Re-displacement and associated factors of fracture distal end radius in Phayakkaphumpisai Hospital

Abstract

Objectives : To study re-displacement and associated factors in fracture distal end radius in Phayakkaphumpisai Hospital.

Methods : This is an analytic study by retrospective data collection from medical records, from patients who were diagnosed with fracture distal end radius in Phayakkaphumpisai hospital from 2019 to 2021.

Result : Ninety-one patients were enrolled in this study. Age was between 16 to 89 years olds. Height was between 140 to 178 cm. Bodyweight was between 35 to 97 kilograms. The left side fracture was 51.6%. Low energy trauma was 82.4% Type of fracture was Bending fracture 72.5%. All are conservative treatments. Associated factors of re-displacement in 4-5 weeks with statistically significant include complete displacement, associated ulnar fracture, residual post-reduction displacement, dorsal comminution and pain. The mean age of the re-displacement group is higher than in another group.

Conclusion : The older patient with re-displacement in post reduction and dorsal comminution has a higher risk for re-displacement in the later period. So the closed observation for re-displacement monitoring in conservative treatment is necessary or surgical treatment is considered.