Analysis of Postoperative Distal Radius Fracture Outcomes in the Setting of Osteopenia and Osteoporosis for Patients with Comorbid Conditions

PurposeDistal radius fractures (DRFs) are among the most common orthopedic injuries, especially in elderly. A wide variety of approaches have been advocated as successful treatment modalities; yet, there remains variability practice patterns DRF patients with osteoporosis and osteopenia. Using large data set analysis, we sought to determine risk profile operative fixation low bone mineral density.MethodsA commercially available health care database, PearlDiver, was queried for all who underwent open reduction internal DRFs between 2010 2020. The study population divided into groups based on presence or absence osteopenia further classified by were receiving bisphosphonate therapy. Complication rates calculated, including malunion, surgical site infection, osteomyelitis, hardware failure, removal. Five-year future fragility defined hip, vertebrae, humerus, wrist fractures. Chi-square analysis logistic regression performed an association these comorbidities various postoperative complications.ResultsA total 152,926 a during period. major complications at 3 months showed statistically significant increase malunion (P = .05) fixation. Logistic 12 after surgery demonstrated that associated increased failure < .0001), removal infection .004). Osteoporosis significantly .01), .0001).ConclusionsWe demonstrated, using predicted be multiple complications, thus, density should strongly considered planning patients.Type study/level evidencePrognostic III. Distal density. complications. .0001). We patients.