Abstract：
UNASSIGNED: This study investigates whether open distal radius fractures (ODRFs) treated after 24 hours from time of injury have an increased risk of infection or overall complication profile compared with those treated within 24 hours.
UNASSIGNED: Retrospective review was performed of all patients treated for ODRF over a 6-year period at a single large academic institution. Postoperative complications included surgical site infections, need for revision irrigation and debridement, delayed soft tissue healing, loss of reduction, nonunion, and malunion.
UNASSIGNED: One-hundred twenty patients were treated for ODRF. Mean (SD) age at time of injury was 59.92 (17.68) years. Twenty patients (16.7%) had postoperative complications. Regarding mechanism of injury, 78 (65.0%) had a low-energy and 42 (35.0%) had a high-energy injury. Age and fracture grade were not significant factors. Mean (SD) open wound size was 1.18 (1.57) cm. Mean (SD) time from injury presentation to the emergency department (ED) and first dose of intravenous antibiotics was 3.07 (4.05) hours and mean (SD) time from presentation to the ED and operative treatment was 11.90 (6.59) hours, which did not show a significant association with postoperative complications. Twenty-four patients (20.0%) were treated greater than 24 hours after presentation to the ED, which was not significantly distinct from those treated within 24 hours.
UNASSIGNED: Patients with ODRFs treated after 24 hours were not associated with a greater risk of postoperative complications. Factors including age, energy and mechanism of injury, and fracture grade did not alter outcome in any statistically significant manner.
UNASSIGNED: Level IV.
UNASSIGNED: Retrospective review was performed of all patients treated for ODRF over a 6-year period at a single large academic institution. Postoperative complications included surgical site infections, need for revision irrigation and debridement, delayed soft tissue healing, loss of reduction, nonunion, and malunion.
UNASSIGNED: One-hundred twenty patients were treated for ODRF. Mean (SD) age at time of injury was 59.92 (17.68) years. Twenty patients (16.7%) had postoperative complications. Regarding mechanism of injury, 78 (65.0%) had a low-energy and 42 (35.0%) had a high-energy injury. Age and fracture grade were not significant factors. Mean (SD) open wound size was 1.18 (1.57) cm. Mean (SD) time from injury presentation to the emergency department (ED) and first dose of intravenous antibiotics was 3.07 (4.05) hours and mean (SD) time from presentation to the ED and operative treatment was 11.90 (6.59) hours, which did not show a significant association with postoperative complications. Twenty-four patients (20.0%) were treated greater than 24 hours after presentation to the ED, which was not significantly distinct from those treated within 24 hours.
UNASSIGNED: Patients with ODRFs treated after 24 hours were not associated with a greater risk of postoperative complications. Factors including age, energy and mechanism of injury, and fracture grade did not alter outcome in any statistically significant manner.
UNASSIGNED: Level IV.
摘要：
■本研究调查了受伤后24小时后治疗的桡骨远端开放性骨折（ODRF）与24小时内治疗相比，是否感染或总体并发症风险增加。
■在一个大型学术机构中对所有接受ODRF治疗的患者进行了6年的回顾性审查。术后并发症包括手术部位感染，需要修正灌溉和清创，软组织愈合延迟，减少的损失，骨不连,和马兰恩。
■120名患者接受了ODRF治疗。受伤时的平均（SD）年龄为59.92（17.68）岁。20例（16.7%）患者发生术后并发症。关于损伤的机制，78（65.0％）具有低能量损伤，42（35.0％）具有高能量损伤。年龄和骨折等级不是重要因素。平均(SD)开放性伤口大小为1.18(1.57)cm。从损伤出现到急诊科（ED）和首次静脉注射抗生素的平均（SD）时间为3.07（4.05）小时，从出现到ED和手术治疗的平均（SD）时间为11.90（6.59）小时，与术后并发症没有显着关联。24例患者（20.0%）在就诊后24小时内接受治疗，这与24小时内治疗的患者没有显着差异。
■24小时后接受ODRF治疗的患者与术后并发症的更大风险无关。因素包括年龄,能量和损伤机制，和骨折等级没有以任何统计学意义的方式改变结局。
■四级。
■在一个大型学术机构中对所有接受ODRF治疗的患者进行了6年的回顾性审查。术后并发症包括手术部位感染，需要修正灌溉和清创，软组织愈合延迟，减少的损失，骨不连,和马兰恩。
■120名患者接受了ODRF治疗。受伤时的平均（SD）年龄为59.92（17.68）岁。20例（16.7%）患者发生术后并发症。关于损伤的机制，78（65.0％）具有低能量损伤，42（35.0％）具有高能量损伤。年龄和骨折等级不是重要因素。平均(SD)开放性伤口大小为1.18(1.57)cm。从损伤出现到急诊科（ED）和首次静脉注射抗生素的平均（SD）时间为3.07（4.05）小时，从出现到ED和手术治疗的平均（SD）时间为11.90（6.59）小时，与术后并发症没有显着关联。24例患者（20.0%）在就诊后24小时内接受治疗，这与24小时内治疗的患者没有显着差异。
■24小时后接受ODRF治疗的患者与术后并发症的更大风险无关。因素包括年龄,能量和损伤机制，和骨折等级没有以任何统计学意义的方式改变结局。
■四级。
