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Treatment and outcome of AO/OTA type C distal radius fractures: 12 199 fractures from the Swedish Fracture Register
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Orthopedics and Hand Surgery.ORCID iD: 0000-0002-5083-3591
Örebro University, School of Medical Sciences. Department of Orthopedics and Hand Surgery.ORCID iD: 0000-0001-5610-2063
Örebro University, School of Medical Sciences. Department of Orthopedics and Hand Surgery.
Örebro University, School of Medical Sciences. Clinical Epidemiology and Biostatistics unit.
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2023 (English)In: Acta Orthopaedica Belgica, ISSN 0001-6462, Vol. 89, no 2, p. 241-247Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to examine the epidemiology, treatment, and patient-reported outcome of AO/OTA type C distal radius fractures (DRF) using data from a large national fracture register. We used prospectively collected data from the Swedish Fracture Register covering all AO/OTA type C DRFs registered between April 2012 and December 2018. Data on fracture type, epidemiology, trauma-mechanism, and treatment had been recorded by the treating physician. Patients had been sent an outcome questionnaire including EQ-VAS, EQ-5D, and the SMFA at the time of injury and 12 months after. A total of 12 199 cases with AO/OTA type C fracture were identified. AO/OTA type C1 fracture was most common, with 5400 cases, followed by AO type C2 with 4304 and AO/OTA type C3 with 2495. Cast treatment and surgical treatment with volar locking plate fixation were the most common treatments. Patient-reported outcome measures worsened significantly one year after the fracture, and 56% reported moderate problems with pain and discomfort one year after the fracture. Patients treated with a volar plate reported a significantly larger deterioration in EQ-5D outcome compared to patients treated with a cast. No treatment method was found to be superior. A good outcome after a type C fracture is possible, but many patients do not recover completely. Our findings indicate a relatively better self-reported outcome for patients treated with a cast, but as treatment was not randomized the clinical relevance is unclear.

Place, publisher, year, edition, pages
Belgian Society of Orthopaedics and Traumatology , 2023. Vol. 89, no 2, p. 241-247
Keywords [en]
Distal radius fracture, Epidemiology, Swedish fracture register, AO, OTA type C, patient -reported outcome measures
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:oru:diva-110865DOI: 10.52628/89.2.11473ISI: 001124240400003PubMedID: 37924540Scopus ID: 2-s2.0-85174386730OAI: oai:DiVA.org:oru-110865DiVA, id: diva2:1830062
Funder
Region Örebro County, 939040Available from: 2024-01-22 Created: 2024-01-22 Last updated: 2024-01-22Bibliographically approved

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Sagerfors, MarcusJakobsson, HugoWretenberg, PerBrus, Ole

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