دورية أكاديمية
Total Elbow Arthroplasty Versus Open Reduction and Internal Fixation for Distal Humerus Fractures: A Propensity Score Matched Analysis of 30-Day Postoperative Complications
| العنوان: | Total Elbow Arthroplasty Versus Open Reduction and Internal Fixation for Distal Humerus Fractures: A Propensity Score Matched Analysis of 30-Day Postoperative Complications |
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| المؤلفون: | Luke A. Sandoval BA, Charles R. Reiter BS, Phillip B. Wyatt DPT, James R. Satalich MD, Brady S. Ernst MD, Conor N. O’Neill MD, Jennifer L. Vanderbeck MD |
| المصدر: | Geriatric Orthopaedic Surgery & Rehabilitation, Vol 15 (2024) |
| بيانات النشر: | SAGE Publishing, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Orthopedic surgery LCC:Geriatrics |
| مصطلحات موضوعية: | Orthopedic surgery, RD701-811, Geriatrics, RC952-954.6 |
| الوصف: | Introduction Open reduction and internal fixation (ORIF) is an established surgical procedure for distal humeral fractures; however, total elbow arthroplasty (TEA) has become an increasingly popular alternative for elderly patients with these injuries. Using a large sample of recent patient data, this study compares the rates of short-term complications between ORIF and TEA and evaluates complication risk factors. Methods Patients who underwent primary TEA or ORIF from 2012 to 2021 were identified by Current Procedural Terminology codes in the American College of Surgeons National Surgical Quality Improvement Program database. Propensity score matching controlled for demographic and comorbid differences. The rates of 30-day postoperative complications were compared. Results A total of 1539 patients were identified, with 1365 (88.7%) and 174 (11.3%) undergoing ORIF and TEA, respectively. Patients undergoing TEA were older on average (ORIF: 56.2 ± 19.8 years, TEA: 74.3 ± 11.0 years, P < .001). 348 patients were included in the matched analysis, with 174 patients in each group. TEA was associated with an increased risk for postoperative transfusion (OR = 6.808, 95% CI = 1.355 – 34.199, P = .020). There were no significant differences in any adverse event (AAE) between procedures ( P = .259). A multivariate analysis indicated age was the only independent risk factor for the development of AAE across both groups (OR = 1.068, 95% CI = 1.011 – 1.128, P = .018). Conclusion The risk of short-term complications within 30-days of ORIF or TEA procedures are similar when patient characteristics are controlled. TEA, however, was found to increase the risk of postoperative transfusions. Risks associated with increasing patient age should be considered prior to either procedure. These findings suggest that long-term functional outcomes can be prioritized in the management of distal humerus fractures. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2151-4593 21514593 |
| العلاقة: | https://doaj.org/toc/2151-4593Test |
| DOI: | 10.1177/21514593241260097 |
| الوصول الحر: | https://doaj.org/article/f9148776ce304988aa2d87bc1eeec73bTest |
| رقم الانضمام: | edsdoj.f9148776ce304988aa2d87bc1eeec73b |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 21514593 |
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| DOI: | 10.1177/21514593241260097 |