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Diabetes mellitus effect on rates of perioperative complications after operative treatment of distal radius fractures

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

This study focuses on distal radius fractures that require surgical treatment. Patients with diabetes mellitus (DM) are at increased risk of bone fracture despite normal areal bone mineral density. The aim of this study is to identify the impact of DM on perioperative complications for patients undergoing operative treatment of distal radius fracture.

Methods

A retrospective cohort study was conducted using data collected through the National Surgical Quality Improvement Program database. All patients who underwent operative treatments for distal radius fractures from 2007 through 2018 were identified. Data collected include demographic information, comorbidities, and complications occurring within 30 days of initial surgical intervention. The incidence of adverse events following surgery was evaluated with univariate and multivariate analyses where appropriate.

Results

Patients with DM were found to have a low rate of complications postsurgical repair of distal radius fractures. Preoperative comorbidity analysis showed that the diabetic group had significantly higher rates of chronic obstructive pulmonary disease, hypertension, congestive heart failure, renal failure, steroid use, bleeding disorders, dyspnea, and poorer functional status. Diabetes was found to be an independent predictor for unplanned intubation, sepsis, and septic shock. Diabetes was not found to be an independent predictor of other postoperative complications.

Conclusion

Complications after surgical repair of distal radius fracture are low except when it comes to reintubation, sepsis, and septic shock. While the risks of independent complications remain relatively low, diabetes remains an important factor to consider when selecting surgical candidates and to ensure appropriate pre-operative risk assessment.

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Funding

No funds, grants, or other support was received.

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Authors and Affiliations

  1. George Washington School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA

    Chapman Wei, Nisha Kapani, Theodore Quan & Melina Recarey

  2. Department of Orthopedic Surgery, George Washington Hospital, 2300 M St, Washington, DC, 20037, USA

    Alex Gu, Safa C. Fassihi & Sam Moghtaderi

  3. Adult Reconstruction and Joint Replacement Division, Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA

    Michael-Alexander Malahias

  4. Department of Surgery, George Washington Hospital, 2300 M St, Washington, DC, 20037, USA

    Victoria Haney

Authors
  1. Chapman Wei
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  2. Nisha Kapani
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  3. Theodore Quan
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  4. Alex Gu
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  5. Safa C. Fassihi
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  6. Michael-Alexander Malahias
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  7. Victoria Haney
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  8. Melina Recarey
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  9. Sam Moghtaderi
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Corresponding author

Correspondence to Chapman Wei.

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Institutional review board approval was not required for this study as all data are de-identified and public. No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

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Wei, C., Kapani, N., Quan, T. et al. Diabetes mellitus effect on rates of perioperative complications after operative treatment of distal radius fractures. Eur J Orthop Surg Traumatol 31, 1329–1334 (2021). https://doi.org/10.1007/s00590-021-02880-x

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  • DOI: https://doi.org/10.1007/s00590-021-02880-x

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