[Treatment reality of distal radius fractures in a center].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2024-06-01 Epub Date: 2024-04-29 DOI:10.1007/s00113-024-01436-y
Thomas Pillukat, Jörg van Schoonhoven
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Abstract

Distal radius fractures are the third most common type of fracture in Germany after fractures of the femoral neck and peritrochanteric femoral fractures. In 2019 a total of 72,087 cases were registered with an incidence of 106 cases per 100,000 inhabitants (81,570 fractures of the femoral neck, 73,785 peritrochanteric fractures). Many of these fractures are surgically treated also in this hospital but with controversial views on the optimal treatment. Against the background of the coronavirus disease 2019 (COVID-19) pandemic, disappearing personnel resources and the political pressure to form centers and a switch to outpatient treatment, the authors ask the question what the treatment reality in this hospital looks like and whether the general changes in the framework conditions also have an affect in this context. This is not a strictly scientific study but a stocktaking without any claims of completeness and the retrospective evaluation of a larger data pool with all its weaknesses. On the contrary, the data provide interesting aspects that are explained in detail in the individual sections.

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[中心桡骨远端骨折的治疗现实]。
桡骨远端骨折是德国第三大常见骨折类型,仅次于股骨颈骨折和股骨转子周围骨折。2019年共登记了72087例,发病率为每10万居民106例(股骨颈骨折81570例,股骨转子周围骨折73785例)。该医院也对其中许多骨折进行了手术治疗,但对最佳治疗方法的看法存在争议。在 2019 年冠状病毒病(COVID-19)大流行、人力资源消失、组建中心和转为门诊治疗的政治压力的背景下,作者提出了这样一个问题:这家医院的治疗现实是怎样的?这并不是一项严格意义上的科学研究,而是一项不求完整的盘点,是对一个较大数据池的回顾性评估,存在种种缺陷。相反,这些数据提供了一些有趣的方面,将在各章节中详细说明。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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