Journal article
Postsurgical complications following distal radius volar plating in a diabetic population at short-term follow-up
Hand (New York, N.Y.), Vol.10(4), pp.670-677
12/2015
DOI: 10.1007/s11552-015-9777-4
PMCID: PMC4641081
PMID: 26568721
Abstract
Background: Diabetes mellitus increases the risk of complications following operative treatment of lower extremity fractures. There is little published data establishing the impact of diabetes following surgical treatment of upper extremity fractures. This investigation aimed to compare the incidence of short-term postsurgical complications following volar locked plating of distal radius fractures in patients with and without diabetes.
Methods: A retrospective matched cohort investigation of 33 diabetics matched 1:2 to 66 non-diabetics was performed, accounting for age, gender, fracture type, and smoking status. Electronic medical records and radiographs were reviewed for all major and minor postsurgical complications. Demographic characteristics, postoperative radiographic parameters, and final range of motion were also compared. Mean follow-up was 5.3 ± 8.2 and 5.5 ± 7.8 months for diabetics and non-diabetics, respectively.
Results: The diabetic cohort had a significantly higher overall complication rate with 24 postsurgical complications affecting 12 patients (36 %) compared to 16 complications affecting 12 patients (18 %) in the non-diabetic cohort. There was no difference in the incidence of major complications requiring operative intervention. Minor complications were significantly more common in the diabetic group and were largely accounted for by peripheral neuritis with an incidence of 30 %. Final radiographic outcomes and range of motion were similar.
Conclusions: Diabetics experienced a greater incidence of minor postsurgical complications following volar locked plating of distal radius fractures when compared to a matched, control population. The difference in outcomes is largely accounted for by the increased incidence of peripheral neuritis among diabetics. Diabetic patients should be counseled pre-operatively regarding their elevated risk profile.
Details
- Title: Subtitle
- Postsurgical complications following distal radius volar plating in a diabetic population at short-term follow-up
- Creators
- Daniel M Koehler - Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa, IA 52242 USAYubo Gao - Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa, IA 52242 USAJustin J Guan - Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa, IA 52242 USAEricka A Lawler - Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa, IA 52242 USABrian D Adams - Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa, IA 52242 USAApurva S Shah - Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Hand (New York, N.Y.), Vol.10(4), pp.670-677
- DOI
- 10.1007/s11552-015-9777-4
- PMID
- 26568721
- PMCID
- PMC4641081
- NLM abbreviation
- Hand (N Y)
- ISSN
- 1558-9447
- eISSN
- 1558-9455
- Publisher
- Springer US; New York
- Language
- English
- Date published
- 12/2015
- Academic Unit
- Orthopedics and Rehabilitation; Internal Medicine
- Record Identifier
- 9984040243402771
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