ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2025
Outcomes of Distal Radius Fractures: A Comparison Between Fellowship-Trained Trauma and Hand Orthopaedic Surgeons.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo evaluate outcomes and complications after fixation of distal radius fractures performed by a fellowship-trained trauma versus hand orthopaedic surgeons.
methodsA retrospective review of operative distal radius fractures between 8/2022 and 8/2024 at a single academic, level I trauma center was performed. The primary outcome was unplanned reoperations. Secondary outcomes included reduction quality and complications.
resultsA total of 134 distal radius fractures (86 trauma and 48 hand) were included with a mean follow-up of 5.8 and 5.4 months, respectively. No notable differences were found in baseline characteristics or initial injury radiograph measurements except for open injuries and fixation method. The trauma group had significantly more open injuries (20% vs/ 6%, P-value = 0.03) and used a volar plate alone (74% vs. 65%, P-value = 0.01) more than the hand group. No differences were found in unplanned revision surgeries between the trauma (10%) and hand (13%) surgeons. A significant difference was found in final radiograph measurements in radial inclination (21.9 vs/ 19.5, P-value = 0.04) and radial height (11.5 vs/ 9.9, P-value = 0.05) for the trauma and hand groups, respectively. No differences were found in any of the other complications recorded for the trauma and hand groups: nonunion (1% vs 2%), superficial infection (5% vs. 6%), deep infection (2% vs. 0%), chronic pain (20% vs. 27%), and tendon rupture (1% vs. 0%).
conclusionNo notable differences were found in unplanned revision surgeries or complications in surgically treated distal radius fractures between fellowship-trained trauma versus hand surgeons.
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