Risk factors for complications after volar plate fixation of distal radial fractures

This study assessed risk factors for complications after volar plate fixation of distal radial fractures. An assessment of electronic patient records from 2008 to 2016 identified 867 patients with a total of 881 distal radial fractures who underwent volar plating in our hospital. A total of 132 complications after volar plate fixation of distal radial fractures were observed (complication rate 15%). Surgery performed by a low-volume surgeon and patient age less than 40 years were the most important risk factors for plate-related complications. In logistic regression analysis, operation performed by a low-volume surgeon and patient age less than 40 years were independent predictors of plate-related complications. Patient age less than 40 years and low-volume surgeon were also found to be independent risk factors for plate-related secondary operations. Surgical delay had no effect on the complication rate. Level of evidence: IV

[1]  L. Borris,et al.  Complications of volar locking plating of distal radius fractures in 576 patients with 3.2 years follow-up. , 2017, Injury.

[2]  Masatoshi Takahara,et al.  Complications of Distal Radius Fractures Treated by Volar Locking Plate Fixation. , 2016, Orthopedics.

[3]  M. Poeze,et al.  Dorsal or Volar Plate Fixation of the Distal Radius: Does the Complication Rate Help Us to Choose? , 2016, Journal of Wrist Surgery.

[4]  Jonas L. Matzon,et al.  Incidence of Hardware Removal Following Volar Plate Fixation of Distal Radius Fracture. , 2015, The Journal of hand surgery.

[5]  K. Chung,et al.  Management of complications of distal radius fractures. , 2015, Hand clinics.

[6]  C. Phillips,et al.  Risk factors for complications following open reduction internal fixation of distal radius fractures. , 2014, The Journal of hand surgery.

[7]  N. Schep,et al.  Complications following volar locking plate fixation for distal radial fractures: a systematic review , 2014, The Journal of hand surgery, European volume.

[8]  J. Dias,et al.  Complications after volar locking plate fixation of distal radius fractures. , 2014, Injury.

[9]  J. Macdermid,et al.  Complications associated with operative versus nonsurgical treatment of distal radius fractures in patients aged 65 years and older. , 2012, The Journal of hand surgery.

[10]  S. Asadollahi,et al.  Flexor tendon injuries following plate fixation of distal radius fractures: a systematic review of the literature , 2013, Journal of Orthopaedics and Traumatology.

[11]  P. Esenwein,et al.  Complications following palmar plate fixation of distal radius fractures: a review of 665 cases , 2013, Archives of Orthopaedic and Trauma Surgery.

[12]  R. Arora,et al.  A prospective randomized trial comparing nonoperative treatment with volar locking plate fixation for displaced and unstable distal radial fractures in patients sixty-five years of age and older. , 2011, The Journal of bone and joint surgery. American volume.

[13]  C. Charalambous,et al.  Reoperation for metalwork complications following the use of volar locking plates for distal radius fractures: a United Kingdom experience. , 2011, Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand.

[14]  B. Adams,et al.  Early complications of volar plating of distal radius fractures and their relationship to surgeon experience , 2011, Hand.

[15]  J. Katarincic,et al.  Fracture of the distal radius: risk factors for complications after locked volar plate fixation. , 2011, The Journal of hand surgery.

[16]  Rohit Arora,et al.  Complications Following Internal Fixation of Unstable Distal Radius Fracture With a Palmar Locking-Plate , 2007, Journal of orthopaedic trauma.

[17]  P. Blazar,et al.  Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius. , 2006, The Journal of hand surgery.

[18]  J. Orbay,et al.  Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patient. , 2004, The Journal of hand surgery.

[19]  J. Macdermid,et al.  Assessment of complications of distal radius fractures and development of a complication checklist. , 2001, The Journal of hand surgery.

[20]  T. Flinkkilä,et al.  Poor interobserver reliability of AO classification of fractures of the distal radius: Additional computed tomography is of minor value , 1998 .