Epidemiological study of forearm fractures in an emergency room in Rondônia

Authors

DOI:

https://doi.org/10.33448/rsd-v10i17.24622

Keywords:

Facture; Forearm; Epidemiology.

Abstract

Orthopedic trauma is of great importance in health-disease processes worldwide, with critical consequences for the health of the population. Mainly, when a limb with an important functional biomechanical characteristic is affected, as in forearm fractures. Therefore, the research aims to analyze the profile of trauma patients and forearm fractures in an urgent and emergency service in Porto Velho. As a quantitative, descriptive and retrospective cross-sectional epidemiological study during the period of January and February 2021, which gathered data from the medical records of an urgent and emergency hospital in Rondônia, the research was submitted and authorized by the research ethics committee and experimentation on humans. The profile of trauma victims is predominantly male, 64.61% (42/65), with a bimodal age group of 31-40 years and 51-60 years. With trauma mechanisms poorly described in medical records 20% (13/65), the profile of fractures occurred with a prevalence of isolated fractures of the radius 75.38% (49/65), especially in the distal bone region 85.71% ( 42/49), when compared to isolated ulna fractures 20% (13/65) that had a predilection for diaphyseal fractures 61.53% (8/13). The average length of stay was 3.07, with the highest number of green admissions (1-3 days). Furthermore, of the conducts performed, the surgical one was most chosen 63.07% (41/65), using Kirchner wires 73.17% (30/41). Thus, in the work by Ryan et al. (2010), the proportion between the sexes was 63.6% for males and 36.4%, in line with what was demonstrated by this one, with similar data. The study differed from that carried out by Oliveira et al. (2020), with an average length of stay of 8.19 days, but maintained similarity with the main choice of treatment, 74.8% being surgical. Although Chaudhry et al., (2015) and Woolnough et al., (2020) have shown that surgery using plates and screws has a better functional result and a lower risk of complications, it was still the least chosen surgical choice with 26.82 % (11/41). It is therefore concluded that the study was effective in its type of analysis, with a survey of relevant variables for the profile of affected patients and forearm fractures.

References

American College Of Surgeons. (2018). Advanced Trauma Life Support: student course manual. 10a ed. Chicago: American College of Surgeons; 2018.

Barbosa, R. I. et al. (2013). Profile of patients with traumatic injuries of the upper limb treated in a tertiary hospital. Acta Fisiátrica, 20(1): 14–19.

Buijze, G. A. & Ring, D. Clinical Impact of United Versus Nonunited Fractures of the Proximal Half of the Ulnar Styloid Following Volar Plate Fixation of the Distal Radius. The Journal of Hand Surgery, v. 35, n. 2, p. 223–227, fev. 2010.

Brogren, E., Petranek, M. & Atroshi, I. (2007). Incidence and characteristics of distal radius fractures in a southern Swedish region. BMC Musculoskeletal Disorders, 8(1).

Chaudhry, H. et al. (2015). Are Volar Locking Plates Superior to Percutaneous K-wires for Distal Radius Fractures? A Meta-analysis. Clinical Orthopaedics & Related Research, 473(9): 3017–3027.

Chung, K. C., Spilson, S. V. (2001). The frequency and epidemiology of hand and forearm fractures in the United States. The Journal of Hand Surgery, 26(5): 908–915.

Ferreira, G. P. M. et al. (2014). Redução intrafocal e fixação percutânea das fraturas do colo do quinto metacarpo – Descrição de técnica cirúrgica. Revista Brasileira de Ortopedia, 49(2): 116–120.

Flinkkilä, T. et al. (2010). Epidemiology and seasonal variation of distal radius fractures in Oulu, Finland. Osteoporosis International, 22(8): 2307–2312.

Ikpeze, T. C. et al. (2016). Distal Radius Fracture Outcomes and Rehabilitation. Geriatric Orthopaedic Surgery & Rehabilitation, 7(4): 202–205.

Kim, J. K., Kim, J.-O. & Koh, Y. -D. (2016). Management of Distal Ulnar Fracture Combined with Distal Radius Fracture. The Journal of Hand Surgery (Asian-Pacific Volume), 21(02): 155–160.

Loisel, F. et al. (2018). Treatment goals for distal radius fractures in 2018: recommendations and practical advice. European Journal of Orthopaedic Surgery & Traumatology, 28(8): 1465–1468.

Lutz, K. et al. (2014). Complications Associated With Operative Versus Nonsurgical Treatment of Distal Radius Fractures in Patients Aged 65 Years and Older. The Journal of Hand Surgery, 39(7): 1280–1286.

Madureira, R. B. F. et al. (2021). Perfil epidemiológico das fraturas de rádio distal de pacientes internados em um Hospital do Norte de Minas Gerais. Revista Eletrônica Acervo Saúde, 13(9): e8879.

Meluzinová P. et al. (2015). [Plate Osteosynthesis of Distal Ulna Fractures with Associated Distal Radius Fractures Treated by Open Reduction and Internal Fixation. Short-Term Functional and Radiographic Results]. Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca, 82(5).

Nayar, S. K. et al. (2018). Venous Thromboembolism in Upper Extremity Fractures. The Journal of Hand Surgery (Asian-Pacific Volume), 23(03): 320–329.

Oliveira, F. A. M. et al. (2020). Perfil epidemiológico das fraturas radiais distais em hospital de referência em Ribeirão Preto, Brasil. ARCHIVES OF HEALTH INVESTIGATION, 9(3).

Pawel Grabala. (2016). Epidemiology of Forearm Fractures in the Population of Children and Adolescents: Current Data from the Typical Polish City. Orthopedic & Muscular System 05.

Powell, A. J. et al. (2017). The treatment of olecranon fractures in adults. MUSCULOSKELETAL SURGERY, 101(1): 1–9.

Richards, R. S. et al. (1997). Arthroscopic diagnosis of intra-articular soft tissue injuries associated with distal radial fractures. The Journal of Hand Surgery, 22(5): 772–776.

Ryan, L. M. et al. (2010). Epidemiology of Pediatric Forearm Fractures in Washington, DC. Journal of Trauma: Injury, Infection & Critical Care, 69(4): S200–S205.

Sigurdardottir, K., Halldorsson, S. & Robertsson, J. (2011). Epidemiology and treatment of distal radius fractures in Reykjavik, Iceland, in 2004. Acta Orthopaedica, 82(4): 494–498.

Silva, L. A. P. et al. (2017). Análise retrospectiva da prevalência e do perfil epidemiológico dos pacientes vítimas de trauma em um hospital secundário. Revista de Medicina, v. 96(4): 245.

Tang, J. B. (2014). Distal Radius Fracture. Clinics in Plastic Surgery, 41(3): 481–499.

Unglaub, F. et al. (2016). Distale Radiusfraktur. Der Orthopäde, 46(1): 93–110.

Vlček, M. et al. (2015). [Conservative and Surgical Treatment for Distal Ulna Fractures Associated with Distal Radius Fractures]. Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca, 82(6).

Woolnough, T. et al. (2020). What Is the Relative Effectiveness of the Various Surgical Treatment Options for Distal Radius Fractures? A Systematic Review and Network Meta-analysis of Randomized Controlled Trials. Clinical Orthopaedics & Related Research, 479(2): 348–362.

Wu, M. et al. (2020). Operative vs conservative treatment in distal radius fractures. Medicine, 99(29): e21250.

Published

23/12/2021

How to Cite

GUTZEIT, E. M. .; CAMPOS, S. C. de .; BARRETO, B. de O. C. .; WEHBE, C.; LOPES, I. V. .; SILVA, J. N. da .; SOUZA, J. G. da S. G. de .; RODRIGUES , J. C. .; REIMANN, R. S. .; LOPES, T. V. .; MUNIZ, I. M. . Epidemiological study of forearm fractures in an emergency room in Rondônia. Research, Society and Development, [S. l.], v. 10, n. 17, p. e165101724622, 2021. DOI: 10.33448/rsd-v10i17.24622. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/24622. Acesso em: 24 jan. 2022.

Issue

Section

Health Sciences