A Danish perspective on the use of wearables for digital monitoring.

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Danish medical journal Pub Date : 2026-03-19 DOI:10.61409/A06250536

Mads Ørbæk Andersen, Joakim Bo Kunkel, Helena Dominquez, Morten Kjøbek Lamberts, Edina Hadziselimovic, Anne Blaabjerg Myhlendorph, Philip Samuel Osbak, Peter Laursen Graversen

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引用次数: 0

Abstract

Introduction: Tension band wiring (TBW) is one of the most commonly used methods of fixation for displaced olecranon fractures. This study aimed to assess whether implant positioning (IMPO) of TBW for olecranon fractures was associated with complications.

Methods: This was a multicentre cohort study. Eligible patients were retrieved from the hospitals' administrative databases using diagnosis codes for elbow and olecranon fractures. The patients' healthcare files were reviewed for demographics and complications. A major complication was defined as any reoperation within eight weeks or deep infection. Any loss of fixation was added to define surgical complications. Preoperative X-rays were classified according to the Mayo classification. Post-operative X-rays were evaluated, and the IMPO of TBW was rated on a 0-10 scale, yielding 10 points if all conditions were met. A high IMPO score was 9-10 points, a low score was eight points or less.

Results: A total of 307 patients were included: 76% with Mayo type 2A and 20% with type 2B. The TBWs were rated with a median score of eight points (range: 3-10), and 11.8% had major complications. There was a 5% complication rate with a high IMPO score, compared with 15% with a low score (p = 0.010). A total of 105 patients (34%) had surgical complications: 21% with a high IMPO score and 44% with a low IMPO score.

Conclusions: The IMPO score after TBW for olecranon fractures has a clear correlation with post-operative complications. We propose that at least nine out of ten points should be achieved before surgery is acceptable.

Funding: None.

Trial registration: Not relevant.

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丹麦人对使用可穿戴设备进行数字监控的看法。

张力带钢丝（TBW）是移位鹰嘴骨折最常用的固定方法之一。本研究旨在评估TBW内固定定位（IMPO）治疗鹰嘴骨折是否与并发症相关。方法：这是一项多中心队列研究。使用肘关节和鹰嘴骨折的诊断代码从医院的管理数据库中检索符合条件的患者。回顾了患者的医疗保健档案，以了解人口统计学和并发症。主要并发症定义为8周内再次手术或深度感染。手术并发症的定义还包括任何固定物丢失。术前x线照Mayo分级分级。术后x线评估，TBW的IMPO评分为0-10分，如果满足所有条件，则得10分。高的IMPO为9 ~ 10分，低的为8分以下。结果：共纳入307例患者，其中76%为Mayo 2A型，20%为2B型。TBWs的中位评分为8分（范围：3-10分），11.8%有严重并发症。IMPO评分高的并发症发生率为5%，而评分低的并发症发生率为15% （p = 0.010）。共有105例患者（34%）出现手术并发症：21%的患者IMPO评分高，44%的患者IMPO评分低。结论：鹰嘴骨折TBW后的IMPO评分与术后并发症有明显的相关性。我们建议在手术前至少达到10分中的9分。资金:没有。试验注册：不相关。

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

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.