J 2021

Management of distal radius fractures using closed-incision negative pressure wound therapy. Retrospective study.

HABR, Jakub, Michal REŠKA, Jan KONEČNÝ, Michal KAŠPAR, Roman HASARA et. al.

Basic information

Original name

Management of distal radius fractures using closed-incision negative pressure wound therapy. Retrospective study.

Authors

HABR, Jakub (203 Czech Republic, belonging to the institution), Michal REŠKA (203 Czech Republic, belonging to the institution), Jan KONEČNÝ (203 Czech Republic, belonging to the institution), Michal KAŠPAR (203 Czech Republic, belonging to the institution), Roman HASARA (703 Slovakia, belonging to the institution) and Lenka VEVERKOVÁ (203 Czech Republic, guarantor, belonging to the institution)

Edition

Negative Pressure Wound Therapy Journal, Grunwaldzka 66/2 Poznań, 60-311, 2021, 2392-0297

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Poland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

RIV identification code

RIV/00216224:14110/21:00122313

Organization unit

Faculty of Medicine

DOI

Keywords in English

fracture distal radius osteosynthesis volar locking plate SSI ciNPT
Změněno: 21/4/2022 11:42, Mgr. Tereza Miškechová

Abstract

V originále

Negative pressure wound therapy has proven to be an ecient tool in the provision of temporary wound coverage in cases where definitive primary wound coverage is impossible. This initial achievement led to the use of NPWT as an incisional dressing in wounds that could be primarily closed, but posing high risk due to the amount of soft-tissue injury, location of the fracture, or high BMI. Distal radius fracture is one of the most common injuries, especially in elderly patients. Typically, fractures occur in the osteoporotic bone as a result of low-energy trauma. Conservative treatment is still dominant in the management of distal radius fractures. In general, displaced unstable fractures or fractures that fail conservative treatment are indicated for surgical therapy. In our study, we present ten-year-experience of distal radius fracture management at our department. Methods: Detailed analysis of retrospective data obtained from the hospital information system was carried out. The study included patients operated on at our department from January 1, 2010, to December 31, 2019. We evaluated age, gender, surgical approach, complications, and implant removal. Results: in total, 207 patients were evaluated, women to men ratio was 2:1 (144:63 cases). The mean age was 56 years (women 62 years, men 45 years). Volar surgical approach with volar locking plate osteosynthesis predominated (199 cases). The complication rate was 10% with implant-associated complications being the most common (3.7%). The implant removal rate was 17%. No surgical site infection (SSI) was detected. Closed incision negative pressure therapy (ciNPT) was applied in highrisk wounds. Conclusion: Volar locking plate osteosynthesis is a method of choice with a low complication rate. Implant removal is not routinely indicated. Preventive application of ciNPT is beneficial in high-risk wounds, but diagnosis of fracture of the distal forearm according to the occurrence in our analysis is not essential for preventive use of NPWT, since the incidence of wound infection, in high-risk patients, is extremely low.

Links

MUNI/A/1703/2020, interní kód MU
Name: Fyzikální parametry a ovlivnění strategie chirurgické léčby u komplikovaných operací III
Investor: Masaryk University