Validation of forearm fracture diagnoses in administrative patient registers.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: FF reports speaking fees from UCB and Amgen; TTB reports speaker fees from UCB, Amgen, Roche, and Pharma Prim. Advisory board for UCB; JEG reports lecture fees from Ortomedic Norway and LINK Norway; EMA reports advisory board for UCB and Amgen; RMJ reports consulting fees from Norwegian Directorate of Health, Norwegian Diabetes Association, Northern Norway Regional Health Authority and lecture fees from Novo Nordisk, Eli-Lilly, Astra-Zeneca, Sanofi; EFE reports consultant fees from UCB, Amgen, Gilead, Pharma Medico and honoraria from Amgen, UCB, and Novo Nordisk. The other authors declared that they have no conflict of interest. 11. Hand Surg Rehabil. 2021 Feb;40(1):25-31. doi: 10.1016/j.hansur.2020.07.002. Epub 2020 Aug 23. Synostosis after fracture of both forearm bones treated by intramedullary nailing. Uygur E(1), Özkut A(2), Akpınar F(3). Author information: (1)Orthopaedics and Traumatology, İstanbul Medeniyet University, Göztepe Training and Research Hospital, İstanbul, Turkey. Electronic address: esatuygur@gmail.com. (2)Orthopaedics and Traumatology, İstanbul Medeniyet University, Göztepe Training and Research Hospital, İstanbul, Turkey. Electronic address: afsarozkut@superonline.com. (3)Orthopaedics and Traumatology, İstanbul Medeniyet University, Göztepe Training and Research Hospital, İstanbul, Turkey. Electronic address: fuatakpinar@gmail.com. Erratum in Hand Surg Rehabil. 2021 Sep;40(4):533. doi: 10.1016/j.hansur.2021.06.004. This study evaluated the risk of radioulnar synostosis after fracture of both forearm bones at the same level. We hypothesized that (i) the incidence of synostosis in both-bone forearm fractures at the same level is low with intramedullary nailing (IMN); (ii) the type of fracture (open/closed) and type of reduction (open/closed) affect time to union. Seventy-eight patients who had been treated with IMN for fracture of both forearm bones and had at least 1 year of follow-up were included in the study retrospectively. All the patients were treated by IMN following closed reduction or open surgery. Patients were followed clinically and radiologically. Age, open or closed fracture, time to union, and occurrence of synostosis were documented. The mean age of the patients was 33.4 years. Fifty-three (68%) patients were male. Forty-eight (61.5%) patients had high velocity injuries. The mean follow-up was 26.4 (12-46) months. According to the Grace and Eversmann scoring system, 95% had good or excellent outcomes. The mean DASH score was 10.5 (0-56). Union rate was 100%. Only one patient (1.2%) had a radioulnar synostosis at middle third level. IMN is a safe method that yields a high union rate and contributes to a low incidence of synostosis. Open fracture and open reduction during surgery have no effect on time to union. Copyright © 2020 SFCM. Published by Elsevier Masson SAS. All rights reserved. DOI: 10.1016/j.hansur.2020.07.002