著差异。
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
CiteScore
2.60
自引率
6.70%
发文量
282
审稿时长
8 weeks
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