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Aim: The aim of the study is to compare the results and outcomes of different management approaches for distal radius fractures amongst trauma centers in Hospital of Lithuanian University of Health Sciences, Kaunas Clinics and Duhok Emergency teaching Hospital. Objectives: 1. To determine how the persistence of tradition and cultural attitudes impacts health care seeking behaviour and its consequences on treatment prognosis. 2. To determine the type of fracture and to find correlations between patient status, age, and gender and the incidence of these fractures in both trauma centers. 3. To compare the effectiveness of treatment methods and their results amongst trauma centers in Hospital of Lithuanian University of Health Sciences, Kaunas Clinics and Duhok Emergency teaching Hospital. Method: In total 78 patients were included in this study and bonesetter-intervened patients were included. Anamnestic data, physical examination findings and radiological screening measurements were used to evaluate outcomes. Results: 39 patients were from Duhok Emergency teaching Hospital out of which 8 patients were bonesetter-intervened patients and 39 patients were from LSMU, Kaunas Clinics. In both hospitals the majority of the fractures were extraarticular fracture (Colles fracture). There were higher incidences of patients from Duhok Emergency teaching Hospital with ranges of radial height and radial inclination which suggest when radius is mostly compressed and has a bigger impaction of radial head compare to the results of the same radiological parameters of patients from LSMU, Kaunas Clinics. Both RH and RI results were statistically significant, p < 0.05. Higher incidences of patients from Duhok Emergency teaching Hospital with ranges of volar tilt which suggest when there is a severe loss of hand mobility compare to patients from LSMU, Kaunas Clinics. The results were not statistically significant, p>0.05. Conclusions: Recieving bonesetter-intervened patients creates many difficulties in achieving optimal patient result for physicians at Duhok Emergency teahing Hospital, in comparison to LSMU, Kaunas Clinics were all patients go straight to emergency department. Among bonesetter-intervened patients there were cases with type B and C in AO classification and presented at the hospital only after mismanegment and comlications as malunion due to TBS interventions. At that point, reduction of long-term sequel is not possible and often times the complications cannot be reversed. Coming straight to emergency after distal radius fracture better the functional results should be. |
