TY - JOUR

T1 - Complications After Volar Locking Plate Fixation of Distal Radius Fractures

T2 - A Retrospective Study of 822 Patients

AU - Perregaard, Søren

AU - Jørgensen, Rasmus Wejnold

AU - Landgren, Marcus

N1 - Funding Information: This project was funded by the Department of Orthopedic Surgery , Copenhagen University Hospital , Herlev and Gentofte, Gentofte, Denmark. Publisher Copyright: © 2023 American Society for Surgery of the Hand

PY - 2024

Y1 - 2024

N2 - Purpose: With the current routine use of volar locking plates as the preferred surgical treatment option for distal radius fractures, the purpose of this study was to investigate the incidence of postoperative complications following surgery and, second, investigate the correlation between demographic factors and the risk of complications. Methods: We retrospectively reviewed all patients who had been surgically treated for a distal radius fracture with open reduction and internal fixation using volar plating and screws during a 3-year period. Relevant demographic information and all postoperative complications of the 822 patients eligible for inclusion were recorded, with a mean follow-up time of 2.8 years. Results: We identified an overall complication rate of 12.3% (101 of the 822 patients), with 4.8% defined as experiencing major complications and 7.5% defined as experiencing minor complications. The most frequent were complications that led to hardware removal, observed in 2.7% (n = 22) of the patients; wound-related problems that did not require surgical revision, observed in 2.2% (n = 18) of the patients; and carpal tunnel syndrome, observed in 1.9% (n = 16) of the patients. Binary logistic regression modeling showed no correlation between demographic factors and the risk of complications. Conclusions: In conclusion, a low overall complication rate of 12.3% was found. Further, 4.8% of the patients experienced a major complication and 7.5% of the patients experienced a minor complication following open reduction and internal fixation using volar plating of distal radius fractures. Age, sex, fracture type, and time from trauma to surgery were not found to be associated with an increased risk of postoperative complications. Type of study/level of evidence: Prognostic IV.

AB - Purpose: With the current routine use of volar locking plates as the preferred surgical treatment option for distal radius fractures, the purpose of this study was to investigate the incidence of postoperative complications following surgery and, second, investigate the correlation between demographic factors and the risk of complications. Methods: We retrospectively reviewed all patients who had been surgically treated for a distal radius fracture with open reduction and internal fixation using volar plating and screws during a 3-year period. Relevant demographic information and all postoperative complications of the 822 patients eligible for inclusion were recorded, with a mean follow-up time of 2.8 years. Results: We identified an overall complication rate of 12.3% (101 of the 822 patients), with 4.8% defined as experiencing major complications and 7.5% defined as experiencing minor complications. The most frequent were complications that led to hardware removal, observed in 2.7% (n = 22) of the patients; wound-related problems that did not require surgical revision, observed in 2.2% (n = 18) of the patients; and carpal tunnel syndrome, observed in 1.9% (n = 16) of the patients. Binary logistic regression modeling showed no correlation between demographic factors and the risk of complications. Conclusions: In conclusion, a low overall complication rate of 12.3% was found. Further, 4.8% of the patients experienced a major complication and 7.5% of the patients experienced a minor complication following open reduction and internal fixation using volar plating of distal radius fractures. Age, sex, fracture type, and time from trauma to surgery were not found to be associated with an increased risk of postoperative complications. Type of study/level of evidence: Prognostic IV.

KW - Complications to surgery

KW - distal radius fracture

KW - DRF

KW - open reduction internal fixation

KW - volar locking plate

U2 - 10.1016/j.jhsa.2022.11.012

DO - 10.1016/j.jhsa.2022.11.012

M3 - Journal article

C2 - 36697293

AN - SCOPUS:85147386230

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

SN - 0363-5023

ER -