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Risk factors for complications following open reduction internal fixation of distal radius fractures.
J Hand Surg Am. 2014 Dec; 39(12):2365-72.JH

Abstract

PURPOSE

A national surgical database was used to determine risk factors for complications in patients undergoing open reduction internal fixation (ORIF) for distal radius fractures.

METHODS

The American College of Surgeons National Surgical Quality Improvement Program database for the 2006-2012 years was queried to identify all patients who underwent an ORIF of a distal radius fracture based on Current Procedural Terminology codes 25607, 25608, or 25609. The database is a statistically representative sample of prospectively collected perioperative surgical data from hospitals primarily in the United States. Demographics, comorbidities, preoperative laboratory values, and 30-day complications were compared between the patient groups with and without a postoperative complication. Multivariate analysis was performed to identify patient characteristics and comorbidities that were independently associated with early postoperative complications.

RESULTS

This retrospective analysis identified 3,003 patients who underwent an ORIF of the distal radius over 7 years. The number of patients with a complication within 30 days after surgery was 62 (2%), totaling 90 complications. Incidence of return to the operative room for the entire study population was 1.1%. Multivariate analysis, adjusting for confounding variables, showed that patients with a complication were more likely to have hypertension, congestive heart failure, preoperative chemotherapy or radiotherapy, longer operating time, and manifest preoperative impairment in independent living.

CONCLUSIONS

Approximately 2% of patients sustained a complication within 30 days following ORIF of a distal radius fracture. Recognition of the risk factors may help avoid complications in the identified high-risk patients.

TYPE OF STUDY/LEVEL OF EVIDENCE

Prognostic II.

Authors+Show Affiliations

Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Medical Center, Chicago; Illinois Bone and Joint Institute, Glenview; Department of Orthopaedic Surgery, Northshore University HealthSystem, Evanston, IL. Electronic address: JJJ1215@gmail.com.Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Medical Center, Chicago; Illinois Bone and Joint Institute, Glenview; Department of Orthopaedic Surgery, Northshore University HealthSystem, Evanston, IL.Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Medical Center, Chicago; Illinois Bone and Joint Institute, Glenview; Department of Orthopaedic Surgery, Northshore University HealthSystem, Evanston, IL.Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Medical Center, Chicago; Illinois Bone and Joint Institute, Glenview; Department of Orthopaedic Surgery, Northshore University HealthSystem, Evanston, IL.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25447002

Citation

Jiang, Jimmy J., et al. "Risk Factors for Complications Following Open Reduction Internal Fixation of Distal Radius Fractures." The Journal of Hand Surgery, vol. 39, no. 12, 2014, pp. 2365-72.
Jiang JJ, Phillips CS, Levitz SP, et al. Risk factors for complications following open reduction internal fixation of distal radius fractures. J Hand Surg Am. 2014;39(12):2365-72.
Jiang, J. J., Phillips, C. S., Levitz, S. P., & Benson, L. S. (2014). Risk factors for complications following open reduction internal fixation of distal radius fractures. The Journal of Hand Surgery, 39(12), 2365-72. https://doi.org/10.1016/j.jhsa.2014.09.016
Jiang JJ, et al. Risk Factors for Complications Following Open Reduction Internal Fixation of Distal Radius Fractures. J Hand Surg Am. 2014;39(12):2365-72. PubMed PMID: 25447002.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors for complications following open reduction internal fixation of distal radius fractures. AU - Jiang,Jimmy J, AU - Phillips,Craig S, AU - Levitz,Seth P, AU - Benson,Leon S, Y1 - 2014/10/29/ PY - 2014/06/16/received PY - 2014/09/05/revised PY - 2014/09/05/accepted PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2016/1/28/medline KW - Distal radius fracture KW - comorbidities KW - complications KW - open reduction internal fixation KW - risk factors SP - 2365 EP - 72 JF - The Journal of hand surgery JO - J Hand Surg Am VL - 39 IS - 12 N2 - PURPOSE: A national surgical database was used to determine risk factors for complications in patients undergoing open reduction internal fixation (ORIF) for distal radius fractures. METHODS: The American College of Surgeons National Surgical Quality Improvement Program database for the 2006-2012 years was queried to identify all patients who underwent an ORIF of a distal radius fracture based on Current Procedural Terminology codes 25607, 25608, or 25609. The database is a statistically representative sample of prospectively collected perioperative surgical data from hospitals primarily in the United States. Demographics, comorbidities, preoperative laboratory values, and 30-day complications were compared between the patient groups with and without a postoperative complication. Multivariate analysis was performed to identify patient characteristics and comorbidities that were independently associated with early postoperative complications. RESULTS: This retrospective analysis identified 3,003 patients who underwent an ORIF of the distal radius over 7 years. The number of patients with a complication within 30 days after surgery was 62 (2%), totaling 90 complications. Incidence of return to the operative room for the entire study population was 1.1%. Multivariate analysis, adjusting for confounding variables, showed that patients with a complication were more likely to have hypertension, congestive heart failure, preoperative chemotherapy or radiotherapy, longer operating time, and manifest preoperative impairment in independent living. CONCLUSIONS: Approximately 2% of patients sustained a complication within 30 days following ORIF of a distal radius fracture. Recognition of the risk factors may help avoid complications in the identified high-risk patients. TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic II. SN - 1531-6564 UR - https://www.unboundmedicine.com/medline/citation/25447002/Risk_factors_for_complications_following_open_reduction_internal_fixation_of_distal_radius_fractures_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0363-5023(14)01310-0 DB - PRIME DP - Unbound Medicine ER -