Journal article
Obesity Increases Complexity of Distal Radius Fracture in Fall From Standing Height
Journal of orthopaedic trauma, Vol.30(8), pp.450-455
08/01/2016
DOI: 10.1097/BOT.0000000000000546
PMID: 27206255
Abstract
Objectives: To investigate the relationship between obesity and distal radius fracture severity after low-energy trauma and to identify patient-specific risk factors predictive of increasing fracture severity.
Design: Retrospective review.
Setting: Level 1 Trauma Center.
Patients/Participants: Four hundred twenty-three adult subjects with a history of fracture of the distal radius resulting from a fall from standing height.
Intervention: Demographic data and injury characteristics were obtained. Preoperative wrist radiographs were reviewed and classified by the OTA classification system. Distal radius fractures were categorized as simple [closed and extra-articular (OTA 23-A)] and complex [intra-articular (OTA 23-B or 23-C) or open fracture or concomitant ipsilateral upper extremity fracture]. Multivariate logistic regression was completed to model the probability of incurring a complex fracture.
Main Outcome Measurements: Simple versus complex fracture pattern.
Results: Average age at the time of injury was 53.8 years (range, 18.9-98.4). Seventy-nine percent of subjects were female. The average body-mass index was 28.1 (range, 13.6-59.5). Two hundred forty-four patients (58%) suffered complex distal radius fractures per study criteria. Obese patients (body-mass index > 30) demonstrated increased fracture severity as per the OTA classification (P = 0.039) and were more likely to suffer a complex injury (P = 0.032). Multivariate regression identified male gender, obesity, and age >50 as independent risk factors for sustaining a complex fracture pattern.
Conclusions: Obesity is associated with more complex fractures of the distal radius after low-energy trauma, particularly in elderly patients. This relationship may have important epidemiologic implications predictive of future societal fracture burden and severity in an obese, aging population.
Details
- Title: Subtitle
- Obesity Increases Complexity of Distal Radius Fracture in Fall From Standing Height
- Creators
- Thomas Ebinger - University of Iowa Hospitals and ClinicsDaniel M. Koehler - University of Iowa Hospitals and ClinicsLori A. Dolan - University of Iowa Hospitals and ClinicsKatelyn McDonald - University of Iowa Hospitals and ClinicsApurva S. Shah - Children's Hospital of Philadelphia
- Resource Type
- Journal article
- Publication Details
- Journal of orthopaedic trauma, Vol.30(8), pp.450-455
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/BOT.0000000000000546
- PMID
- 27206255
- ISSN
- 0890-5339
- eISSN
- 1531-2291
- Number of pages
- 6
- Language
- English
- Date published
- 08/01/2016
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984627345402771
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