Naslov
PRIJELOM DISTALNOG DIJELA PALČANE KOSTI : LIJEČENJE I REHABILITACIJU U KLINIČKOM BOLNIČKOM CENTRU SPLIT – RETROSPEKTIVNA STUDIJA
(COLLES’ FRACTURE TREATMENT AND REHABILITATION AT UNIVERSITY HOSPITAL OF SPLIT : ONE-YEAR RETROSPECTIVE STUDY)

Autori
Belcovska, Marina

Vrsta, podvrsta i kategorija rada
Ocjenski radovi, diplomski rad, preddiplomski

Fakultet
Medicinski fakultet Split

Mjesto
Split

Datum
12.07

Godina
2018

Stranica
64

Mentor
Poljičanin, Ana

Ključne riječi
prijelom palčane kosti, incidencija, fizikalna terapija
(radius fractures, incidence, physical therapy)

Sažetak
Objectives: The purpose of this retrospective study was to establish the number, gender and age of patients that suffered a Colles’ fracture during the calendar year 2016. in Split. As well as the prevalence of conservative treatment compared to surgical treatment, and the prevalence of post-fracture rehabilitation at University Hospital of Split. Subjects and methods: Data was collected from the Surgical Emergency Department’s paper database and cross- referenced to the Institute of Physical Medicine and Rehabilitation with Rheumatology’s electronic database. All diagnosed adult distal radius fractures obtained during 2016. from Croatian citizens treated at the University Hospital of Split were included. Patients with bilateral fractures were excluded. Results: In University Hospital of Split during 2016., 709 Croatian adults were treated for a distal radius fracture, 69.8% women (495/709). 43.8% of the female patients were post-menopausal (217/495). More men under the age of 60 (non-senile) were treated for distal radius fracture than men aged 60 or above (123 under 60, 91 60 and above). Radiographic imaging was performed of 97.6% of the patients (692/709, F 485/495, M 207/214), and 93.1% of fractures were immobilized (660/709). Female fractures were repositioned in 58.2% of cases (288/495), while only 38.8% of male fractures were repositioned (83/214). Only 44 patients underwent operative treatment (6.2%, 44/709). In total, 218 patients (30.7%, 218/709) visited the Institute of Physical Medicine and Rehabilitation with Rheumatology, 56 men (26.2% of all male patients, 56/214) and 162 women (32.7% of all female patients, 162/495). Of these, 172 patients received individual physical therapy, 6 only attended small group therapy, and 36 patients did not have a protocol registered. Majority of patients attended two or three physical therapy cycles (95/180, 52.2%). Conclusions: Most fractures are sustained by post-menopausal women and middle-aged men, which may be connected to vitamin D deficiency and osteoporosis. Most fractures are treated conservatively by repositioning and/or immobilization. There is no significant difference of dexterity or seasonal occurrence. A low number of patients receive physiotherapy at the University Hospital of Split, most often consisting of individual therapy. University Hospital of Split would benefit of the development of distal radius fracture treatment and rehabilitation guidelines.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
Urn:nbn:hr:171:016156

POVEZANOST RADA