Errors and complications in the surgical treatment of patients with distal radius fractures

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Abstract

The purpose - to analyze errors and complications in surgical treatment of patients with distal radius fractures and to determine methods of its prevention. Material and methods. 203 patients (62 male and 141 female ones) with 204 distal radius fractures were treated using plate osteosynthesis. 105 patients were operated ear-lier than 1 month after the injury (I group), 98 - in 1 month or later after the injury (II group). The results of the treatment were assessed with morphometric and clinical indi-cators, scheme offered by the authors and DASH questionnaire. Results. 88,68% of positive results in I group and 72,45% in II group were ob-served in a year after the operation. The frequency of complications on application of palmar surgical approach was 4,72% in I group and 17,35% (р=0,0001) in II group. The rate of hardware removal reduced to 6,6% in I group and to 11,22% - in II group of patients (р=0,245) that is in 3,3-4,75 times lower than the data given in the literature.

About the authors

O. M. Semenkin

Samara State Medical University; Kalinin Regional Clinical Hospital

Author for correspondence.
Email: olegsemenkin63@yandex.ru
Russian Federation

S. N. Izmalkov

Samara State Medical University

Email: noemail@neicon.ru
Russian Federation

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