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KMID : 1143020200250030181
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Archives of Hand and Microsurgery
2020 Volume.25 No. 3 p.181 ~ p.188
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Epidemiologic Features of Distal Radius Fractures in Severe Trauma Patients at the Busan Regional Trauma Center
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Kim Dong-Hee
Kwak Sang-Ho
Jang Hyo-Seok
An Sung-Jin
Lee Gwang-Eun
Cho Yoon-Jae
Lee Sang-Hyun
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Abstract
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Purpose: Distal radius fractures (DRFs) are often observed in simple trauma in older women with osteoporosis, and severe trauma caused by traffic or fall accidents. In this study, we aim to classify the DRFs according to injury mechanism, and statistically compare epidemiologic factors, radiological characteristics, and functional scores.
Methods: From 2013 to 2018, 112 cases of trauma in 104 patients (70 monotraumas and 42 severe traumas) diagnosed with DRFs were included. Patients were divided into the low-energy monotrauma (ML), high-energy monotrauma (MH), and severe trauma groups and analyzed for differences in sex, Injury Severity Score (ISS), accompanying ipsilateral injuries, radiologic indices, AO/OTA classification, and functional outcome scores (disabilities of the arm, shoulder, and hand [DASH] and Modified Mayo Wrist Score).
Results: Significant differences were observed in sex, age, ISS, and accompanying ipsilateral injury among three group (p<0.001). Distribution of AO classification was not significantly different among the groups. Especially, sex, age, and accompanying ipsilateral injury were significantly different between the ML and MH groups (p<0.001). Postoperative DASH and MMWS were significantly different between the monotrauma and severe trauma groups (p<0.001).
Conclusion: Severe trauma with DRFs was observed at a lower age and more frequently accompanied by ipsilateral injury and high ISS. Additionally, the functional outcomes were lower after severe trauma than after monotrauma. Therefore, for DRF patients with severe trauma, attention should be paid to the pattern of fracture as well as the accompanying injury and postoperative management and rehabilitation associated with it.
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KEYWORD
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Epidemiology, Distal radius fracture, Multiple trauma
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