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Association of Timing With Postoperative Complications in the Management of Open Distal Radius Fractures.
Morrison, Kerry A; Rocks, Madeline C; Comunale, Victoria; Desai, Karan; Nicholas, Rebecca S; Azad, Ali; Ayalon, Omri; Hacquebord, Jacques H.
Afiliación
  • Morrison KA; NYU Langone Health, New York, USA.
  • Rocks MC; NYU Langone Health, New York, USA.
  • Comunale V; NYU Langone Health, New York, USA.
  • Desai K; NYU Langone Health, New York, USA.
  • Nicholas RS; NYU Langone Health, New York, USA.
  • Azad A; NYU Langone Health, New York, USA.
  • Ayalon O; NYU Langone Health, New York, USA.
  • Hacquebord JH; NYU Langone Health, New York, USA.
Hand (N Y) ; : 15589447241257644, 2024 Jun 10.
Article en En | MEDLINE | ID: mdl-38853771
ABSTRACT

BACKGROUND:

This study investigates whether open distal radius fractures (ODRFs) treated after 24 hours from time of injury have an increased risk of infection or overall complication profile compared with those treated within 24 hours.

METHODS:

Retrospective review was performed of all patients treated for ODRF over a 6-year period at a single large academic institution. Postoperative complications included surgical site infections, need for revision irrigation and debridement, delayed soft tissue healing, loss of reduction, nonunion, and malunion.

RESULTS:

One-hundred twenty patients were treated for ODRF. Mean (SD) age at time of injury was 59.92 (17.68) years. Twenty patients (16.7%) had postoperative complications. Regarding mechanism of injury, 78 (65.0%) had a low-energy and 42 (35.0%) had a high-energy injury. Age and fracture grade were not significant factors. Mean (SD) open wound size was 1.18 (1.57) cm. Mean (SD) time from injury presentation to the emergency department (ED) and first dose of intravenous antibiotics was 3.07 (4.05) hours and mean (SD) time from presentation to the ED and operative treatment was 11.90 (6.59) hours, which did not show a significant association with postoperative complications. Twenty-four patients (20.0%) were treated greater than 24 hours after presentation to the ED, which was not significantly distinct from those treated within 24 hours.

CONCLUSION:

Patients with ODRFs treated after 24 hours were not associated with a greater risk of postoperative complications. Factors including age, energy and mechanism of injury, and fracture grade did not alter outcome in any statistically significant manner. LEVEL OF EVIDENCE Level IV.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Hand (N Y) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Hand (N Y) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos