دورية أكاديمية
Cannabis Use in Patients With Distal Radius Fractures: A Moment of Unity?
| العنوان: | Cannabis Use in Patients With Distal Radius Fractures: A Moment of Unity? |
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| المؤلفون: | Livesey MG; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA., Bains SS; Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA., Stern JM; Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA., Chen Z; Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA., Dubin JA; Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA., Monárrez R; Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA., Remily EA; Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA., Ingari JV; Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA. |
| المصدر: | Hand (New York, N.Y.) [Hand (N Y)] 2023 Oct 03, pp. 15589447231196905. Date of Electronic Publication: 2023 Oct 03. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications Country of Publication: United States NLM ID: 101264149 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1558-9455 (Electronic) Linking ISSN: 15589447 NLM ISO Abbreviation: Hand (N Y) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : Thousand Oaks, CA : SAGE Publications Original Publication: New York, N.Y. : Springer, c2006- |
| مستخلص: | Background: As legalization of cannabis spreads, an increasing number of patients who use cannabis are being seen in the clinical setting. This study examined the impact of cannabis and tobacco use on postoperative complications following open reduction and internal fixation (ORIF) of distal radius fractures. Methods: A national, all-payer database was queried to identify patients who underwent ORIF of a distal radius fracture between 2015 and 2020 (n = 970 747). Patients were stratified into the following groups: (1) tobacco use (n = 86 941), (2) cannabis use (n = 898), (3) tobacco and cannabis use (n = 9842), and (4) neither tobacco nor cannabis use ("control", 747 892). Multivariable logistic regression was used to identify risk factors for infection, nonunion, and malunion within the first postoperative year. Results: Concomitant use of tobacco and cannabis was associated with a higher rate of nonunion (5.0%) compared to tobacco or cannabis use alone ( P < .001). Multivariate analysis identified cannabis-only use (odds ratio [OR] 1.25), tobacco-only use (OR 2.17), and concurrent tobacco and cannabis use (OR 1.78) as risk factors for infection within the first postoperative year. Similarly, cannabis-only use (OR 1.47), tobacco-only use (OR 1.92), and concurrent tobacco and cannabis use (OR 2.52) were associated with an increased risk of malunion. Conclusions: Cannabis use is associated with an elevated risk of infection and malunion following operative management of a distal radius fracture. Concomitant use of cannabis and tobacco poses an elevated risk of nonunion and malunion compared to tobacco use alone. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: cannabis; distal radius fracture; infection; malunion; union |
| تواريخ الأحداث: | Date Created: 20231003 Latest Revision: 20231003 |
| رمز التحديث: | 20231003 |
| DOI: | 10.1177/15589447231196905 |
| PMID: | 37787484 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1558-9455 |
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| DOI: | 10.1177/15589447231196905 |