Arch Hand Microsurg Search

CLOSE


Arch Hand Microsurg > Volume 22(4); 2017 > Article
Archives of Hand and Microsurgery 2017;22(4):217-223.
Published online December 1, 2017.
DOI: https://doi.org/10.12790/ahm.2017.22.4.217   
Treatment Trends of Pediatric Distal Radius Fractures: A Population-Based Study in South Korea
Young-Hoon Jo1, Hee-Soo Kim1, Bong-Gun Lee1, Joo-Hak Kim2, Kyung-Sik Min1, Kwang-Hyun Lee1
1Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea. leegh@hanyang.ac.kr
2Department of Orthopaedic Surgery, Myongji Hospital, Goyang, Korea.
Received: 1 August 2017   • Revised: 27 September 2017   • Accepted: 28 September 2017
Abstract
Purpose
To investigate treatment trends for pediatric distal radius fractures (DRFs) in Korea.

Methods
We analyzed a nationwide database spanning 2011 to 2015 acquired from the Korean Health Insurance Review and Assessment Service. International Classification of Diseases, 10th revision (ICD-10) codes and procedure codes were used to identify patients aged under 18 years with newly diagnosed DRFs.

Results
A total of 181,218 DRFs occurred from 2011 to 2015. Most of the DRFs (92.2%) were managed with conservative methods. Surgical fixation was performed on 14,219 DRFs (7.8%), the proportion of DRFs treated by surgical fixation was not significantly changed by the year (p=0.33). Among the patients who underwent surgical fixation, closed pinning (9,664 DRFs, 68.0%) was the most popular procedure. The proportion of DRF cases treated with open reduction and internal fixation (ORIF), however, tended to increase steadily over time (p < 0.001). Regarding surgical trend according to age group, as age increased the proportion of ORIF increased and closed pinning tended to decrease.

Conclusion
In Korea, most of pediatric DRFs were managed with conservative methods. In surgical fixation, closed pinning was the most popular procedure. However, the proportion of ORIF tended to increase steadily year by year.
Key Words: Distal radius, Fracture, Surgery, Pediatric and adolescent, Trend
 


About
Article and topics
Article category

Browse all articles >

Topics

Browse all articles >

Browse articles
Editorial policy
For contributors
Editorial Office
St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186    Fax: +82-31-254-7186    E-mail: journal@handmicro.org                

Copyright © 2021 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.

Developed in M2PI

Close layer
prev next