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Abstract

Aim: The aim of this study was to assess long-term outcomes and complications associated with conservative and operative treatment of distal radius fractures and to determine if restoration of radio-graphic parameters influences functional outcomes.
Introduction: Distal radius fractures (DRFs) are common injuries associated with many complica-tions. Numerous studies suggest that operative treatment with anatomic reduction and restoration of radiographic parameters leads to better functional outcomes than nonsurgical treatment.
Materials and Methods: We enrolled 207 patients with isolated DRF (mean age 64 ± 17.9 years, women 150 (72.5%)) to our retrospective, single-center study (101 treated operatively, 106 treated non-operatively). There were no significant differences in sex, age, AO type fracture between study groups. After 3.9 ± 1.6 years (mean ± SD) clinical, functional and radiological assessment was conducted using Disabilities of the Arm, Shoulder and Hand (DASH), Patient Rated Wrist Evaluation (PRWE), 9-Hole Peg Test (9-HPT), grip and pinch strength tools.
Results: We found higher rates of malunion in nonoperative group (p <0.0001) and worse radiologic parameters such as volar tilt (p <0.0001), teardrop angle (p <0.0001) versus operative cohort. Nevertheless radiological parameters were not correlated with DASH and PRWE results. Moreover, patients aged 50 years and above treated operatively had similar functional outcomes (DASH, PRWE) to those treated nonoperatively.
Conclusions: Restoration of anatomic and thus radiologic parameters of radius may not be obligatory to achieve satisfactory functional outcome in patients with DRF aged 50 years or above. Patient is the most important ‘factor’ in determining appropriate and successful treatment method of distal radius fractures.
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Authors and Affiliations

Jakub Marchewka
1 2
Jakub Szczechowicz
1
Wojciech Marchewka
3
Edward Golec
1

  1. Department of Physiotherapy, University of Physical Education, Kraków, Poland
  2. Department of Orthopedics and Trauma Surgery, 5th Military Hospital, Kraków, Poland
  3. Jagiellonian University Medical College, Kraków, Poland
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Abstract

Objectives: Accidental exposure to non-fire related carbon monoxide (CO) in young people is largely unquantified. Our aim was to estimate the possibility of exposure to CO and the awareness of intoxication in the population of students living in Kraków, one of the largest academic cities in Poland.
Methods: Anonymous questionnaires about CO poisoning were distributed among medical and non- medical students living in Kraków.
Results: 1081 questionnaires were collected — 16% of study participants knew a person who had been poisoned with carbon monoxide, 51.2% of students using a bathroom water heater believed that they had no risk of CO poisoning. Medical students gained significantly higher scores in the CO-poisoning knowl-edge test than non-medical ones.
Conclusions: There is still unsatisfactory awareness of CO poisoning among non-medical students in Kraków.
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Authors and Affiliations

Iwona Popiołek
1 2
Lech Popiołek
3
Jakub Marchewka
4 5
Grzegorz Dębski
6
Justyna Bolech-Gruca
1
Małgorzata Szumińska
7
Piotr Hydzik
1 2

  1. University Hospital in Kraków, Kraków, Poland
  2. Department of Toxicology and Environmental Diseases, Jagiellonian University Medical College, Kraków, Poland
  3. Private practice, Kraków, Poland
  4. Department of Physiotherapy, University of Physical Education, Kraków, Poland
  5. Department of Orthopedics and Trauma Surgery, 5th Military Hospital, Kraków, Poland
  6. Radiology Department, 5th Military Hospital, Kraków, Poland
  7. Department of Endocrinology, Jagiellonian University Medical College, Kraków, Poland

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