The Journal of hand surgery · 2015
Incidence and reasons for hardware removal following operative fixation of distal radius fractures.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Snoddy Mark C, An Thomas J, Hooe Benjamin S, Kay Harrison F, Lee Donald H, Pappas Nick D
Аннотация
PURPOSE: To determine the incidence and reasons for hardware removal after operative fixation of distal radius fractures.
METHODS: We retrospectively reviewed 33 patients who underwent removal of a volar distal radius plate from 2007 to 2013. We recorded the primary reason for plate removal, patient sex, body mass index, AO fracture type, and plate manufacturer. The total number of both distal radius plating procedures and implant removals was analyzed.
RESULTS: Of the 33 patients who underwent implant removal, the most common reasons for removal were pain (30%), tenosynovitis (27%), malunion (24%), infection (12%), nonunion (6%), and tendon rupture (3%). The most common AO fracture types requiring plate removal were A2, C2, and C3 (7 each). A total of 517 distal radius fractures received plate fixation at our institution from 2007 to 2009, a number that rose to 610 from 2010 to 2012. The number of distal radius plate removals over that same time was relatively constant at 17 and 16, respectively.
CONCLUSIONS: We advise continued review of reasons for implant removal to limit future hardware complications related to volar plating of distal radius fractures.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
METHODS: We retrospectively reviewed 33 patients who underwent removal of a volar distal radius plate from 2007 to 2013. We recorded the primary reason for plate removal, patient sex, body mass index, AO fracture type, and plate manufacturer. The total number of both distal radius plating procedures and implant removals was analyzed.
RESULTS: Of the 33 patients who underwent implant removal, the most common reasons for removal were pain (30%), tenosynovitis (27%), malunion (24%), infection (12%), nonunion (6%), and tendon rupture (3%). The most common AO fracture types requiring plate removal were A2, C2, and C3 (7 each). A total of 517 distal radius fractures received plate fixation at our institution from 2007 to 2009, a number that rose to 610 from 2010 to 2012. The number of distal radius plate removals over that same time was relatively constant at 17 and 16, respectively.
CONCLUSIONS: We advise continued review of reasons for implant removal to limit future hardware complications related to volar plating of distal radius fractures.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
Предметные рубрики MeSH
AdultAgedBone PlatesCohort StudiesConfidence IntervalsDevice RemovalFemaleFracture Fixation, InternalHumansIncidenceInjury Severity ScoreLogistic ModelsMaleMiddle AgedMultivariate AnalysisPostoperative ComplicationsPrognosisRadiographyRadius FracturesRetrospective StudiesRisk AssessmentTreatment OutcomeWrist Injuries