DOS 2018

DOS Kongressen 2018 · 225 Level of experience and reoperations after internal fixation of distal radius fracture: A study from the Danish Fracture Database collaborators Taqi Saidian, Jens Lauritsen, Jesper Schønnemann, Bjarke Viberg 1. Department of Orthopaedic Surgery and Traumatology, Hospital of Southern Jutland; 2. Department of Orthopaedic Surgery and Traumatology, Odense University Hospital; 3. Department of Orthopaedic Surgery and Traumatology, and Department of Regional Health Research, Kolding Hospital – part of Hospital Lillebaelt, and University of Southern Denmark Background: A distal radius fracture (DRF) treated with a locking plate is a common procedure but several studies have shown a relative high complications frequency. Studies from hip fracture surgery have demonstrated an association between surgeon charge and complications but this has not been investigated for DRF. Purpose / Aim of Study: To estimate association between surgeon’s level of experience and complications in patients with DRF treated with volar locking plate. Materials and Methods: This is a population based register study from the Danish Fracture Database (DFDB). From 01012012 – 31122016 data was extracted on DRF patients using the AO-classification and treated with volar locking plate. Primary outcome is reoperation (specific and all causes), second- ary is intraoperative complications. To prevent any loss of reoperation data, we include data from the Danish National Patient Registry (DNPR). Level of experi- ence is divided into novice, trainee, and senior. Groups are compared by chi- square test. Findings / Results: We included 7,390 DRF from DFDB, 1,456 operated by novice, 2,743 operated by trainee, and 3,225 by senior surgeons. There were 4 intraoperative complications in the novice group, 10 in the trainee, and 12 for senior surgeons yielding no difference (p<0.677). However, there were more breaches in sterility in the novice group (n=9) compared to trainees (n=10) and senior surgeons (n=3) (p<0.004). There were very few reoperations: trainee group (n=4) and senior surgeons (n=4). Conclusions: The study showed a significant difference in breach of sterility with level of surgical experience in DRF. The main uncertainty and final conclu- sion regarding reoperations awaits further extracts of surgical procedures from the DNPR due to insufficient reporting to DFDB by of subsequent surgical spe- cialist intervention. 166.