Assessment of Articular Displacement of Distal Radius Fractures

Catalano, Louis W.; Barron, O. Alton; Glickel, Steven Z.

doi:10.1097/01.blo.0000132884.51311.28

Cited by 60 publications

(41 citation statements)

References 23 publications

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“…Patient data are shown in Table 1. Excluded 3D-RX scans were those with a poor image quality due to wrong aligning (3), too much metal (3), or inexplicable failure (2).…”

Section: Resultsmentioning

confidence: 99%

“…These problems remain unrevealed until postoperative radiography or CT imaging is performed [2,4,[14][15][16]21].…”

Section: Discussionmentioning

confidence: 99%

“…With the use of conventional C-arm Xuoroscopy in fracture surgery of the extremities, suboptimal positioning of implants (viz., screws, plates) and joint incongruities frequently remain unrevealed in clinical practice [2,4,5,14,16,17]. These imperfections are often only recognized on postoperative computed tomography (CT) scans [2,4,12,14,21].…”

Section: Introductionmentioning

confidence: 99%

“…These imperfections are often only recognized on postoperative computed tomography (CT) scans [2,4,12,14,21]. AO guidelines recommend an anatomical reduction of the fracture as a basis for optimal outcome.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Does intraoperative fluoroscopic 3D imaging provide extra information for fracture surgery?

Carelsen

Haverlag

Ubbink

et al. 2008

Arch Orthop Trauma Surg

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Fracture surgery of the extremities using 2D Xuoroscopy frequently fails to detect the suboptimal positioning of implants and joint incongruities. The use of intraoperative 3D-rotational X-ray (3D-RX) imaging with a new X-ray device potentially reveals these failures. We compared 50 intraoperative (2D) results of surgery and certainty about the eVectiveness of diVerent aspects of fracture reduction as interpreted from conventional (2D) methods versus intraoperative 3D-RX in 42 distal extremity fractures by means of a surgery questionnaire. In addition, we investigated the need for revision surgery based on postoperative radiological Wndings in 81 patients. After fracture reduction, just before a 3D-RX scan, the surgeon preoperatively assessed the result of surgery. Three months after surgery, the 3D-RX scan was judged by three experienced surgeons independently. Intraoperative 3D-RX showed signiWcantly more information as to screw positioning and rotation of the fracture reduction than the conventional method (p < 0.005). None of the 81 patients in whom 3D-RX was performed needed surgical revision based on postoperative radiological examinations. Intraoperative 3D-RX with this new device scanning oVers additional information about extremity fracture reduction as compared to conventional intraoperative 2D imaging, and may reduce the need for revision surgery. The value of 3D-RX on functional outcomes still needs to be assessed.

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“…Patient data are shown in Table 1. Excluded 3D-RX scans were those with a poor image quality due to wrong aligning (3), too much metal (3), or inexplicable failure (2).…”

Section: Resultsmentioning

confidence: 99%

“…These problems remain unrevealed until postoperative radiography or CT imaging is performed [2,4,[14][15][16]21].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does intraoperative fluoroscopic 3D imaging provide extra information for fracture surgery?

Carelsen

Haverlag

Ubbink

et al. 2008

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

show abstract

“…Over the last several years, improved methods of fixation and better understanding of the acceptable anatomical alignment following reduction of these fractures have led to increased opportunities for surgical fixation of the distal radius. With only a maximal 1-2 mm articular step-off allowable for good clinical outcomes with non-operative management, a high percentage of distal radius fractures must be considered for operative treatment [2]. In addition, due to the prevalence of comminution and the often osteopenic bone associated with these fractures, optimal surgical fixation requires distal screw placement into the subchondral bone [5,9].…”

Section: Introductionmentioning

confidence: 99%

Radiographic Evaluation of the Distal Radius Using Two Novel Biplanar “Pitch-and-Roll” Views: A Preliminary Cadaveric Study

Boyce

Ryu

2009

Hand (New York, N,Y.)

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This study's objective was to compare the use of two biplanar angled radiographs versus standard posterioanterior (PA) and lateral radiographs in determining preservation of the articular space with regard to pin placement in the distal radius. Various combinations of inclination (pitch) and clockwise/counterclockwise rotation (roll) were used to determine the best view of the distal radius articular surface.

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Wrist and Hand

Chatha¹

2012

Imaging Musculoskeletal Trauma

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Assessment of Articular Displacement of Distal Radius Fractures

Cited by 60 publications

References 23 publications

Does intraoperative fluoroscopic 3D imaging provide extra information for fracture surgery?

Does intraoperative fluoroscopic 3D imaging provide extra information for fracture surgery?

Radiographic Evaluation of the Distal Radius Using Two Novel Biplanar “Pitch-and-Roll” Views: A Preliminary Cadaveric Study

Wrist and Hand

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