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• W2889367637 abstract "Consulting Fee: Miami Device Solutions (Chen) Contracted Research: AO Foundation (Chen) There is no difference between the rate of refracture in patients who undergo plate removal versus plate retention in patients with forearm fractures. We retrospectively identified all patients who underwent primary plate fixation of an ulna or radial shaft fracture. All adult patients who were treated between 2002 and 2015 at a single institutional system were included (n=659). Patients with a nonunion, pregnancy, pathologic fractures, periarticular elbow fractures, distal radius fractures, or postoperative infection, or when the preoperative x-ray was not available for review were excluded. The median age was 38.6 (IQR: 26.2–53.6) years and patients were followed up for a median of 22.7 (IQR: 13.4–40.7) months. Both bone forearm fractures were most common (39.5%), followed by ulnar shaft fractures (35.7%) and radial shaft fractures (24.9%). A medical chart review was performed to collect data regarding demographics, fracture, and treatment characteristics along with postoperative complications and indications for reoperation. A refracture was defined as a fracture at the prior fracture site at the screw holes or at the edge of the plate. Forty-five patients (6.8%) patients underwent 69 plate removals after a median of 12.7 (IQR: 7.1–16.6) months after index surgery. Ulnar plates were removed more commonly 44 (63.8%) compared with radial shaft plates 25 (36.2%). The radius refractured more frequently than the ulna (p = 0.039) Of the patients who underwent plate removal, 3 (4.6%) had a refracture, 1 ulnar shaft, and 2 radial shaft refractures at a median of 0.9 (IQR: 0.4–4.8) months after plate removal. The refractures occurred at the screw holes secondary to low energy trauma in all 3 patients. Seventeen of the 860 (2.0%) fractures with the implant in situ had a refracture after a median of 12.9 months (IQR: 6.3–33.2) postoperatively. These included 5 ulnar shaft fractures and 12 radial shaft refractures. Fractures occurred at screw holes and at the edge of the plate. A post-hoc analysis showed that this study was sufficiently powered (82%, P = .05) to detect a difference of 8% in the refracture rate. •Refracture rates after forearm open reduction and fixation are similar if the plate is removed (5%) or retained (2%).•Refractures occurred in the radius more commonly than the ulna, P = .039.•In cases of fracture after plate removal, we observed all instances within 6 months after implant removal." @default.
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• W2889367637 date "2018-09-01" @default.
• W2889367637 modified "2023-10-17" @default.
• W2889367637 title "Refractures After Plate Fixation of Forearm Fractures" @default.
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• W2889367637 doi "https://doi.org/10.1016/j.jhsa.2018.06.061" @default.
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