Fig 1.
Flowchart of patient inclusion and exclusion in a retrospective cohort study of 1,635 distal radius fractures (DRF) in two hospitals in Sweden in 2014–2017.
Table 1.
Functional demands and treatment thresholds as presented by the Swedish national guidelines for DRFs [30].
Fig 2.
Flow chart for treatment suggested in the Swedish national treatment guidelines for distal radius fractures (DRF).
*According to the 4 defined subgroups (fast-tracks) analyzed in the present study.
Fig 3.
Examples of fractures for each of the defined subgroups suggested in the Swedish national treatment guidelines for distal radius fractures.
Fig 4.
How radiological measurements were made in a retrospective cohort study of 1,635 DRFs in two hospitals in Sweden in 2014–2017.
Table 2.
Interrater reliability was measured between three raters with intraclass correlation coefficient in a retrospective cohort study of 1,635 DRFs in two hospitals in Sweden from 2014–2017.
Measures < 0.50 are poor, between 0.50 and 0.75 moderate, between 0.75 and 0.90 good and > 0.90 excellent.
Table 3.
Multivariate analysis with multinomial linear regression for treatment (nonoperative, early or delayed primary surgery) as the dependent variable in a retrospective cohort study of 1,635 DRFs in two hospitals in Sweden in 2014–2017.
Fig 5.
Bar chart depicting differences in treatment depending on fracture type in a retrospective cohort study of 1,635 DRFs in two hospitals in Sweden in 2014–2017.
None: Fracture did not fulfill the criteria for any of the categories listed below. Volar: Volar comminution, defined as a free-floating piece of cortex > 3 mm. Barton: Intra-articular volar or dorsal fracture with displacement of the articular surface. Smith: Volar displacement of the distal fragment. Combination: Simultaneous presence of dorsal comminution, severe initial displacement (dorsal angulation > 30° or radial inclination < 10° or ulnar variance > 3 mm) and suspected physiological osteopenia/osteoporosis.
Table 4.
Presentation of fracture treatment depending on fracture type in a retrospective cohort study of 1,635 DRFs in two hospitals in Sweden in 2014–2017.
Table 5.
Presentation of how treatment could change with the new guidelines and implemented fast-track based on a retrospective cohort study of 1,635 distal radius fractures (DRF) in two hospitals in Sweden in 2014–2017.