Abstract
Health professionals have a legal and ethical obligation to obtain a valid consent before any procedure. The aim of this study was to assess the adequacy of consent for treatment of distal radius fractures. It also outlines potential improvements that could be made. A study of patients undergoing treatment for distal radius fracture was undertaken. We analysed the risks and complications recorded on the consent form. The common recorded risks were infection (95.6%), vascular injuries (77.8%), nerve injuries (66.7%) and stiffness (42.2%); 31.1% of the consent forms had abbreviations. Junior doctors who consented the patients performed 6.7% of the procedures. The poor documentation of risks or complications indicates that patients are not given appropriate information to ensure that the consent is valid. Proper documentation and refining of consent forms is mandatory to ensure that all major risks are understood by patients. This could go a long way in preventing litigation.
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References
Arora R, Lutz M, Hennerbichler A, Krappinger D, Espen D, Gabl M (2007) Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. J Orthop Trauma 21(5):316–322
Axelrod TS, McMurtry RY (1990) Open reduction and internal fixation of comminuted, intraarticular fractures of the distal radius. J Hand Surg [Am] 15(1):1–11
Carrozzella J, Stern PJ (1988) Treatment of comminuted distal radius fractures with pins and plaster. Hand Clin 4:391–397
Chapman DR, Bennett JB, Bryan WJ, Tullos HS (1982) Complications of distal radius fractures: pins and plaster treatment. J Hand Surg [Am] 7:509–512
Court-Brown C, McQueen M, Tornetta P (2006) Fractures of the distal radius and ulna. In: Tornetta P, Einhorn T (eds) Trauma, 1st edn. Lippincott Williams & Wilkins, Philadelphia, pp 153-169
Földhazy Z, Törnkvist H, Elmstedt E, Andersson G, Hagsten B, Ahrengart L (2007) Long-term outcome of nonsurgically treated distal radius fractures. J Hand Surg [Am] 32(9):1374–1384
Frykman G (1967) Fracture of the distal radius including sequelae–shoulder-hand-finger syndrome, disturbance in the distal radio-ulnar joint and impairment of nerve function. A clinical and experimental study. Acta Orthop Scand 108 Suppl :1–155
General Medical Council. Seeking patient’s consent: the ethical considerations. London: GMC, 1998. http://www.gmc-uk.org
Green DP (1975) Pins and plaster treatment of comminuted fractures of the distal end of the radius. J Bone Joint Surg 57(3):304–310
Jupiter JB (1991) Fracture of distal end of the radius. J Bone Joint Surg Am 73(3):461–469
Kearns S, Kingston R, Forman S, Murray P (2001) How informed is consent? Use of an information booklet in patients undergoing total hip replacement. Ir Med J 94:171–172
Probert N, Malik AA, Lovell ME (2007) Surgery for fractured neck of femur–are patients adequately consented? Ann R Coll Surg Engl 89:66–69
Weber SC, Szabo RM (1986) Severely comminuted distal radius fracture as an unresolved problem: complications associated with external fixation and pins and plaster techniques. J Hand Surg [Am] 11:157–165
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Ahmad, R., Shobaki, S., Etezadi, V. et al. Adequacy of consent in patients with distal radius fractures. International Orthopaedics (SICOT) 33, 1311–1313 (2009). https://doi.org/10.1007/s00264-009-0767-4
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DOI: https://doi.org/10.1007/s00264-009-0767-4