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Cited by 9Orthopedic Surgery and RehabilitationBone fractures and treatmentsSpinal Fractures and Fixation Techniques

The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.

The Effect of Hand Dominance, Age, Gender, Fracture Comminution and ASA Status on Time to Fracture Healing Following Surgical Fixation of Distal Radius Fractures

TANG, Camelia Qian Ying, CHIOW, Si Min, LAI, Sean Han Sheng, CHIA, Dawn Sinn Yii·2022·The Journal of Hand Surgery (Asian-Pacific Volume)
DOI 10.1142/s2424835522500461
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Abstract

Background: There is recent renewed interest in the effect of hand dominance on distal radius fractures. Current studies focus on functional or patient-reported outcomes, with lack of studies pertaining to radiological outcomes. The primary aim of this study is to examine the effect of hand dominance on time to fracture healing following surgical fixation of distal radius fracture. We also looked at the effect of age, gender, fracture comminution and American Society of Anaesthesiologists (ASA) status on time to fracture healing. Methods: Patients who underwent distal radius fracture fixation surgery in our department from 1 January 2015 to 31 December 2015 were included. Time to fracture healing was taken from the day of surgery to when radiographic union was present as evidence by bridging callus or osseous bone. We looked at the effect of hand dominance, age, gender, fracture comminution and ASA status on time to fracture healing. Results: One hundred and forty-five consecutive patients (80 females and 65 males) had a mean period of 56.2 ± 41.8 days to fracture healing post-operatively. Patients with dominant hand injury had a shorter duration to fracture healing than patients with non-dominant hand injury (mean 47.3 ± 31.1 days versus 62.1 ± 46.8 days, p = 0.023). Patients ≥ 65 years and with pre-existing medical conditions (ASA Class II and above) had a longer duration to fracture healing (mean 63.7 ± 53.0 days versus 51.9 ± 33.4 days, p = 0.036 and mean 47.9 ± 30.0 days versus 62.0 ± 47.7 days, p = 0.016, respectively). In addition, patients with comminuted fractures took longer to heal than patients with non-comminuted fractures (mean 57.6 ± 33.4 days versus 48.3 ± 20.8 days, p = 0.038). Conclusion: Time to fracture healing post distal radius fracture fixation surgery was significantly related to hand dominance, as well as age, ASA classification and fracture configuration. Dominant wrist injuries had shorter time to fracture healing. Level of Evidence: Level IV (Therapeutic)

Overview

Integrity signals

Registry

Crossref · 10.1142/s2424835522500461

Cites

28 of 28 references verified0 citation errors · 0 not checkable

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This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Citations

Cites

Research works printed but not linked: 2

  1. Frost HM, 1994, Angle Orthod, 64, 175
  2. 10.1302/0301-620X.84B1.0840015 · DOI

Cited by

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Metadata

Authors
TANG, C. Q. Y., CHIOW, S. M., LAI, S. H. S., & CHIA, D. S. Y.
Affiliations
  • Tan Tock Seng Hospital (SG)
  • Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Tan Tock Seng, Singapore
ORCID
Venue
The Journal of Hand Surgery (Asian-Pacific Volume)
Publisher
World Scientific Pub Co Pte Ltd
Published
2022-05-17
Volume
27
Issue
03
Pages
459-465
ISSN
  • 2424-8355 (ISSN-L)
  • 2424-8363
DOI
10.1142/s2424835522500461
OpenAlex
W4284989473
Cited by
9
References
28
Citations by year
2025: 4 · 2024: 2 · 2023: 2 · 2022: 1
FWCI
2.15
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Hand Surgery (Asian-Pacific Volume) (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone fractures and treatments
  • Health Sciences › Medicine › Surgery › Spinal Fractures and Fixation Techniques
Keywords
distal radius fracture, fracture healing time, handedness, surgical fixation, fracture comminution, American Society of Anesthesiologists classification, age, sex differences, radiological union, wrist injuries, osteoarthritis, osteoporosis, comorbidities, bridging callus, bone union, fracture configuration, postoperative outcomes, radiographic outcomes, functional outcome
MeSH terms
Female, Fracture Fixation, Internal, Hand Injuries, Humans, Male, Radius Fractures, Fracture Healing, Fractures, Comminuted

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