Icd 10 distal radius fracture2/27/2024 Įven though volar locking plates have been shown to produce satisfactory results, they sometimes need to be removed. Volar lock plating plays a major role in the treatment of distal radius fractures, because nowadays it is the most commonly used surgical technique. Indeed, several studies have documented a significant increase in surgical treatment, especially ORIF using volar locking plates. Volar position of the plate causes less complications and the fixation is more secure. One of the most relevant technical advancements was plate with angle-stable locking screws which is placed on the volar side of the fractured wrist. During the past decade, operative treatment has increased due to the development of new surgical techniques. The most common surgical techniques used for the treatment of DRFs are external fixation, percutaneous pinning and open reduction internal fixation (ORIF). Main indications for surgery are unstable dislocated DRF and comminuted intra-articular fracture, especially in young people, as it has been found that surgical treatment has a positive effect on the functional outcome in short-term follow-ups. The most common treatment for distal radius fracture is non-operative cast immobilization, although there are injuries that require surgical treatment. The treatment of distal radius fractures is a major public health concern, since fall-related DRFs seem to increase in the working population. reported that the incidence of DRF was 363/100,000 person-years in women and 147/100,000 person-years in men, giving a total incidence of 258/100,000 person-years in Finland in 2008. The overall distal radius fracture incidence varies between 100 and 350/100,000 person-years among different studies. As the active elderly population continues its growth, prevalence of distal radius fractures will most probably continue to rise. In addition, osteoporosis is a major risk factor for DRF in the elderly population. However, in the adult population, women have a two to three times greater risk for DRFs than men. Among the adolescent population, the incidence of DRFs is higher in males than in females. Falling from standing height is the most common trauma mechanism for elderly people. Nowadays, approximately 11% of distal radius plates are removed.ĭistal radius fracture (DRF) is the most common fracture in adults. The removal rate has declined markedly during the last decade. Plate removals have not increased as rapidly as plating operations. Most of the plate removals ( n = 2235 87.3%) were conducted during the first 2 years after plating. The mean time period between plating and plate removal operations was 367 days. The removal rates decreased from over 20% in 1998 to less than 12% in 2016. The number of plate removal operations over the same time period was 2560. ResultsĪ total of 18,298 patients had surgically treated distal radius fracture with volar plate in Finland during the 19-year study period from Januto December 31, 2016. The study population comprises all patients on a national level, and therefore we did not use statistical testing to analyze the data. The association between increased number of platings and plate removals was examined by calculating the removal rates. Patient data were obtained from the Finnish National Hospital Discharge Register. ![]() The study covered all patients 18 years of age and older who had a surgically treated distal radius fracture with open reduction and internal fixation in Finland between 19. The aim of this study was to investigate the incidence and trends for plate removal after plate fixation of distal radius fractures. During the past decade, studies have reported a large increase in the surgical treatment of distal radius fractures with open reduction and internal fixation using volar locking plates. ![]() Distal radius fracture is the most common fracture in adults.
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