@article{ref1,
title="Timing of treatment of open fractures of the distal radius in patients younger than 65 years",
journal="Orthopedics",
year="2019",
author="Tareen, Jarid and Kaufman, Adam M. and Pensy, Raymond A. and O'Toole, Robert V. and Eglseder, W. Andrew",
volume="42",
number="4",
pages="219-225",
abstract="The authors aimed to characterize surgical and functional outcomes of open fractures of the distal radius in patients younger than 65 years. At their level I trauma center, the authors conducted a retrospective review of 92 patients (age range, 16-64 years) who had 94 open fractures of the distal radius (average follow-up, 30 months; range, 3-95 months). Sixty-four fractures received definitive treatment at the time of initial débridement; 30 received definitive fixation and soft tissue coverage after staged débridement. Primary surgical outcome was development of deep surgical site infection requiring repeat surgical débridement; secondary surgical outcome was surgical complications requiring reoperation. Functional outcome was assessed by wrist range of motion. Overall infection rate was 15% (14 of 94 fractures). Seven (11%) of 64 fractures in the immediate definitive fixation group developed infection compared with 7 (23%) of 30 fractures in the staged treatment group (P=.13). Twenty-one (33%) of 64 fractures in the immediate definitive fixation group required reoperation compared with 15 (50%) of 30 in the staged treatment group (P=.11). Deep surgical site infections and surgical complications associated with open fractures of the distal radius are driven by soft tissue injury. [Orthopedics. 2019; 42(4):219-225.].<br><br>Copyright 2019, SLACK Incorporated.<p /> <p>Language: en</p>",
language="en",
issn="0147-7447",
doi="10.3928/01477447-20190625-05",
url="http://dx.doi.org/10.3928/01477447-20190625-05"
}