Displaced distal radius fractures

S, Solgaard; Bünger, Cody; Sølund, K

doi:10.1007/bf00441907

Cited by 26 publications

(6 citation statements)

References 19 publications

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“…Patients were followed monthly till 6 months and then 3 monthly till final followup at 12 months. Functional evaluation was done using Solgaard scoring modified from Gartland and Werley (Table 2) [17,18] . [17,18] .…”

Section: Surgical Techniquementioning

confidence: 99%

Functional outcome of external fixators in unstable distal radius fractures

Tahir¹,

Manzoor²,

Bhat³

et al. 2018

Int. J. Orthop. Sci.

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Background: Fractures of distal radius are very common injuries, accounting for about 15% workload of an Orthopedic trauma unit. While cast treatment is universal for stable fractures, unstable fractures with comminution and intrarticular involvement are a different injury and are treated mainly by ligamentotaxis with proper restoration of anatomy. In this study, we evaluated the effectiveness of external fixator with or without augmentation for management of unstable distal radius fractures. Methods:The study was performed on 49 patients with unstable distal radius fractures admitted in the emergency department. Patients who met inclusion criteria, were operated with bridging external fixation using 2 pins in radius and 2 pins in second metacarpal augmented with percutaneous K wires in some patients. Functional evaluation at 12 months was done using Solgaard Scoring. Results: The study comprised of 49 patients in age group of 20-60 years, including 28 males and 21 females with a mean age of 42 years. Laterality included right side (n=23) and left (n=26). Mechanism of injury was road traffic accident (n=19), fall from height (n=17) and fall from standing height (n=13). The mean admission to surgery interval was 1.2 days, the mean operative time was 35 minutes and the mean time to union was 7.2 weeks. Complications included pin tract infections (n=7), transient neuropathies (n=5), early sympathetic dystrophy (n=2), malunion (n=2) and loss of motion more than 20 0 (n=9). Final evaluation done using Solgaard scoring system revealed excellent results in 22 patients, Good in 18 patients, Fair in 8 patients and Poor in one patient. Conclusion: For unstable distal radius fractures excluding shear injuries, external fixation with or without augmentation is the preferred method of treatment as it is simple, less expensive, with acceptable complications and yields excellent results in a majority of patients.

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Section: Surgical Techniquementioning

confidence: 99%

Functional outcome of external fixators in unstable distal radius fractures

Tahir¹,

Manzoor²,

Bhat³

et al. 2018

Int. J. Orthop. Sci.

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“…Comminution of the fracture resulted in a 2.5 times increased risk of requiring surgical repair. The biomechanical impact of these fracture patterns are significant as they can lead to weakness, chronic pain, deformity, arthritis, and a tendon excursion mechanical disadvantage, particularly if left untreated [14, 26]. As a result, surgeons will typically pursue fixation for fractures with these characteristics [5, 26, 28].…”

Section: Discussionmentioning

confidence: 99%

“…Over 640,000 distal radius fractures occur annually in the United States [7, 21], representing one-sixth of all fractures treated in emergency departments [7, 15]. While studies have shown a bimodal occurrence affecting younger males and elderly populations [7, 18, 26], distal radius fractures tend to increase dramatically with advancing age [6, 31]. In addition, distal radius fractures have been reported to be 4 times more common in women, particularly after the age of 35 [17, 29], likely owing to the increasing presence of osteopenia in this patient population [25, 29].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Distal Radius Fracture Management in Polytrauma Patients

Adkinson

Soltys

Miller

et al. 2013

Hand (New York, N,Y.)

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“…At follow-up the functional outcome was assessed by the method described by Solgaard (modified from Gartland and Werley) [3,10,13] (Table 3). The range of motion was measured by a goniometer, and grip strength was measured using a 'My-gripper dynamometer'.…”

Section: Functional Outcomementioning

confidence: 99%

“…Re-manipulation and application of a new cast often results in an unsatisfactory radiological outcome and this may then require surgical treatment with external fixation [6]. In the literature the treatment period with external fixation varies from 4-8 weeks [6,7,12,13]. The purpose of this study was to compare 2 treatment protocols of unstable distal radial fractures using either 3 or 5 weeks of external fixation.…”

Section: Introductionmentioning

confidence: 99%

External fixation of distal radial fractures: 3 or 5 weeks of external fixation

Haddad

Jacoby

Snerum

et al. 2000

International Orthopaedics

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In a retrospective study we compare the functional and radiographical results of 2 groups of patients with unstable distal radial fractures treated with external fixation. In Group 1, 20 patients with 21 fractures were treated with external fixation for 3 weeks followed by a cast for 2 weeks. In Group 2, 16 patients were treated with external fixation for 5 weeks. The functional outcome was good in both treatment groups with no significant difference between the results in the two groups. Radiologically, Group I had less radial shortening than Group II, but there was no difference in the dergee of dorsal angulation.Résumé Dans une étude rétrospective nous avons comparé les résultats fonctionnels et radiographiques de deux groupes de traitements de fractures distales du radius. Dans le premier groupe, 20 patients avec 21 fractures ont été traités avec fixation externe pendant 3 semaines suivies d'immobilisation platrée pendant 2 semaines. Dans le deuxième groupe, 16 patients ont été traités avec fixation externe pendant 5 semaines seulement. Le résultat fonctionnel a été bon dans tous les cas, sans différence significative entre les deux groupes. Du point de vue radiologique on a constaté dans le premier groupe une longueur radiale plus grande que dans le groupe traité pendant 5 semaines, mais pas de diffèrence dans l'angulation dorsale.

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Displaced distal radius fractures

Cited by 26 publications

References 19 publications

Functional outcome of external fixators in unstable distal radius fractures

Functional outcome of external fixators in unstable distal radius fractures

Determinants of Distal Radius Fracture Management in Polytrauma Patients

External fixation of distal radial fractures: 3 or 5 weeks of external fixation

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