Operation time effect on rates of perioperative complications after operative treatment of distal radius fractures

Wei, Chapman; Gu, Alex; Almeida, Neil D.; Bestourous, Daniel; Fassihi, Safa C.; Recarey, Melina; Malahias, Michael‐Alexander; Haney, Victoria; Moghtaderi, Sam

doi:10.1016/j.jor.2021.02.020

Cited by 5 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Operation time is a cause of surgical site infection and other postoperative complications [41][42][43]. Therefore, this study further compared operative time with clinical parameters.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Complications following Open Reduction and Rigid Internal Fixation of Mandibular Condylar Fracture Using the High Perimandibular Approach

et al. 2023

View full text Add to dashboard Cite

The high perimandibular approach is a feasible surgical technique for treating mandibular condylar fractures with open reduction and internal fixation, followed by fewer complications. Temporary trismus is the only postoperative complication that may occur. This study evaluated postoperative complications following open reduction and rigid internal fixation (OR-IF) of mandibular condylar fractures using the high perimandibular approach. Twenty consecutive patients undergoing OR-IF were included in this study. They included 11 male and 9 female patients, of an average age of 58.5 years, all of whom responded to a follow-up call at least 12 months after the surgery. All patients were evaluated for range of mouth opening, postoperative complications, and radiological findings. A statistical analysis of the relationship between range of mouth opening and related clinical parameters at 6 months postoperative evaluation was conducted. The fracture of the condylar neck was associated with a limited range of mouth opening and longer operation time. However, longer operation time was not associated with a limited range of mouth opening. The high perimandibular approach with OR-IF in mandibular condylar fractures is a feasible and safe technique; however, prolonged surgery and mandibular condylar neck fractures could affect the postoperative range of mouth opening.

show abstract

“…Operation time is a cause of surgical site infection and other postoperative complications [41][42][43]. Therefore, this study further compared operative time with clinical parameters.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Complications following Open Reduction and Rigid Internal Fixation of Mandibular Condylar Fracture Using the High Perimandibular Approach

et al. 2023

View full text Add to dashboard Cite

show abstract

“…[22][23][24] Operative time has been identified in numerous studies to be independently associated with postoperative complications. [25][26][27][28] Nonwhite race was identified as a risk factor for unplanned reoperation. Though not described previously in DRFs, this association between race and reoperation has been found in hip fractures.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for 30-Day Complications and Unplanned Reoperation Following Surgical Treatment of Distal Radius Fractures

Newton

Johnson

Daley

2022

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background: The purpose of this study was to identify demographic data, medical comorbidities, and perioperative factors that are associated with increased risk of overall surgical complications, wound complications, and reoperation within 30 days of open reduction and internal fixation (ORIF) of distal radius fractures. Methods: All adult patients undergoing ORIF of distal radius fractures in the National Surgical Quality Improvement Program database between 2005 and 2020 were identified. Patients were excluded for secondary procedures, open/infected injuries, or inpatient surgical setting. Demographic data, medical comorbidities, and perioperative data were examined for each patient, and patients were grouped by the presence or absence of any surgical complication. Univariate analysis and multivariate logistic regression were used to identify risk factors. Results: A total of 20 301 patients from between 2005 and 2020 met the inclusion criteria, of which 219 complications (1.1% of cases) were identified. Following multivariate analysis, independent risk factors found to be associated with surgical complications included male sex, smoking, heart failure, longer operative time, and American Society of Anesthesiologists (ASA) classification of 3 or higher. Conclusion: Male sex, smoking, heart failure, prolonged operative time, and ASA status of 3 or higher are associated with an increased risk of surgical complications following ORIF of distal radius fractures. These complications, with the exception of heart failure, were also associated with an increased risk of wound complications. Finally, male sex, nonwhite race, smoking, dialysis, prolonged operative time, and 3 or higher ASA class were associated with reoperations. Understanding these risk factors allows surgeons to better predict and prevent complications in high-risk populations.

show abstract

“…Longer operative time is perceived as a risk factor for post-operative infections, and is associated with an increased risk of complication. (35,36) A limitation of this study is the low number of cases with delayed return to work, which made it di cult to estimate the magnitude of the effects of different parameters and limited the number of parameters that could be included in a multivariate model. Another limitation is the lack of socioeconomic factors other than work.…”

Section: Baseline Characteristicsmentioning

confidence: 99%

Delayed return to work after volar or combined plating of type C distal radius fracture: a secondary analysis of a randomised clinical trial

Noppa,

Sagerfors,

Lundqvist

2024

Preprint

View full text Add to dashboard Cite

Background Distal radius fracture (DRF) is the most common of fractures, accounting for 18% of all fractures in orthopaedic trauma units. The ability to return to work is an important outcome for both society and the individual, but there is a large variation among patients in how much time off work is required. The choice of treatment is likely an important factor. Methods This study was a secondary analysis of an earlier published randomised clinical trial comparing volar locking plate fixation with combined dorsal and volar plate fixation of AO type C DRF. In the present study, we examined the risk of requiring more than 3 months of sick leave among patients who were in the workforce at the time of fracture. Results Of the 84 cases included in this analysis, 10 had a delayed return to work. There was a statistically significant risk of delayed return to work when combined plating was used as the surgical method, with an odds ratio of 7.454 (95% confidence interval: 1.362–40.804, p = 0.021) in the final multivariate analysis. Conclusions Sick leave is an important contributor to total costs in patients with DRF, and more invasive treatments like combined plating are associated with longer sick leave. Our results indicate a higher risk of delayed return to work in the combined plating group, possibly due to more extensive soft tissue dissection. We recommend a restrictive use of combined plating. Trial registration: The study was registered in the Swedish research database FoU in Sweden (registration number: 274674) on the 4th of August 2020.

show abstract

Operation time effect on rates of perioperative complications after operative treatment of distal radius fractures

Cited by 5 publications

References 14 publications

Postoperative Complications following Open Reduction and Rigid Internal Fixation of Mandibular Condylar Fracture Using the High Perimandibular Approach

Postoperative Complications following Open Reduction and Rigid Internal Fixation of Mandibular Condylar Fracture Using the High Perimandibular Approach

Risk Factors for 30-Day Complications and Unplanned Reoperation Following Surgical Treatment of Distal Radius Fractures

Delayed return to work after volar or combined plating of type C distal radius fracture: a secondary analysis of a randomised clinical trial

Contact Info

Product

Resources

About