使用沃尔锁定钢板固定桡骨远端骨折后不良事件的发生率和风险因素:对 2,790 例病例的回顾性分析。

IF 2.5 2区 医学 Q1 ORTHOPEDICS
Henri Vasara, Antti Stenroos, Petra Tarkiainen, Anni Aavikko, Panu H Nordback, Turkka Anttila, Jussi Kosola, Samuli Aspinen
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引用次数: 0

摘要

背景和目的:12%-18%的患者在桡骨远端骨折(DRF)术后会遇到不良事件。目前可采取预防措施的风险因素还很少。我们旨在研究桡骨远端骨折 VLP 固定术后不良事件的发生率,并评估不良事件的原因和风险因素: 我们进行了一项单中心回顾性队列研究,评估了赫尔辛基大学医院在2009年至2019年期间接受VLP固定治疗的所有成年DRF患者。排除了患肢曾有残疾或尺桡骨骨折(除腕骨髁突骨折外)的患者。我们使用电子病历系统检查了每位患者的治疗情况,并确定了术后不良事件,即任何偏离正常术后过程的临床症状。我们使用多变量二元逻辑回归评估不良事件的风险。不良事件发生率为 16%。最常见的不良事件是硬件并发症(8.3%),主要是关节内螺钉(4.9%)。其他常见的不良事件包括腕管综合征(2.8%)、肌腱并发症(2.8%)和手术部位感染(1.5%)。在多变量分析中发现,吸烟、体重指数(BMI)较高、酗酒、C型骨折、关节内残余移位和背倾是不良事件的风险因素: 结论:VLP固定DRF后不良事件的发生率为16%。结论:VLP固定DRF后,不良事件的发生率为16%。我们发现了一些新的不良事件风险因素,其中包括残余背倾、关节内脱位、倾斜纠正不足、吸烟、酗酒和体重指数较高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence and risk factors of adverse events after distal radius fracture fixation with volar locking plates: retrospective analysis of 2,790 cases.

Background and purpose:  12-18% of patients encounter adverse events after distal radius fracture (DRF) surgery with volar locking plates (VLPs). Risk factors for which preventive measures could be administered are currently scarce. We aimed to examine the incidence of postoperative adverse events and assess the causes and risk factors for the adverse events after VLP fixation of DRFs.

Methods:  We performed a single-center retrospective cohort study evaluating all adult DRF patients treated with VLP fixation between 2009 and 2019 at Helsinki University Hospital. Patients with previous disabilities or ulnar fractures, other than styloid process fractures, in the affected extremity were excluded. We examined each patient's treatment using the electronic medical records system and identified postoperative adverse events defined as any deviation from the ordinary postoperative course, showcasing clinical symptoms. We used multivariable binary logistic regression to assess the risk for adverse events.

Results:  2,790 cases of DRF were included. The incidence of adverse events was 16%. Hardware complications (8.3%), predominantly intra-articular screws (4.9%), were the most commonly encountered adverse events. Other frequent adverse events included carpal tunnel syndrome (2.8%), tendon complications (2.8%), and surgical site infections (1.5%). In the multivariable analysis, smoking, higher body mass index (BMI), alcohol abuse, C-type fractures, residual intra-articular displacement, and dorsal tilt were found as risk factors for adverse events.

Conclusion:  The incidence of adverse events was 16% after VLP fixation of DRFs. We identified several new risk factors for adverse events, which included residual dorsal tilt, intra-articular dislocation, insufficiently corrected inclination, smoking, alcohol abuse, and higher BMI.

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来源期刊
Acta Orthopaedica
Acta Orthopaedica 医学-整形外科
CiteScore
6.40
自引率
8.10%
发文量
105
审稿时长
4-8 weeks
期刊介绍: Acta Orthopaedica (previously Acta Orthopaedica Scandinavica) presents original articles of basic research interest, as well as clinical studies in the field of orthopedics and related sub disciplines. Ever since the journal was founded in 1930, by a group of Scandinavian orthopedic surgeons, the journal has been published for an international audience. Acta Orthopaedica is owned by the Nordic Orthopaedic Federation and is the official publication of this federation.
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