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Treatment and outco...
Treatment and outcome of AO/OTA type C distal radius fractures : 12 199 fractures from the Swedish Fracture Register
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- Sagerfors, Marcus, MD, PhD, 1977- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Orthopedics and Hand Surgery
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- Jakobsson, Hugo, 1990- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Orthopedics and Hand Surgery
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- Wretenberg, Per, 1963- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Orthopedics and Hand Surgery
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- Brus, Ole, 1982- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology and Biostatistics unit
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- Möller, Michael, 1957 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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(creator_code:org_t)
- Belgian Society of Orthopaedics and Traumatology, 2023
- 2023
- Engelska.
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Ingår i: Acta Orthopaedica Belgica. - : Belgian Society of Orthopaedics and Traumatology. - 0001-6462. ; 89:2, s. 241-247
- Relaterad länk:
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https://doi.org/10.5...
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https://urn.kb.se/re...
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https://doi.org/10.5...
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https://gup.ub.gu.se...
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Abstract
Ämnesord
Stäng
- The aim of this study was to examine the epidemiology, treatment, and patient-reported outcome of AO/OTA type C distal radius fractures (DRF) using data from a large national fracture register. We used prospectively collected data from the Swedish Fracture Register covering all AO/OTA type C DRFs registered between April 2012 and December 2018. Data on fracture type, epidemiology, trauma-mechanism, and treatment had been recorded by the treating physician. Patients had been sent an outcome questionnaire including EQ-VAS, EQ-5D, and the SMFA at the time of injury and 12 months after. A total of 12 199 cases with AO/OTA type C fracture were identified. AO/OTA type C1 fracture was most common, with 5400 cases, followed by AO type C2 with 4304 and AO/OTA type C3 with 2495. Cast treatment and surgical treatment with volar locking plate fixation were the most common treatments. Patient-reported outcome measures worsened significantly one year after the fracture, and 56% reported moderate problems with pain and discomfort one year after the fracture. Patients treated with a volar plate reported a significantly larger deterioration in EQ-5D outcome compared to patients treated with a cast. No treatment method was found to be superior. A good outcome after a type C fracture is possible, but many patients do not recover completely. Our findings indicate a relatively better self-reported outcome for patients treated with a cast, but as treatment was not randomized the clinical relevance is unclear.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- Distal radius fracture
- Epidemiology
- Swedish fracture register
- AO
- OTA type C
- patient -reported outcome measures
- AO/OTA type C
- Distal radius fracture
- Epidemiology
- patient-reported outcome measures
- Swedish fracture register
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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