Osteoporosis may increase risk of revision after treatment of distal radius fractures
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Key takeaways:
- Patients with a Charlson Comorbidity Index greater than zero had a higher risk for readmission.
- Patients with osteoporosis had nearly three times the risk for revision surgery.
LAS VEGAS — Results presented here showed patients with osteoporosis undergoing open reduction and internal fixation for distal radius fractures had a higher risk for revision surgery compared with patients without osteoporosis.
Using the New York Statewide Planning and Research Cooperative System database, David H. Mai, MD, MPH, and colleagues stratified patients with distal radius fractures who underwent open reduction and internal fixation between 2000 and 2014 based on the presence or absence of osteoporosis prior to or at the time of surgery. Mai noted primary outcome measures included readmission and revision surgery.
According to Mai, patients who had osteoporosis were older and more likely female (96.5%). Mai noted the presence of osteoporosis had no significant relationship with readmission after open reduction and internal fixation. However, he added patients with a Charlson Comorbidity Index greater than zero had a higher risk for readmission.
“Interestingly, we noticed at the Charlson score goes up, the risk of readmission also goes up,” Mai said in his presentation at the American Academy of Orthopaedic Surgeons Annual Meeting.
Mai noted patients with osteoporosis had nearly three times the risk for revision surgery and patients with a Charlson Comorbidity Index greater than two had a five times greater risk for revision.
“This database does not provide information on osteoporosis. And as we get better at diagnosing osteoporosis, the treatment has also advanced through time,” Mai said. “It would be interesting to do further studies to see how these osteo[porosis] modulators also affect outcomes in patients with osteoporosis.”
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Beyer G, et al. Paper 347. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting. March 7-11, 2023; Las Vegas.
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