Displaced Intra-Articular Fractures of the Distal Aspect of the Radius

Catalano, Louis W.; Cole, Roger J.; Gelberman, Richard H.; Evanoff, Bradley; Gilula, Louis A.; Borrelli, Joseph

doi:10.2106/00004623-199709000-00003

Cited by 264 publications

(41 citation statements)

References 17 publications

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“…RTA are more common in the Indian subcontinent may be due to disobeying traffic rules, road conditions, vehicle's condition, driving under influence of alcohol, fast careless driving, inflation and increase in number of vehicles, increased per capital income. However, John K. Brad way et al [7] and Louis Catalano III et al [9] reported fall on the outstretched hand as the most common mode of injury contrary to our findings. Based on Frykman's classification, present study had 4 (20%) patients had Frykman's Type III, 2 (10%) patients each of Type V and VI fractures, 12 (60%) patients of Type VII fractures.…”

Section: Discussioncontrasting

confidence: 99%

“…In this study, results showed male predominance comparable to earlier reports [6][7][8][9] . High incidence of injuries in males may probably be due to their involvement in outdoor activities and heavy manual labour and also may be due to high energy injuries in male and low energy injuries in females.…”

Section: Discussionsupporting

confidence: 91%

“…Right side (dominant wrist) was more involved (80%) than left side with 20% of the cases in our study comparable to the earlier findings [6,8,[10][11][12] . John k. Brad way et al [7] study results had equal involvement of both wrists and Louis Catalano III et al [9] results found increased involvement of the left wrist in their series contradictory to our results. More common right side involvement may be because of more number of right handed persons using their right hand first for protecting themselves while fall on the ground.…”

Section: Discussioncontrasting

confidence: 87%

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A clinical study of various management techniques in distal end radius fractures in adults

Somesula¹,

Naga²

2017

Int. J. Orthop. Sci.

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Objectives: The present study was conducted to evaluate the functional outcome of distal radial fractures in adults with surgical treatment using closed reduction and K-wire fixation, external fixation with or without K-wire augmentation and assess the complications of various surgical procedures done for distal radial fractures. Material and Methods: A prospective study was carried out on 20 adult patients with distal radial fractures. The fracture fragments were analysed and involvement of radio-carpal and distal radio-ulnar joints were assessed and classified according to the Frykman's classification Regular follow up was done at an interval of 6 weeks, 3, 6 and 12 months. The follow up ranged from 5 to 12 months. The results were assessed at 3 months after the procedures. Results: The functional outcome evaluated using the demerit score system of Gartland and Werley based on objective and subjective criteria and residual deformity, we achieved excellent results in 4 (20%) cases, good results in 12 (60%) cases, fair results in 3 (15%) cases and poor result in 1 (5%) case. Conclusion: Surgical management of distal radial fractures, regardless of the type of fixation, produced excellent to good results with proper pre-operative evaluation, selection of the method based on fracture pattern, reducibility, stability and quality of bone, early fixation, proper wound and pin site care, early post-operative rehabilitation and patient education. Mal-union should be avoided by proper selection of implant and procedure, early reduction and fixation, better surgical skills.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 87%

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A clinical study of various management techniques in distal end radius fractures in adults

Somesula¹,

Naga²

2017

Int. J. Orthop. Sci.

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“…2 The articular incongruity on the computed tomography scans was measured with the method described by Cole et al 14 The preoperative radiographs showed dorsal displacement of the distal radius in 24 fractures, and in volar displacement in four fractures. The average dorsal tilt of the 24 dorsally [15][16][17][18][19][20][21][22][23][24][25]. The average radial inclination was 16.6 • (range, , and the average ulnar variance was 3.1 mm (range, 1-8).…”

Section: Preoperative Radiographic Evaluationmentioning

confidence: 99%

Arthroscopically Assisted Reduction With Volar Plating or External Fixation for Displaced Intra-Articular Fractures of the Distal Radius in the Elderly Patients

et al. 2007

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Twenty-eight patients older than 70 years with AO type C fracture of the distal radius were treated with arthroscopically assisted reduction combined with volar plating or external fixation. The patients were followed up for an average of 24.9 +/- 16.1 months. The average score was 80.1 +/- 10.5 according to the modified system of Green and O'Brien. Eight patients had an excellent result, 11 had a good result, seven had a fair result, and two had a poor result. Twenty-three patients were able to return to their previous activities level or occupation without any restriction. On the basis of these results, we concluded that arthroscopically assisted reduction combined with volar plating or external fixation is one of the useful options for the treatment of a displaced intra-articular fracture of the distal radius in elderly patients who are physiologically young or active.

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“…Die Bohrdrahtosteosynthese hat ebenso wie der Fixateur externe, die dorsale oder palmare Plattenosteosynthese einen festen Platz in der Behandlung distaler Radiusfrakturen [3]. Die Therapie variiert von Klinik zu Klinik und wird nach wie vor kontrovers diskutiert [2,7,8,11,13,16,17,19,28,30,38] [21,26], die nicht Gegenstand der vorliegenden Untersuchung sind.…”

Section: Schlüsselwörterunclassified

Ergebnisse der palmaren Plattenosteosynthese bei instabilen distalen Radiusfrakturen

Dumont¹,

Fuchs²,

Folwaczny³

et al. 2003

Der Chirurg

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For unstable fractures of the distal radius, the dorsal plate requires exposure of the fragments, frequently spongioplasty, and usually removal of the implant later on. However, with the palmar approach for the reconstruction of the articular surface and restoration can easily be achieved with the T-plate. In the Traumatology Department of the University at Göttingen, we have gained experience in the treatment with the palmar T-plate in more than 400 patients. In a prospective study, we investigated the functional and radiological results after palmar T-plate osteosynthesis in Colles fractures. From September 1994 to December 1998 we treated 200 patients with the palmar T-plate (AO, 3.5 mm, titanium). 166 patients (83%), mean age 59 years, could be followed up >18 months. AO classification: A2:10, A3:45, B1:18, B2:10, C1:24, C2:40, C3:19. We compared group 1 (younger than 60 years, n=88) vs group 2 (older than 60 years, n=78). The patients' evaluation of the usability of the hand was normal in 56% and in 26,5% slightly reduced. 12,5% felt handicapped and 5% felt severely handicapped. 5% of the patients changed the domain hand, 15,4% at least partly. Function according to Lidström: 23% excellent, 58% good, 15% fair and 4% poor results. Radiological results according to Lidström were excellent and good in 88,3% and fair in 11,7%. Gartland and Werley score was excellent in 66%, good in 24%, fair in 6% and poor in 4%. There was no significant difference between group 1 and group 2 in the age-depending results. The secondary dislocation, the average dorsal tilt was 3 degrees, the mean shortening of the radius was 1,5 mm. We saw steps in the joint surface from 0,5-1 mm in 10%. An algodystrophy occurred in 5%. 12% of the patients complained of limited sensitive irritations of the medianus nerve most likely originating in the formerly used approach close to the medianus nerve. After changing this approach, we saw no irritation of the Nervus medianus among 50 patients so far. Evaluation of the functional and radiological investigations: The palmar T-plate has produced reliable and good results in the treatment of unstable distal fractures of the radius without angle-stable screws up to now. This type of osteosynthesis is stable for exercise and ensures early mobilization with good functional results even in elderly patients.

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Displaced Intra-Articular Fractures of the Distal Aspect of the Radius

Cited by 264 publications

References 17 publications

A clinical study of various management techniques in distal end radius fractures in adults

A clinical study of various management techniques in distal end radius fractures in adults

Arthroscopically Assisted Reduction With Volar Plating or External Fixation for Displaced Intra-Articular Fractures of the Distal Radius in the Elderly Patients

Ergebnisse der palmaren Plattenosteosynthese bei instabilen distalen Radiusfrakturen

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