Clinical Study of Volar Median Approach Combined with Lateral Radial Auxiliary Approach in Treatment of C-Type Distal Radius Fractures: Our Clinical and Radiological Results

Gu, Yanqing; Zhao, Lei; Ren, Yan; Nyeenya, Nakibuuka Joan; Wang, Yang; Xu, Chenyang; Jiang, Chunzhi

doi:10.12659/msm.938806

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Second, we used the DASH scores to describe the postoperative feelings of patients better. However, the Gartland-Werley score system, comprising certain characteristics and strength, can also be used in DRFs [35].…”

Section: Discussionmentioning

confidence: 99%

Impact of ERAS Compliance on the Short-Term Outcomes for Distal Radius Surgery: A Single-Center Retrospective Study

Zha,

Sun,

et al. 2023

Preprint

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Background Distal radius fractures (DRF) account for one in five bony injuries in both primary and secondary trauma care. Enhanced recovery after surgery (ERAS) has been adopted successfully for improvement and efficacy in numerous diseases; however, no study has demonstrated the different degrees of ERAS compliance on the short-term outcomes for distal radius surgery. We aimed to analyze whether different compliance degrees to the ERAS pathway are associated with improvement in patients with DRF. Methods We analyzed all consecutive patients with ERAS who underwent surgery for DRF at our department between May 2019 and October 2022 retrospectively. Their pre-, peri-, and post-operative compliance with the 22 elements of the ERAS program were assessed. We compared patient complications, the total length of hospitalization, the discharge time after surgery, hospital costs, times for return to preinjury level, times of the visual analogue scale (VAS) pain score > 3 points during hospitalization, disabilities of the arm, shoulder and hand (DASH) scores, and other parameters between low- (< 68.1%) and high-compliance (> 68.1%) groups. We performed multiple linear regression equations to assess the impact of ERAS compliance on the function level of the patients postoperatively (DASH scores). Results No significant differences were detected between the high- and low-compliance groups, with respect to the demographics, including the sex, age, body mass index (BMI), and comorbidity (P > 0.05). We observed significant differences between the high- and low-compliance groups in terms of the DASH score (32.25 ± 9.97 vs. 40.50 ± 15.65, p < 0.05) at 6 months postoperatively, the discharge time after surgery (2.45 ± 1.46 vs. 3.14 ± 1.50, p < 0.05), and times of VAS pain scores > 3 points during hospitalization (0.88, (0.44, 1.31), p < 0.05). Our study demonstrated a significant negative association between ERAS compliance and the function level of the patients postoperatively (DASH scores) when adjusted for the age, comorbidity, sex, and BMI. Conclusion This study can provide a realistic evaluation and comparison of the ERAS protocol among patients with DRF and eventually guide clinical decision making. The ERAS protocol might improve the medical quality and efficacy with high function levels, less pain and time after surgery without increased complication rate and hospital cost.

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Section: Discussionmentioning

confidence: 99%

Impact of ERAS Compliance on the Short-Term Outcomes for Distal Radius Surgery: A Single-Center Retrospective Study

Zha,

Sun,

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Second, we used the DASH scores to better describe the postoperative feelings of patients. The Gartland-Werley score system, which includes certain characteristics and strengths, can also be used to evaluate hand and wrist function in DRFs [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of ERAS compliance on the short-term outcomes for distal radius surgery: a single-center retrospective study

Mu Er Ti Zha,

Sun,

et al. 2023

J Orthop Surg Res

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Background Distal radius fractures (DRF) account for one in five bony injuries in both primary and secondary trauma care. Enhanced recovery after surgery (ERAS) has been adopted successfully to improve clinical outcomes in multiple surgical disciplines; however, no study has investigated the effect of different degrees of compliance with ERAS protocol on short-term outcomes following distal radius surgery. We aimed to analyze whether different degrees of compliance with the ERAS pathway are associated with clinical improvement following surgery for DRF. Methods We retrospectively analyzed all consecutive patients with ERAS who underwent surgery for DRF at our department between May 2019 and October 2022. Their pre-, peri-, and post-operative compliance with the 22 elements of the ERAS program were assessed. We compared parameters between low- (< 68.1%) and high-compliance (> 68.1%) groups, including patient complications, total length of hospitalization, discharge time after surgery, hospital costs, time taken to return to preinjury level performance level, number of visual analogue scale (VAS) pain scores > 3 points during hospitalization, disabilities of the arm, shoulder and hand (DASH) scores. We performed multiple linear regression analyses to assess the impact of ERAS compliance on the postoperative function level (DASH scores). Results No significant differences were detected between the high- and low-compliance groups with respect to demographics, including sex, age, body mass index (BMI), and comorbidities (P > 0.05). We observed significant differences between the high- and low-compliance groups in terms of the DASH score (32.25 ± 9.97 vs. 40.50 ± 15.65, p < 0.05) at 6 months postoperatively, the discharge time after surgery (2.45 ± 1.46 vs. 3.14 ± 1.50, p < 0.05), and number of times when the VAS pain score was > 3 points during hospitalization (0.88, [0.44, 1.31], p < 0.05). Our study demonstrated a significant negative association between ERAS compliance and the function level of patients postoperatively (DASH scores) when adjusted for age, comorbidity, sex, and BMI. Conclusions This study provided a realistic evaluation and comparison of the ERAS protocol among patients with DRF and can guide clinical decision making. The ERAS protocol may improve outcomes after surgery, with high postoperative function levels and reduced pain and discharge time after surgery, without increased complication rates or hospital costs.

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Clinical Study of Volar Median Approach Combined with Lateral Radial Auxiliary Approach in Treatment of C-Type Distal Radius Fractures: Our Clinical and Radiological Results

Cited by 2 publications

References 18 publications

Impact of ERAS Compliance on the Short-Term Outcomes for Distal Radius Surgery: A Single-Center Retrospective Study

Impact of ERAS Compliance on the Short-Term Outcomes for Distal Radius Surgery: A Single-Center Retrospective Study

Impact of ERAS compliance on the short-term outcomes for distal radius surgery: a single-center retrospective study

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