Incidence and Reasons for Hardware Removal Following Operative Fixation of Distal Radius Fractures
Purpose To determine the incidence and reasons for hardware removal after operative fixation of distal radius fractures. Methods We retrospectively reviewed 33 patients who underwent removal of a volar distal radius plate from 2007 to 2013. We recorded the primary reason for plate removal, patient s...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 2015-03, Vol.40 (3), p.505-507 |
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| container_title | The Journal of hand surgery (American ed.) |
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| creator | Snoddy, Mark C., MD An, Thomas J., BS Hooe, Benjamin S., BS Kay, Harrison F., BS Lee, Donald H., MD Pappas, Nick D., MD |
| description | Purpose To determine the incidence and reasons for hardware removal after operative fixation of distal radius fractures. Methods We retrospectively reviewed 33 patients who underwent removal of a volar distal radius plate from 2007 to 2013. We recorded the primary reason for plate removal, patient sex, body mass index, AO fracture type, and plate manufacturer. The total number of both distal radius plating procedures and implant removals was analyzed. Results Of the 33 patients who underwent implant removal, the most common reasons for removal were pain (30%), tenosynovitis (27%), malunion (24%), infection (12%), nonunion (6%), and tendon rupture (3%). The most common AO fracture types requiring plate removal were A2, C2, and C3 (7 each). A total of 517 distal radius fractures received plate fixation at our institution from 2007 to 2009, a number that rose to 610 from 2010 to 2012. The number of distal radius plate removals over that same time was relatively constant at 17 and 16, respectively. Conclusions We advise continued review of reasons for implant removal to limit future hardware complications related to volar plating of distal radius fractures. Type of study/level of evidence Therapeutic IV. |
| doi_str_mv | 10.1016/j.jhsa.2014.11.022 |
| format | Article |
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Methods We retrospectively reviewed 33 patients who underwent removal of a volar distal radius plate from 2007 to 2013. We recorded the primary reason for plate removal, patient sex, body mass index, AO fracture type, and plate manufacturer. The total number of both distal radius plating procedures and implant removals was analyzed. Results Of the 33 patients who underwent implant removal, the most common reasons for removal were pain (30%), tenosynovitis (27%), malunion (24%), infection (12%), nonunion (6%), and tendon rupture (3%). The most common AO fracture types requiring plate removal were A2, C2, and C3 (7 each). A total of 517 distal radius fractures received plate fixation at our institution from 2007 to 2009, a number that rose to 610 from 2010 to 2012. The number of distal radius plate removals over that same time was relatively constant at 17 and 16, respectively. Conclusions We advise continued review of reasons for implant removal to limit future hardware complications related to volar plating of distal radius fractures. Type of study/level of evidence Therapeutic IV.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/j.jhsa.2014.11.022</identifier><identifier>PMID: 25618844</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Bone Plates - adverse effects ; Cohort Studies ; Confidence Intervals ; Device Removal - methods ; Device Removal - statistics & numerical data ; Distal radius ; Female ; Fracture Fixation, Internal - adverse effects ; Fracture Fixation, Internal - instrumentation ; Fracture Fixation, Internal - methods ; hardware removal ; Humans ; Incidence ; Injury Severity Score ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Orthopedics ; Postoperative Complications - epidemiology ; Postoperative Complications - physiopathology ; Postoperative Complications - surgery ; Prognosis ; Radiography ; Radius Fractures - diagnostic imaging ; Radius Fractures - surgery ; Retrospective Studies ; Risk Assessment ; Treatment Outcome ; volar locking plates ; Wrist Injuries - diagnostic imaging ; Wrist Injuries - surgery</subject><ispartof>The Journal of hand surgery (American ed.), 2015-03, Vol.40 (3), p.505-507</ispartof><rights>American Society for Surgery of the Hand</rights><rights>2015 American Society for Surgery of the Hand</rights><rights>Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-64d33ee2e2bd3fdbaf2f999ea6729edb3bea36d84c8cc4760abad9a1fecd59b53</citedby><cites>FETCH-LOGICAL-c481t-64d33ee2e2bd3fdbaf2f999ea6729edb3bea36d84c8cc4760abad9a1fecd59b53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0363502314016104$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25618844$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Snoddy, Mark C., MD</creatorcontrib><creatorcontrib>An, Thomas J., BS</creatorcontrib><creatorcontrib>Hooe, Benjamin S., BS</creatorcontrib><creatorcontrib>Kay, Harrison F., BS</creatorcontrib><creatorcontrib>Lee, Donald H., MD</creatorcontrib><creatorcontrib>Pappas, Nick D., MD</creatorcontrib><title>Incidence and Reasons for Hardware Removal Following Operative Fixation of Distal Radius Fractures</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>Purpose To determine the incidence and reasons for hardware removal after operative fixation of distal radius fractures. Methods We retrospectively reviewed 33 patients who underwent removal of a volar distal radius plate from 2007 to 2013. We recorded the primary reason for plate removal, patient sex, body mass index, AO fracture type, and plate manufacturer. The total number of both distal radius plating procedures and implant removals was analyzed. Results Of the 33 patients who underwent implant removal, the most common reasons for removal were pain (30%), tenosynovitis (27%), malunion (24%), infection (12%), nonunion (6%), and tendon rupture (3%). The most common AO fracture types requiring plate removal were A2, C2, and C3 (7 each). A total of 517 distal radius fractures received plate fixation at our institution from 2007 to 2009, a number that rose to 610 from 2010 to 2012. The number of distal radius plate removals over that same time was relatively constant at 17 and 16, respectively. Conclusions We advise continued review of reasons for implant removal to limit future hardware complications related to volar plating of distal radius fractures. Type of study/level of evidence Therapeutic IV.</description><subject>Adult</subject><subject>Aged</subject><subject>Bone Plates - adverse effects</subject><subject>Cohort Studies</subject><subject>Confidence Intervals</subject><subject>Device Removal - methods</subject><subject>Device Removal - statistics & numerical data</subject><subject>Distal radius</subject><subject>Female</subject><subject>Fracture Fixation, Internal - adverse effects</subject><subject>Fracture Fixation, Internal - instrumentation</subject><subject>Fracture Fixation, Internal - methods</subject><subject>hardware removal</subject><subject>Humans</subject><subject>Incidence</subject><subject>Injury Severity Score</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Orthopedics</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Postoperative Complications - surgery</subject><subject>Prognosis</subject><subject>Radiography</subject><subject>Radius Fractures - diagnostic imaging</subject><subject>Radius Fractures - surgery</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Treatment Outcome</subject><subject>volar locking plates</subject><subject>Wrist Injuries - diagnostic imaging</subject><subject>Wrist Injuries - surgery</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhi0EokvhBTggH7kkeGzHm0gICRWWVqpUqcDZcuwJOGTtxU629O1xtIUDB04eWd__S_MNIS-B1cBAvRnr8Xs2NWcga4Cacf6IbKARUKlGycdkw4QSVcO4OCPPch4ZKynRPCVnvFHQtlJuSH8VrHcYLFITHL1Fk2PIdIiJXprk7kzC8rmPRzPRXZymeOfDN3pzwGRmf0S687_KEAONA_3g81ywW-P8kukuGTsvCfNz8mQwU8YXD-85-br7-OXisrq--XR18f66srKFuVLSCYHIkfdODK43Ax-6rkOjtrxD14sejVCulba1Vm4VM71xnYEBrWu6vhHn5PWp95DizwXzrPc-W5wmEzAuWYNqWsmB821B-Qm1KeaccNCH5Pcm3WtgenWrR7261atbDaCL2xJ69dC_9Ht0fyN_ZBbg7QnAsuXRY9LZ-lWt8wntrF30_-9_90_cTj54a6YfeI95jEsKxZ8Gnblm-vN63fW4IEshMCl-A05_oWw</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Snoddy, Mark C., MD</creator><creator>An, Thomas J., BS</creator><creator>Hooe, Benjamin S., BS</creator><creator>Kay, Harrison F., BS</creator><creator>Lee, Donald H., MD</creator><creator>Pappas, Nick D., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Incidence and Reasons for Hardware Removal Following Operative Fixation of Distal Radius Fractures</title><author>Snoddy, Mark C., MD ; An, Thomas J., BS ; Hooe, Benjamin S., BS ; Kay, Harrison F., BS ; Lee, Donald H., MD ; Pappas, Nick D., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-64d33ee2e2bd3fdbaf2f999ea6729edb3bea36d84c8cc4760abad9a1fecd59b53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bone Plates - adverse effects</topic><topic>Cohort Studies</topic><topic>Confidence Intervals</topic><topic>Device Removal - methods</topic><topic>Device Removal - statistics & numerical data</topic><topic>Distal radius</topic><topic>Female</topic><topic>Fracture Fixation, Internal - adverse effects</topic><topic>Fracture Fixation, Internal - instrumentation</topic><topic>Fracture Fixation, Internal - methods</topic><topic>hardware removal</topic><topic>Humans</topic><topic>Incidence</topic><topic>Injury Severity Score</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Orthopedics</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Postoperative Complications - surgery</topic><topic>Prognosis</topic><topic>Radiography</topic><topic>Radius Fractures - diagnostic imaging</topic><topic>Radius Fractures - surgery</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Treatment Outcome</topic><topic>volar locking plates</topic><topic>Wrist Injuries - diagnostic imaging</topic><topic>Wrist Injuries - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Snoddy, Mark C., MD</creatorcontrib><creatorcontrib>An, Thomas J., BS</creatorcontrib><creatorcontrib>Hooe, Benjamin S., BS</creatorcontrib><creatorcontrib>Kay, Harrison F., BS</creatorcontrib><creatorcontrib>Lee, Donald H., MD</creatorcontrib><creatorcontrib>Pappas, Nick D., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Snoddy, Mark C., MD</au><au>An, Thomas J., BS</au><au>Hooe, Benjamin S., BS</au><au>Kay, Harrison F., BS</au><au>Lee, Donald H., MD</au><au>Pappas, Nick D., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and Reasons for Hardware Removal Following Operative Fixation of Distal Radius Fractures</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>40</volume><issue>3</issue><spage>505</spage><epage>507</epage><pages>505-507</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><abstract>Purpose To determine the incidence and reasons for hardware removal after operative fixation of distal radius fractures. Methods We retrospectively reviewed 33 patients who underwent removal of a volar distal radius plate from 2007 to 2013. We recorded the primary reason for plate removal, patient sex, body mass index, AO fracture type, and plate manufacturer. The total number of both distal radius plating procedures and implant removals was analyzed. Results Of the 33 patients who underwent implant removal, the most common reasons for removal were pain (30%), tenosynovitis (27%), malunion (24%), infection (12%), nonunion (6%), and tendon rupture (3%). The most common AO fracture types requiring plate removal were A2, C2, and C3 (7 each). A total of 517 distal radius fractures received plate fixation at our institution from 2007 to 2009, a number that rose to 610 from 2010 to 2012. The number of distal radius plate removals over that same time was relatively constant at 17 and 16, respectively. Conclusions We advise continued review of reasons for implant removal to limit future hardware complications related to volar plating of distal radius fractures. Type of study/level of evidence Therapeutic IV.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25618844</pmid><doi>10.1016/j.jhsa.2014.11.022</doi><tpages>3</tpages></addata></record> |
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| subjects | Adult Aged Bone Plates - adverse effects Cohort Studies Confidence Intervals Device Removal - methods Device Removal - statistics & numerical data Distal radius Female Fracture Fixation, Internal - adverse effects Fracture Fixation, Internal - instrumentation Fracture Fixation, Internal - methods hardware removal Humans Incidence Injury Severity Score Logistic Models Male Middle Aged Multivariate Analysis Orthopedics Postoperative Complications - epidemiology Postoperative Complications - physiopathology Postoperative Complications - surgery Prognosis Radiography Radius Fractures - diagnostic imaging Radius Fractures - surgery Retrospective Studies Risk Assessment Treatment Outcome volar locking plates Wrist Injuries - diagnostic imaging Wrist Injuries - surgery |
| title | Incidence and Reasons for Hardware Removal Following Operative Fixation of Distal Radius Fractures |
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