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59. Kongress der Deutschen Gesellschaft für Handchirurgie

Deutsche Gesellschaft für Handchirurgie

11. - 13.10.2018, Mannheim

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Risk of complications after hardware removal following volar plate osteosynthesis of distal radius fractures: comparing medically and non-medically indications

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  • corresponding author presenting/speaker Senat Krasnici - Orthopädische-, Unfall- und Wiederherstellungschirurgie, CHARITÉ - Campus Benjamin Franklin, Berlin, Germany
  • Kay Krüger - Orthopädische-, Unfall- und Wiederherstellungschirurgie, CHARITÉ - Campus Benjamin Franklin, Berlin, Germany
  • Benedict Kunz - Orthopädische-, Unfall- und Wiederherstellungschirurgie, CHARITÉ - Campus Benjamin Franklin, Berlin, Germany
  • Wolfgang Ertel - Orthopädische-, Unfall- und Wiederherstellungschirurgie, CHARITÉ - Campus Benjamin Franklin, Berlin, Germany
  • Isabella Fassola - Orthopädische-, Unfall- und Wiederherstellungschirurgie, CHARITÉ - Campus Benjamin Franklin, Berlin, Germany

Deutsche Gesellschaft für Handchirurgie. 59. Kongress der Deutschen Gesellschaft für Handchirurgie. Mannheim, 11.-13.10.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. Doc18dgh019

doi: 10.3205/18dgh019, urn:nbn:de:0183-18dgh0194

Veröffentlicht: 10. Oktober 2018

© 2018 Krasnici et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

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Text

Objectives: The aim of the study was to investigate the different complication rate between medically- and non-medically indicated hardware removal following osteosynthesis of distal radius fractures with volar locking plates.

Method: Out of 1.473 cases of distal radius fracture treated with volar locking plates, 84 cases (80 patients) underwent hardware removal (incidence 17.5%). Patients were divided into two groups: the medically indicated group (MI) consisted of 47 patients (56%) and the non-medically indicated group (NMI) consisted of 37 patients (44%).

Results: The overall incidence of complications was 10.7%. In the MI group, a total of 8 (17%) complications occurred compared to 1 (4%) in the NMI group (p = .71). The most common complication in both MI and NMI groups was post-traumatic arthrosis. The most common indication for hardware removal in the MI group was limited range of motion (31.9%), compared to patient's desire (89.2%) in the NMI group. The average interval time between the original surgery and the hardware removal was 15.43 months in the MI group, compared to 13.19 months in the NMI group (p = .634). Patients in MI group were significantly older (average: 58.32 years) than patients in NMI (average: 49.78 years) (p = .02)

Conclusion: We found no statistically significant difference in the rate of complication between medically and non-medically indicated hardware removal following volar locking plate fixation of distal radius fracture. Hardware removal is a surgical procedure with non-trivial complications, even in the absence of a medical indication.