Arch Hand Microsurg.  2017 Dec;22(4):217-223. 10.12790/ahm.2017.22.4.217.

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

• Jo YH
• Kim HS
• Lee BG
• Kim JH
• Min KS
• Lee KH

• KMID: 2406124
• DOI: http://doi.org/10.12790/ahm.2017.22.4.217

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.

Keyword

Distal radius; Fracture; Surgery; Pediatric and adolescent; Trend

MeSH Terms

Humans
Insurance, Health
International Classification of Diseases
Korea*
Radius Fractures*
Radius*

Figure

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  Fig. 1 Incidence rate of pediatric distal radius fractures per 100,000 persons, by age group. (A) Total population. (B) Men. (C) Women.

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  Fig. 2 Proportion of surgical fixation type in pediatric patients with distal radius fracture, by age group. ORIF: open reduction with internal fixation.

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