Patterns of injury and treatment for distal radius fractures at a major trauma centre
AimsFractures of the distal radius are common, and form a considerable proportion of the trauma workload. We conducted a study to examine the patterns of injury and treatment for adult patients presenting with distal radius fractures to a major trauma centre serving an urban population.MethodsWe und...
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| Format: | Article |
| Language: | English |
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The British Editorial Society of Bone & Joint Surgery
2022-08-01
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| Series: | Bone & Joint Open |
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| Online Access: | https://online.boneandjoint.org.uk/doi/10.1302/2633-1462.38.BJO-2022-0027.R1 |
| _version_ | 1818513880926650368 |
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| author | Jonathan L. Francis Joseph M. Battle John Hardman Raymond E. Anakwe |
| author_facet | Jonathan L. Francis Joseph M. Battle John Hardman Raymond E. Anakwe |
| author_sort | Jonathan L. Francis |
| collection | DOAJ |
| description | AimsFractures of the distal radius are common, and form a considerable proportion of the trauma workload. We conducted a study to examine the patterns of injury and treatment for adult patients presenting with distal radius fractures to a major trauma centre serving an urban population.MethodsWe undertook a retrospective cohort study to identify all patients treated at our major trauma centre for a distal radius fracture between 1 June 2018 and 1 May 2021. We reviewed the medical records and imaging for each patient to examine patterns of injury and treatment. We undertook a binomial logistic regression to produce a predictive model for operative fixation or inpatient admission.ResultsOverall, 571 fractures of the distal radius were treated at our centre during the study period. A total of 146 (26%) patients required an inpatient admission, and 385 surgical procedures for fractures of the distal radius were recorded between June 2018 and May 2021. The most common mechanism of injury was a fall from a height of one metre or less. Of the total fractures, 59% (n = 337) were treated nonoperatively, and of those patients treated with surgery, locked anterior-plate fixation was the preferred technique (79%; n = 180).ConclusionThe epidemiology of distal radius fractures treated at our major trauma centre replicated the classical bimodal distribution described in the literature. Patient age, open fractures, and fracture classification were factors correlated with the decision to treat the fracture operatively. While most fractures were treated nonoperatively, locked anterior-plate fixation remains the predominant method of fixation for fractures of the distal radius; this is despite questions and continued debate about the best method of surgical fixation for these injuries.Cite this article: Bone Jt Open 2022;3(8):623–627. |
| first_indexed | 2024-12-11T00:07:37Z |
| format | Article |
| id | doaj.art-38a101bd29c84bac85f09cd6b1be9e58 |
| institution | Directory Open Access Journal |
| issn | 2633-1462 |
| language | English |
| last_indexed | 2024-12-11T00:07:37Z |
| publishDate | 2022-08-01 |
| publisher | The British Editorial Society of Bone & Joint Surgery |
| record_format | Article |
| series | Bone & Joint Open |
| spelling | doaj.art-38a101bd29c84bac85f09cd6b1be9e582022-12-22T01:28:16ZengThe British Editorial Society of Bone & Joint SurgeryBone & Joint Open2633-14622022-08-013862362710.1302/2633-1462.38.BJO-2022-0027.R1Patterns of injury and treatment for distal radius fractures at a major trauma centreJonathan L. Francis0Joseph M. Battle1John Hardman2Raymond E. Anakwe3The Hand and Wrist Service, Department of Trauma & Orthopaedic Surgery, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London, UKThe Hand and Wrist Service, Department of Trauma & Orthopaedic Surgery, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London, UKDepartment of Trauma and Orthopaedic Surgery, Torbay and South Devon NHS Foundation Trust, Torbay, UKThe Hand and Wrist Service, Department of Trauma & Orthopaedic Surgery, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London, UKAimsFractures of the distal radius are common, and form a considerable proportion of the trauma workload. We conducted a study to examine the patterns of injury and treatment for adult patients presenting with distal radius fractures to a major trauma centre serving an urban population.MethodsWe undertook a retrospective cohort study to identify all patients treated at our major trauma centre for a distal radius fracture between 1 June 2018 and 1 May 2021. We reviewed the medical records and imaging for each patient to examine patterns of injury and treatment. We undertook a binomial logistic regression to produce a predictive model for operative fixation or inpatient admission.ResultsOverall, 571 fractures of the distal radius were treated at our centre during the study period. A total of 146 (26%) patients required an inpatient admission, and 385 surgical procedures for fractures of the distal radius were recorded between June 2018 and May 2021. The most common mechanism of injury was a fall from a height of one metre or less. Of the total fractures, 59% (n = 337) were treated nonoperatively, and of those patients treated with surgery, locked anterior-plate fixation was the preferred technique (79%; n = 180).ConclusionThe epidemiology of distal radius fractures treated at our major trauma centre replicated the classical bimodal distribution described in the literature. Patient age, open fractures, and fracture classification were factors correlated with the decision to treat the fracture operatively. While most fractures were treated nonoperatively, locked anterior-plate fixation remains the predominant method of fixation for fractures of the distal radius; this is despite questions and continued debate about the best method of surgical fixation for these injuries.Cite this article: Bone Jt Open 2022;3(8):623–627.https://online.boneandjoint.org.uk/doi/10.1302/2633-1462.38.BJO-2022-0027.R1Distal radius fractureTraumaEpidemiologyMajor trauma centreFractures of the distal radiusOrthopaedic Trauma |
| spellingShingle | Jonathan L. Francis Joseph M. Battle John Hardman Raymond E. Anakwe Patterns of injury and treatment for distal radius fractures at a major trauma centre Bone & Joint Open Distal radius fracture Trauma Epidemiology Major trauma centre Fractures of the distal radius Orthopaedic Trauma |
| title | Patterns of injury and treatment for distal radius fractures at a major trauma centre |
| title_full | Patterns of injury and treatment for distal radius fractures at a major trauma centre |
| title_fullStr | Patterns of injury and treatment for distal radius fractures at a major trauma centre |
| title_full_unstemmed | Patterns of injury and treatment for distal radius fractures at a major trauma centre |
| title_short | Patterns of injury and treatment for distal radius fractures at a major trauma centre |
| title_sort | patterns of injury and treatment for distal radius fractures at a major trauma centre |
| topic | Distal radius fracture Trauma Epidemiology Major trauma centre Fractures of the distal radius Orthopaedic Trauma |
| url | https://online.boneandjoint.org.uk/doi/10.1302/2633-1462.38.BJO-2022-0027.R1 |
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