Behandling av distale radiusfrakturer

Kvernmo, Hebe Désirée; Krukhaug, Yngvar

doi:10.4045/tidsskr.12.0297

Cited by 17 publications

(8 citation statements)

References 24 publications

(29 reference statements)

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“…Between 1993-99, distal radial fractures accounted for 7% of the claims [8], slightly more than the 5% in our study. In 2005-2007 the Norwegian Orthopaedic Association decided to establish guidelines for treatment of distal radial fractures, based on the high number of cases submitted to the NPE in the previous years [9]. Approximately one third of distal radial fractures in Norway received surgical treatment during 2009 -2014, with a major shift towards increased use of volar plates at the end of the period [9].…”

Section: Discussionmentioning

confidence: 99%

Compensation after Distal Radial Fractures. A Review of 800 claims to the Norwegian System of Patient Injury Compensation 2000-2013

Clementsen¹,

Hammer²,

Engebretsen³

et al. 2018

TOORTHJ

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Background: Distal radial fracture is the most common fracture in humans. Objective: The purpose of the present study was to assess the compensation claims filed to The Norwegian System of Patient Injury Compensation (NPE) after the treatment of distal radial fractures from 2000 through June 2013. Methods: Data received by the NPE were collected and categorized into groups depending on acceptance or rejection of the claim. In both groups, the cases were systemized according to the type of primary treatment, either operative or conservative. Patient demographics were recorded, along with the patient´s reason(s) for the compensation claim, registered complications and the NPE´s reason(s) for the acceptance or rejection of the claim. Results: Eight hundred compensation claims were received. Forty-three percent of claims were granted, of which 71% had been treated conservatively and 29% had received surgical treatment. Pain was the most common complaint. There were a higher number of upheld claims in hospitals with a population area of less than 100,000 people as opposed to larger hospitals. Conclusion: The most common cause for compensation was delayed intervention when reduction was lost after conservative treatment. Most of the compensations after surgery were due to wrong technique. Only 30 patients with upheld claims received volar plating. Pain is not a valid reason for compensation on its own. There is a higher risk of ending up with a complication that leads to compensation if the patient is treated in a small hospital.

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Section: Discussionmentioning

confidence: 99%

Compensation after Distal Radial Fractures. A Review of 800 claims to the Norwegian System of Patient Injury Compensation 2000-2013

Clementsen¹,

Hammer²,

Engebretsen³

et al. 2018

TOORTHJ

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“…Excellent results have been described for both techniques [10–15]. However, no conclusive evidence has been published favoring ORIF with a volar locking plate over bridging external fixation or vice versa [16]. …”

Section: Introductionmentioning

confidence: 99%

Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis

Walenkamp¹,

Bentohami²,

Beerekamp³

et al. 2013

Strategies in Trauma and Limb Reconstruction

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The aim of this study was to compare bridging external fixation with volar locked plating in patients with unstable distal radial fractures regarding functional outcome. A systematic search was performed in the Cochrane Central Register of Controlled Trials, Medline and EMBASE. All randomized controlled trials that compared bridging external fixation directly with volar locked plating in patients with distal radial fractures were considered. Three reviewers extracted data independently from eligible studies using a data collection form. Studies in which the primary endpoint was measured on the disabilities of the arm shoulder and hand (DASH) score at 3, 6 and 12 months were included in the analysis. To this end, mean scores and standard deviations were extracted. The software package Revman 5 provided by the Cochrane Collaboration was used for data analysis. Three studies involving 174 patients were analyzed. Ninety patients were treated with an (augmented) bridging external fixator and 84 with a volar locking plate. Data were analyzed with the random effects model. The robustness of the results was explored using a sensitivity analysis. Patients treated with a volar locking plate showed significantly lower DASH scores at all times. A difference of 16 (p = 0.006), six (p = 0.008) and eight points (p = 0.06) was found at 3, 6 and 12 months follow-up, respectively. Patients treated with a volar locking plate showed significantly better functional outcome throughout the entire follow-up. However, this difference was only clinically relevant during the early postoperative period (3 months).

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“…Spørsmålet høres tilforlatelig: Hvilken behandling er den beste ved distal radiusfraktur? I to oversiktsartikler i dette nummer av Tidsskriftet er nettopp dette undersøkt (1,2). I begge fremheves det at kunnskapsgrunnlaget er mangelfullt og at flere studier behøves.…”

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“…Men måten forfatterne har gått til verks på er ulik, og det er konklusjonene også. Kvernmo & Krukhaug har fått hjelp av Kunnskapssenteret til å gjøre omfattende systematiske litteratursøk i flere omganger (1). Dette flerårige arbeidet har resultert i inklusjon av fire Cochrane-oversikter og én annen systematisk oversiktsartikkel.…”

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Brean¹

2013

Tidsskriftet

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Behandling av distale radiusfrakturer

Cited by 17 publications

References 24 publications

Compensation after Distal Radial Fractures. A Review of 800 claims to the Norwegian System of Patient Injury Compensation 2000-2013

Compensation after Distal Radial Fractures. A Review of 800 claims to the Norwegian System of Patient Injury Compensation 2000-2013

Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis

Hva er en medisinsk sannhet?

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