Complex Regional Pain Syndrome Following Distal Radius Fracture: Does Surgical Method Matter?

Abstract: Background The purpose of this study was to compare the risk of complex regional pain syndrome (CRPS) following surgical treatment of distal radius fractures (DRFs) with either a volar locking plate (VLP) or an external fixator (EF). Methods Data from two randomized controlled trials (RCTs) were merged and analyzed. A logistic regression analysis was conducted to identify independent risk factors for the occurrence of CRPS. Results A total of 322 patients were included from the two RCTs; 159 patients were operated upon with VLP and 163 patients with EF. CRPS was diagnosed in 6 patients treated with VLP (4%) and in 16 patients receiving EF (11%), overall 22 cases of CRPS (7%). None of the other independent risk factors had a significant influence on the risk for CRPS (all p > 0.05). Conclusion Patients treated with an EF had a higher risk of developing CRPS compared to those treated with a VLP. We found no other independent variable predicting CRPS. Level of evidence III.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Complex Regional Pain Syndrome Following Distal Radius Fracture: Does Surgical Method Matter? ; day:04 ; month:09 ; year:2024
Journal of Wrist Surgery ; (04.09.2024)

Contributor
Ludvigsen, Trine
Hammer, Ola-Lars
Fevang, Jonas Meling
Matre, Kjell
Dybvig, Eva Hansen
Randsborg, Per-Henrik

DOI
10.1055/s-0044-1788323
URN
urn:nbn:de:101:1-2411071344525.972204417877
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:36 AM CEST

Data provider

This object is provided by:
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.

Associated

  • Ludvigsen, Trine
  • Hammer, Ola-Lars
  • Fevang, Jonas Meling
  • Matre, Kjell
  • Dybvig, Eva Hansen
  • Randsborg, Per-Henrik

Other Objects (12)