دورية أكاديمية
Incidence of complications and secondary procedure following distal radius fractures treated by volar locking plate (VLP)
| العنوان: | Incidence of complications and secondary procedure following distal radius fractures treated by volar locking plate (VLP) |
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| المؤلفون: | Yansen Li, Yanqing Zhou, Xiong Zhang, Dehu Tian, Bing Zhang |
| المصدر: | Journal of Orthopaedic Surgery and Research, Vol 14, Iss 1, Pp 1-9 (2019) |
| بيانات النشر: | BMC, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Orthopedic surgery LCC:Diseases of the musculoskeletal system |
| مصطلحات موضوعية: | Complication, Distal radius fracture, Volar locking plate, Incidence rate, Risk factors, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935 |
| الوصف: | Abstract Objective To investigate the incidence of postoperative overall complications or secondary procedures following distal radius fractures treated by volar locking plate (VLP) Methods Electronic medical records (EMR) of 1152 patients with 1175 distal radius fractures treated by volar locking plate between January 2013 and September 2018 were retrospectively reviewed and the data were extracted. The picture archiving and communication system (PACS) was inquired to assess the fracture severity and to determine the fracture type. Univariate and multivariate logistic regression analyses were used to identify the associated risk factors. Results During the median follow-up period of 6 months, a total of 138 complications in 131 patients were determined, indicating the accumulated rate of 11.7%; there were 68 cases of secondary procedures, with the rate of 5.8%. The independent associated factors for postoperative overall complications were AO type C fracture (OR, 2.6; 95%CI, 1.2 to 4.0), open fracture (OR, 4.2; 95%CI, 1.9 to 6.5), and significant collapse of the lunate fossa (OR, 2.9; 95%CI, 13 to 4.3), and for secondary procedures were significant collapse of the lunate fossa (OR, 3.7; 95%CI, 1.7 to 6.4) and the low-volume of surgeons (OR, 95%CI, 1.2 to 3.6) Conclusions Identification of these factors is of importance for the risk assessment of postoperative complications and the additional need of surgery. For patients with the above factors, especially those with combined risk factors, optimized operation scheme and high-volume surgeon should be considered to prevent or reduce the complications. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1749-799X |
| Relation: | http://link.springer.com/article/10.1186/s13018-019-1344-1; https://doaj.org/toc/1749-799X |
| DOI: | 10.1186/s13018-019-1344-1 |
| URL الوصول: | https://doaj.org/article/fc57a649d3be4f948257a92500d07866 |
| رقم الأكسشن: | edsdoj.fc57a649d3be4f948257a92500d07866 |
| قاعدة البيانات: | Directory of Open Access Journals |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1749799X |
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| DOI: | 10.1186/s13018-019-1344-1 |