Distal Radius Fracture Surgical Outcomes Based on OTA Fracture Classification

Purpose: Distal radius fractures (DRFs) are a common injury that have a bi-modal incidence, with high energy trauma in younger patients and low energy trauma, such as a fall from standing, in older patients. These fractures are often treated surgically. Many classification systems exist to describe DRFs, but no single classification system has shown a direct correlation with outcomes. One such classification system is the OTA classification, which is used to provide a systematic way for describing fractures. There is not clear evidence that variations exist in fracture loss of reduction or early complications following surgical intervention between fracture types. Methods: Electronic medical records were reviewed to identify patients with operatively treated DRFs at JPS hospital. 709 patients were identified. A retrospective chart review of these patients was performed. Demographic data and medical comorbidities were recorded, including age, gender, tobacco use, and comorbidities such as diabetes and osteoporosis. Radiographs were reviewed and the fracture was classified according to the OTA classification. Data was collected for post-operative complications, infections, time to radiographic healing, and loss of fracture reduction within 21 days. Statistical analysis is currently ongoing to include linear and multivariate regression analysis to determine if a significant difference exists in surgical outcomes of DRFs based on OTA fracture type. Results: Pending. Conclusions: DRFs are a common surgically treated injury and have significant implications on daily activities. More severe DRFs, based on OTA classification, likely have more early complications and a higher rate of early fracture loss of reduction.