gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Complications in patients with fractures of the distal radius

Meeting Abstract

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  • presenting/speaker Merida Victoria Choquin Sales - Mixco, Guatemala
  • Edgar Pinilla - Bogota, Colombia
  • Constanza Lucia Moreno Serrano - Bogota, Colombia
  • Julio Bermudez - Bogota, Colombia
  • Ramon De Bedout - Bogota, Colombia

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1579

doi: 10.3205/19ifssh0595, urn:nbn:de:0183-19ifssh05959

Published: February 6, 2020

© 2020 Choquin Sales et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation:

  • Identify the complications that occur in patients with fractures distal radius during the first year of follow-up.
  • Describe the epidemiological characteristics
  • Estimation of the incidence of complications
  • Determine the factors related

Methods:

  • Study Descriptive, cross-sectional
  • All patients with diagnosis of fracture distal radius from January 1 2010 to December 31 2015
  • Patients older than 18 years
  • Patients with treatment and follow-up by one of the 4 hand's surgeons

Results: 745 patients with 758 fractures were included in the study. Our patients range from 18 to 95 years, 61% (456 patients) of the population is female and 39% male (289 patients), the majority of our patients perform activities of low demand were housewives or pensioners (41%). The most affected side was the left with 53%, and in 1% the patients presented bilateral fractures. The mechanism of the injury in 459 fractures (61%) was low energy being the most frequent falls.

In our 745 patients, with 758 fractures evaluated over 6 years, different complications were identified which are detailed below: 129 patients reported 142 complications, the most frequent being those related to tendons with 37 patients (4.8%), related to Nerves (paresthesia) 26 patients (3.4%), Scar problems 16 patients (2.1%), Carpal tunnel syndrome 9 patients (1.18%), Surface infection 6 patients (0.79%), complex Regional Pain Syndrome 7 patients (0.9%), NO radio union 3 patients (0.3%), Mal union 23 patients (3%), then we found some less frequent complications.

The majority of complications occurred in patients older than 50 years (92 patients representing 12% of 17% of total complications). There are not relationship between the incidence of complications and the presence of a medical history of Diabetes Mellitus, Hypothyroidism, Inflammatory Diseases, Neoplasms, Osteoporosis and the use of non-steroidal anti-inflammatories.

Conclusions:

  • In our Hospital, 17% of complications are reported in patients with distal radius fractures.
  • Most complications are associated with tendons and nerves.
  • Most complications occur in patients older than 50 years and female patients.
  • The relationship between the incidence of complications and the presence of a medical history of Diabetes Mellitus, Hypothyroidism, Inflammatory Diseases, Neoplasms, Osteoporosis and the use of non-steroidal anti-inflammatories, was not confirmed.