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Archives of Orthopaedic and Trauma Surgery

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01-12-2014 | Handsurgery

Factors associated with complex regional pain syndrome type I in patients with surgically treated distal radius fracture

Authors: Young Hak Roh, Beom Koo Lee, Jung Ho Noh, Jong Ryoon Baek, Joo Han Oh, Hyun Sik Gong, Goo Hyun Baek

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 12/2014

Abstract

Purpose

Wrist fracture is considered a typical initiating trauma for complex regional pain syndrome type I (CRPS I). However, few studies have comprehensively evaluated factors associated with the occurrence of CRPS I after the surgical treatment of a distal radius fracture (DRF). This study evaluates the factors influencing the occurrence of CRPS I after the surgical treatment of a DRF.

Methods

A total of 477 patients with a DRF who had been treated surgically were enrolled in this prospective observational study. Patients were followed for 6 months after surgery, and CRPS I was diagnosed using the Budapest diagnostic criteria for research. The factors assessed for the development of CPRS I were age, gender, the body mass index, the type of fracture, the energy of trauma, the number of trial reductions, the type of surgery, and the duration of immobilization. A multivariate logistic regression analysis was conducted to identify independent predictors of the occurrence of CRPS I.

Results

Among the 477 patients, 42 (8.8 %) satisfied the Budapest criteria for CRPS I within 6 months of surgery. Female patients developed CRPS I more frequently, and the patients who developed CRPS I were older and more likely to sustain a high energy injury or have a comminuted fracture. According to the multivariate analysis, female patients and those with a high energy trauma or severe fracture type were significantly more likely to develop CRPS I (p = 0.02, 0.01, and 0.01, respectively).

Conclusions

High energy injuries, severe fractures, and the female gender contribute to the development of CRPS I after the surgical treatment of DRF. The results have important implications for physicians who wish to identify patients at high risk for CRPS I after operative fixation for DRF and instigate treatment accordingly.

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Title: Factors associated with complex regional pain syndrome type I in patients with surgically treated distal radius fracture
Authors: Young Hak Roh
Beom Koo Lee
Jung Ho Noh
Jong Ryoon Baek
Joo Han Oh
Hyun Sik Gong
Goo Hyun Baek
Publication date: 01-12-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 12/2014
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-014-2094-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Factors associated with complex regional pain syndrome type I in patients with surgically treated distal radius fracture

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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