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Does Time to Operative Intervention of Distal Radius Fractures Influence Outcomes?
Farhan Ahmad1, Mithun Neral2, Harry Hoyen3
1Rush University Medical Center, Chicago, IL, USA.
Hand (New York, N.Y.)
|June 13, 2022
Summary
The time to surgery for distal radius fractures did not impact complication rates or functional outcomes. Early or delayed operative intervention showed no significant difference in patient recovery after wrist fracture surgery.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Fracture Management
Background:
- Distal radius fractures are common injuries requiring surgical consideration.
- Optimal timing for operative intervention remains unclear.
- Previous studies have not evaluated the impact of time to surgery on outcomes.
Purpose of the Study:
- To determine if the interval between injury and surgical repair affects complication rates in distal radius fractures.
- To investigate the association between time to intervention and postoperative outcomes.
Main Methods:
- Retrospective review of orthopedic trauma patients (2008-2014).
- Inclusion criteria: closed distal radius fractures.
- Complications defined as reoperation, infection, CRPS, carpal tunnel syndrome, tendon irritation, or symptomatic hardware.
Main Results:
- 190 patients included (mean age 48 years).
- Fracture types: 80 A, 15 B, 95 C.
- Complication rate: 14.7% (28/190).
- No significant difference in complications across intervention time groups (0-3 days, 4-10 days, >10 days) (P = .17).
Conclusions:
- Time to surgical intervention for distal radius fractures does not influence postoperative complication rates.
- Optimal timing for operative intervention may not be a critical factor for preventing complications or improving range of motion.
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