Risk factors for complications after volar plate fixation of distal radial fractures

被引：18

作者：

Sirnio, Kai ^{[1
]}

Flinkkila, Tapio ^{[1
]}

Vahakuopus, Marko ^{[1
]}

Hurskainen, Antti ^{[1
]}

Ohtonen, Pasi ^{[2
,3
]}

Leppilahti, Juhana ^{[1
]}

机构：

[1] Oulu Univ Hosp, Dept Surg, Oulu, Finland

[2] Oulu Univ Hosp, Div Operat Care & MRC Oulu, Oulu, Finland

[3] Univ Oulu, Oulu, Finland

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2019年 / 44卷 / 05期

关键词：

Distal radial fractures; radius fractures; locking plate fixation; complications; secondary operations; INTERNAL-FIXATION;

D O I：

10.1177/1753193418811559

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study assessed risk factors for complications after volar plate fixation of distal radial fractures. An assessment of electronic patient records from 2008 to 2016 identified 867 patients with a total of 881 distal radial fractures who underwent volar plating in our hospital. A total of 132 complications after volar plate fixation of distal radial fractures were observed (complication rate 15%). Surgery performed by a low-volume surgeon and patient age less than 40 years were the most important risk factors for plate-related complications. In logistic regression analysis, operation performed by a low-volume surgeon and patient age less than 40 years were independent predictors of plate-related complications. Patient age less than 40 years and low-volume surgeon were also found to be independent risk factors for plate-related secondary operations. Surgical delay had no effect on the complication rate.

引用

收藏

页码：456 / 461

页数：6

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