Table 3.
Comparison of Operatively Managed Distal Radius Fracture Cases With and Without Preoperative CT Scans
| Variable | Cases With CT N = 243 (20%) |
Cases Without CT N = 961 (80%) |
P Value |
|---|---|---|---|
| Demographics | |||
| Age (y), mean (SD) | 53 (17) | 56 (17) | .06 |
| Male, n (%) | 115 (47) | 280 (29) | <.05 |
| Right wrist involved, n (%) | 111 (46) | 470 (49) | .37 |
| BMI, mean (SD) | 30 (7) | 29 (7) | <.05 |
| Current tobacco use, n (%) | 65 (27) | 220 (23) | .21 |
| ASA rating, mean (SD) | 2.3 (0.7) | 2.3 (0.6) | .16 |
| Operative time in minutes, mean (SD) | 106 (58) | 84 (44) | <.05 |
| Surgeon performing ORIF, n (%) | |||
| Hand surgeon | 122 (50) | 439 (46) | |
| Trauma surgeon | 89 (37) | 307 (32) | <.05 |
| Other | 32 (13) | 215 (22) | |
| Extra-articular DRF (OTA-A), n (%) | 19 (8) | 269 (28) | <.05 |
| Intra-articular DRF, n (%) | 224 (92) | 692 (72) | <.05 |
| OTA-B | 28 (12) | 123 (13) | .59 |
| OTA-C | 196 (81) | 569 (59) | <.05 |
| OTA-C1 | 39 (16) | 157 (16) | .91 |
| OTA-C2 | 99 (41) | 209 (22) | <.05 |
| OTA-C3 | 58 (24) | 203 (21) | .35 |
| Cases with an associated UE injury (excluding distal ulna), n (%) | 79 (33) | 101 (11) | <.05 |
| Cases with any associated UE injury, n (%) | 173 (71) | 512 (53) | <.05 |
| Open DRF, n (%) | 12 (5) | 21 (2) | <.05 |
| Treatment | |||
| VLP only, n (%) | 156 (64) | 846 (88) | <.05 |
| VLP only or K-wire, n (%) | 160 (66) | 875 (91) | <.05 |
| VLP + volar rim plate, n (%) | 19 (8) | 10 (1) | <.05 |
| VLP + VLP, n (%) | 5 (2) | 7 (0.7) | .07 |
| VLP + radial column, n (%) | 3 (1) | 9 (1) | .72 |
| VLP + dorsal, n (%) | 4 (2) | 3 (0.3) | <.05 |
| Dorsal plate, n (%) | 11 (5) | 6 (0.6) | <.05 |
| Radial styloid plate, n (%) | 2 (0.8) | 4 (0.4) | .35 |
| Bridge plate, n (%) | 17 (7) | 10 (1) | <.05 |
| Ex-fix, n (%) | 9 (4) | 20 (2) | .14 |
ASA, American Society of Anesthesiologists; BMI, body mass index; ORIF, open reduction, internal fixationupper-extremity; UE, upper-extremity; VLP, volar locked plating.