» Articles » PMID: 19347337

Adequacy of Consent in Patients with Distal Radius Fractures

Overview
Journal Int Orthop
Specialty Orthopedics
Date 2009 Apr 7
PMID 19347337
Citations 9
Authors
Affiliations
Soon will be listed here.
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.

Citing Articles

Informed Consent Practices for Hip Fracture Surgeries at a Tertiary Care Hospital in Wad Madani, Sudan.

Mohamed A, Abdalla M Cureus. 2024; 16(7):e65043.

PMID: 39165460 PMC: 11335132. DOI: 10.7759/cureus.65043.


Poor compliance documenting informed consent in trauma patients with distal radius fractures compared to elective total knee arthroplasty.

Bolam S, Munro L, Wright M ANZ J Surg. 2022; 92(7-8):1831-1838.

PMID: 35588267 PMC: 9543849. DOI: 10.1111/ans.17781.


Improving the surgical consenting process for patients with acute hip fractures: a pilot quality improvement project.

Singh K, Assaf A, Bayley M, Gillespie G Patient Saf Surg. 2020; 14:26.

PMID: 32547634 PMC: 7293774. DOI: 10.1186/s13037-020-00252-8.


Informed consent for surgery on neck of femur fractures: A multi-loop clinical audit.

Shah R, Sambhwani S, Al-Shahwani A, Plakogiannis C Ann Med Surg (Lond). 2020; 54:26-31.

PMID: 32461800 PMC: 7242500. DOI: 10.1016/j.amsu.2020.03.008.


How to effectively obtain informed consent in trauma patients: a systematic review.

Lin Y, Liu K, Chen C, Lee W, Lin C, Shi L BMC Med Ethics. 2019; 20(1):8.

PMID: 30674301 PMC: 6343333. DOI: 10.1186/s12910-019-0347-0.


References
1.
Kearns S, Kingston R, Forman S, Murray P . How informed is consent? Use of an information booklet in patients undergoing total hip replacement. Ir Med J. 2001; 94(6):171-2. View

2.
Foldhazy Z, Tornkvist H, Elmstedt E, Andersson G, Hagsten B, Ahrengart L . Long-term outcome of nonsurgically treated distal radius fractures. J Hand Surg Am. 2007; 32(9):1374-84. DOI: 10.1016/j.jhsa.2007.08.019. View

3.
Carrozzella J, Stern P . Treatment of comminuted distal radius fractures with pins and plaster. Hand Clin. 1988; 4(3):391-7. View

4.
Jupiter J . Fractures of the distal end of the radius. J Bone Joint Surg Am. 1991; 73(3):461-9. View

5.
Axelrod T, McMurtry R . Open reduction and internal fixation of comminuted, intraarticular fractures of the distal radius. J Hand Surg Am. 1990; 15(1):1-11. DOI: 10.1016/s0363-5023(09)91097-8. View