Epidemiological study of distal radius fractures in the sanitary area of Vigo

J Zugasti-Marquínez; A García-Reza; D M Domínguez-Prado; M Cela-López; I Oiartzábal-Alberdi; M Castro-Menéndez

doi:10.1016/j.recot.2021.01.004

Epidemiological study of distal radius fractures in the sanitary area of Vigo

Rev Esp Cir Ortop Traumatol. 2022 Jan-Feb;66(1):38-46. doi: 10.1016/j.recot.2021.01.004. Epub 2021 Jun 18.

[Article in English, Spanish]

Authors

J Zugasti-Marquínez¹, A García-Reza², D M Domínguez-Prado², M Cela-López², I Oiartzábal-Alberdi², M Castro-Menéndez²

Affiliations

¹ Departamento de Cirugía Ortopédica y Traumatología, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, España. Electronic address: jorge.zugasti.marquinez@gmail.com.
² Departamento de Cirugía Ortopédica y Traumatología, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, España.

PMID: 34154968
DOI: 10.1016/j.recot.2021.01.004

Abstract

Introduction: Distal radius fractures (DRF) are being a bigger burden for health resources as changes continue to happen in our population demography and in management strategies, so a precise epidemiologic comprehension is mandatory. We present a DRF epidemiology study and we compared it with other sanitary areas of the Iberian Peninsula and Europe.

Method: Every DRF in our sanitary area registered between 2017 and 2018 in patients older than 18 years old were observational and retrospectively recorded and classified using AO-OTA classification. Age, sex, season of the year, mechanism of injury, presence of associated injuries and type of treatment were analysed.

Results: 1,121 DRF in 1,108 patients, 903 women (81.5%) and 205 men (18.5%), were registered. Left side was affected in 612 cases (54.6%) and right side in 509 cases (45.4%). The average age of our sample was 65.9 years old (CI95%: 65-67.9 years old). The incidence rate of DRF in our population was 158.5 fractures per 100,000 people-year; 49.2% were classified as type A of AO-OTA classification and 19% were treated surgically.

Conclusion: Incidence of DRF had a maximum during males and women sixth decade of age. Type A fractures of AO-OTA classification were the most frequent. Most part of the fractures were treated non-surgically. The usual patient treated surgically was a woman, over 50 years old with a distal radius intraarticular complex fracture.

Keywords: Distal radius; Epidemiology; Epidemiología; Fractura; Fracture; Radio distal.