Treatment Trends of Pediatric Distal Radius Fractures: A Population-Based Study in South Korea

Young-Hoon Jo; Hee-Soo Kim; Bong-Gun Lee; Joo-Hak Kim; Kyung-Sik Min; Kwang-Hyun Lee

doi:10.12790/ahm.2017.22.4.217

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Jo, Kim, Lee, Kim, Min, and Lee: Treatment Trends of Pediatric Distal Radius Fractures: A Population-Based Study in South Korea

Original Article

Hand

Archives of Hand and Microsurgery 2017; 22(4): 217-223.

Published online: 31 December 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.

²Department of Orthopaedic Surgery, Myongji Hospital, Goyang, Korea.

Corresponding author: Kwang-Hyun Lee. Department of Orthopaedic Surgery, Hanyang University College of Medicine, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea. TEL: +82-2-2290-8485, FAX: +82-2-2290-3774, leegh@hanyang.ac.kr

Received 1 August 2017 Revised 27 September 2017 Accepted 28 September 2017

Korean Society for Surgery of the Hand, Korean Society for Microsurgery

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Distal radius, Fracture, Surgery, Pediatric and adolescent, Trend

Figures and Tables

Fig. 1

Incidence rate of pediatric distal radius fractures per 100,000 persons, by age group. (A) Total population. (B) Men. (C) Women.

Fig. 2

Proportion of surgical fixation type in pediatric patients with distal radius fracture, by age group. ORIF: open reduction with internal fixation.

Table 1

ICD-10 diagnosis codes and procedure codes of distal radius fractures

ICD-10: International Classification of Diseases, 10th revision, ORIF: open reduction with internal fixation.

Table 2

Proportion of surgical fixation in patients with distal radius fractures from 2011 to 2015

Values are presented as number (%).

Table 3

Surgical treatment trend of pediatric distal radius fractures from 2011 to 2015 by age group

Values are presented as number (%).

ORIF: open reduction with internal fixation, EF: external fixation, CRPP: closed reduction and percutaneous pinning.

Notes

^{CONFLICTS OF INTEREST} The authors have nothing to disclose.

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