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KMID : 1143020170220040217
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Archives of Hand and Microsurgery
2017 Volume.22 No. 4 p.217 ~ p.223
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Treatment Trends of Pediatric Distal Radius Fractures: A Population-Based Study in South Korea
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Jo Young-Hoon
Kim Hee-Soo
Lee Bong-Gun
Kim Joo-Hak
Min Kyung-Sik
Lee Kwang-Hyun
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Abstract
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Purpose: To investigate treatment trends for pediatric distal radius fractures (DRFs) in Korea.
Methods: We analyzed a nationwide database spanning 2011 to 2015 acquired from the Korean Health Insurance Review and Assessment Service. International Classification of Diseases, 10th revision (ICD-10) codes and procedure codes were used to identify patients aged under 18 years with newly diagnosed DRFs.
Results: A total of 181,218 DRFs occurred from 2011 to 2015. Most of the DRFs (92.2%) were managed with conservative methods. Surgical fixation was performed on 14,219 DRFs (7.8%), the proportion of DRFs treated by surgical fixation was not significantly changed by the year (p=0.33). Among the patients who underwent surgical fixation, closed pinning (9,664 DRFs, 68.0%) was the most popular procedure. The proportion of DRF cases treated with open reduction and internal fixation (ORIF), however, tended to increase steadily over time (p<0.001). Regarding surgical trend according to age group, as age increased the proportion of ORIF increased and closed pinning tended to decrease.
Conclusion: In Korea, most of pediatric DRFs were managed with conservative methods. In surgical fixation, closed pinning was the most popular procedure. However, the proportion of ORIF tended to increase steadily year by year.
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KEYWORD
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Distal radius, Fracture, Surgery, Pediatric and adolescent, Trend
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