The demographics and outcomes in patients with bilateral distal radius fractures.
Publication/Presentation Date
6-1-2021
Abstract
Although distal radius fractures are quite common, bilateral distal radius fractures seldomly occur. Due to this, treatment is primarily based on surgeon experience with unilateral fractures, however bi- lateral fractures add a level of complexity : loss of functional independence. The purpose of this study was to examine a cohort of patients with bilateral distal radius fractures to identify differences in demographics, mechanism of injury, and outcomes to further our understanding of these rare injuries. 23 patients were identified retrospectively over a 5-year period that met inclusion criteria. The medical records were reviewed with multiple demographic and clinical parameters recorded and analyzed. Males were more likely to sustain high-energy mechanisms (80% vs. 53%). Patients(90% vs. 46%) and were more likely to be treated operatively (80% vs. 62%). The most commonly associated injury was a head injury (30%). All patients treated non-operatively reported minimal/no pain upon final follow-up where 57% of patients treated operatively noted regular pain. 75% of patients with medical comorbidities had minimal/no pain upon final follow- up. Conclusions : Patients with bilateral fractures were more likely to be younger males who suffered from higher energy mechanisms. Age was a critical factor in determining treatment strategy. Rates of associated head injuries were elevated, which is an important factor for the clinician to keep in mind when treating this population. As we further our understanding of this unique population, we can improve our treatment approaches and subsequently attain better outcomes.
Volume
87
Issue
2
First Page
219
Last Page
225
ISSN
0001-6462
Published In/Presented At
Gonzalez, M., Rahman, A., Leucht, P., & Tejwani, N. (2021). The demographics and outcomes in patients with bilateral distal radius fractures. Acta orthopaedica Belgica, 87(2), 219–225.
Disciplines
Medicine and Health Sciences
PubMedID
34529373
Department(s)
Department of Surgery
Document Type
Article