Effect of delayed distal radius fracture fixation on the difficulty of surgical operation
Purpose: The effect of delayed distal radius fracture (DRF) fixation by volar locking plates (VLPs) on the operative time, rate of bone graft use and need for additional surgical incisions was analyzed. Short- and mid-term outcomes were compared between early and delayed DRF fixation. Methods: A ret...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-11-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844022030602 |
| _version_ | 1797987950894514176 |
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| author | Pobe Luangjarmekorn Saowabhak Nitayavardhana Vanasiri Kuptniratsaikul Kawee Pataradool Pravit Kitidumrongsook |
| author_facet | Pobe Luangjarmekorn Saowabhak Nitayavardhana Vanasiri Kuptniratsaikul Kawee Pataradool Pravit Kitidumrongsook |
| author_sort | Pobe Luangjarmekorn |
| collection | DOAJ |
| description | Purpose: The effect of delayed distal radius fracture (DRF) fixation by volar locking plates (VLPs) on the operative time, rate of bone graft use and need for additional surgical incisions was analyzed. Short- and mid-term outcomes were compared between early and delayed DRF fixation. Methods: A retrospective cohort review of DRFs treated with VLPs was performed. The effects of delayed fixation were analyzed by 1) comparing intraoperative and radiographic parameters and follow-up outcomes between early fixation (EF, 1–10 days) and late fixation (LF, ≥11 days), 2) predicting the prolonged operative time using linear regression analysis, and 3) predicting the rate of bone graft use and additional incision using odds ratios. Results: Of 104 patients, 51 and 53 were in the EF and LF groups, respectively. EF showed a significantly shorter operative time, lower rate of bone grafting and fewer additional incisions (94.80 vs. 123 minutes, 3.92% vs. 26.18% and 2% vs. 20.45%, respectively). Radiographic parameters, immediate postoperative pain and wrist range of motion were significantly better in the EF group. However, the visual analog scale (VAS) pain and Patient-Rated Wrist Evaluation (PRWE) scores were not different at the 12-month follow-up. For every day of delay, the operation was prolonged by 2.17 min, the rate of bone grafting increased by 8%, and the chance of additional incisions increased by 8%. Conclusion: Delayed DRF fixation affects intraoperative and postoperative outcomes. We encourage internal fixation for DRFs as early as possible to reduce surgical complexity and improve postoperative outcomes. |
| first_indexed | 2024-04-11T07:55:15Z |
| format | Article |
| id | doaj.art-cd594cbc05374016b477cd207fcf49ce |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-11T07:55:15Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-cd594cbc05374016b477cd207fcf49ce2022-12-22T04:35:57ZengElsevierHeliyon2405-84402022-11-01811e11772Effect of delayed distal radius fracture fixation on the difficulty of surgical operationPobe Luangjarmekorn0Saowabhak Nitayavardhana1Vanasiri Kuptniratsaikul2Kawee Pataradool3Pravit Kitidumrongsook4Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand; Corresponding author.Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, ThailandDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, ThailandDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, ThailandDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, ThailandPurpose: The effect of delayed distal radius fracture (DRF) fixation by volar locking plates (VLPs) on the operative time, rate of bone graft use and need for additional surgical incisions was analyzed. Short- and mid-term outcomes were compared between early and delayed DRF fixation. Methods: A retrospective cohort review of DRFs treated with VLPs was performed. The effects of delayed fixation were analyzed by 1) comparing intraoperative and radiographic parameters and follow-up outcomes between early fixation (EF, 1–10 days) and late fixation (LF, ≥11 days), 2) predicting the prolonged operative time using linear regression analysis, and 3) predicting the rate of bone graft use and additional incision using odds ratios. Results: Of 104 patients, 51 and 53 were in the EF and LF groups, respectively. EF showed a significantly shorter operative time, lower rate of bone grafting and fewer additional incisions (94.80 vs. 123 minutes, 3.92% vs. 26.18% and 2% vs. 20.45%, respectively). Radiographic parameters, immediate postoperative pain and wrist range of motion were significantly better in the EF group. However, the visual analog scale (VAS) pain and Patient-Rated Wrist Evaluation (PRWE) scores were not different at the 12-month follow-up. For every day of delay, the operation was prolonged by 2.17 min, the rate of bone grafting increased by 8%, and the chance of additional incisions increased by 8%. Conclusion: Delayed DRF fixation affects intraoperative and postoperative outcomes. We encourage internal fixation for DRFs as early as possible to reduce surgical complexity and improve postoperative outcomes.http://www.sciencedirect.com/science/article/pii/S2405844022030602Distal radius fractureDelayedVolar locking plateFixation |
| spellingShingle | Pobe Luangjarmekorn Saowabhak Nitayavardhana Vanasiri Kuptniratsaikul Kawee Pataradool Pravit Kitidumrongsook Effect of delayed distal radius fracture fixation on the difficulty of surgical operation Heliyon Distal radius fracture Delayed Volar locking plate Fixation |
| title | Effect of delayed distal radius fracture fixation on the difficulty of surgical operation |
| title_full | Effect of delayed distal radius fracture fixation on the difficulty of surgical operation |
| title_fullStr | Effect of delayed distal radius fracture fixation on the difficulty of surgical operation |
| title_full_unstemmed | Effect of delayed distal radius fracture fixation on the difficulty of surgical operation |
| title_short | Effect of delayed distal radius fracture fixation on the difficulty of surgical operation |
| title_sort | effect of delayed distal radius fracture fixation on the difficulty of surgical operation |
| topic | Distal radius fracture Delayed Volar locking plate Fixation |
| url | http://www.sciencedirect.com/science/article/pii/S2405844022030602 |
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