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- Title
Time to surgery and outcomes following open reduction and internal fixation of both-bone forearm fractures.
- Authors
Rust, Andrew; Samade, Richard; Campbell, Andrew B.; McManus, Timothy; Jain, Sonu A.
- Abstract
Purpose: To determine the effect of time to surgery on outcomes following open reduction and internal fixation (ORIF) of both-bone forearm fractures (BBFFs). Methods: Ninety-nine patients who underwent ORIF of BBFFs in a single academic medical center over a 16-year time period were retrospectively reviewed. Demographic and clinical data including age, sex, current smoking status, time from injury to surgery (tsurg), presence of open injury, polytrauma status, and complications were obtained. Radiographs of the affected extremity were reviewed for fracture morphology, reduction quality, and time to union (or presence of nonunion). In addition to descriptive statistics, Chi-square and Wilcoxon–Mann–Whitney tests were used to compare categorical and interval, respectively, with a significance level of 0.05. Results: A tsurg > 48 h was associated with increased rate of delayed unions (tsurg < 48 h: 25% vs tsurg > 48 h: 59%, p = 0.03), but not complications (tsurg < 48 h: 44% vs tsurg > 48 h: 47%, p = 0.79). Open BBFFs were not associated with increased rates of delayed unions (closed: 16% vs open: 19%, p = 0.77) or complications (closed: 42% vs open: 53%, p = 0.29). A trend toward increased time to union with tsurg > 48 h was also seen, but did not reach significance (tsurg < 48 h: 13.5 weeks vs tsurg > 48 h: 15.7 weeks, p = 0.11). Conclusion: A tsurg > 48 h is associated with an increased rate of delayed union, but not complications, after ORIF of BBFFs. Level of evidence: Therapeutic Level III (Retrospective Cohort).
- Subjects
ACADEMIC medical centers; UNUNITED fractures; TIME; ULNA injuries; OPEN reduction internal fixation; RETROSPECTIVE studies; ACQUISITION of data; MANN Whitney U Test; TREATMENT delay (Medicine); TREATMENT effectiveness; COMPARATIVE studies; FOREARM injuries; MEDICAL records; DESCRIPTIVE statistics; CHI-squared test; RADIUS fractures; BONE fractures; DISEASE risk factors; EVALUATION
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2024, Vol 34, Issue 1, p135
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-023-03560-8