Distal Radius Fractures: Recognizing and Treating Complex Fracture Patterns

Lubbe, Ryan J; Kokmeyer, Daniel; Young, Colby

doi:10.1097/bot.0000000000002209

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…There are many percutaneous pinning techniques (e.g., the use of two K-wires, the use of three or more K-wires, and Kapandji-technique) for DRFs [ 4 ]. Typically, one or two K-wires are introduced into the radial styloid process through the radial styloid window.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of distal radius fractures using a cemented K-wire frame

Meng

et al. 2022

BMC Musculoskelet Disord

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Background This retrospective study included an alternative treatment for types A2, A3, and B1 distal radius fractures using percutaneous fixation with a cemented K-wire frame. Methods From January 2017 to January 2020, 78 patients with distal radius fractures were treated with percutaneous internal fixation using a cemented K-wire frame. There were 47 male patients and 31 female patients. The fractures were classified into types A2 (n = 10), A3 (n = 46), and B1 (n = 22). X-rays were taken immediately after surgery and after the bone had healed. Wrist function was assessed using the Mayo Wrist Score (90–100, excellent; 80–90, good; 60–80, satisfactory; < 60, poor). Patient satisfaction was assessed using the 10-cm visual analog scale. Results Neither fixation failure nor K-wire migration was found (P > 0.05). Osteomyelitis was not observed in this series. All patients achieved bone healing after a mean of 4.5 weeks (range, 4 to 8 weeks). Follow-up lasted a mean of 27 months (range, 24 to 33 months). The mean score of wrist function was 97 (range, 91 to 100). Among them, 66 results were excellent and 12 results were good. The mean patient satisfaction was 10 cm (range, 8 to 10 cm). Conclusions Percutaneous fixation with cemented K-wire frame is a safe and preferred choice for the treatment of types A2, A3, and B1 distal radius fractures. The frame provides support to prevent wire migration. The fixation technique is a minimally invasive procedure that is easy to perform. Level of Evidence Therapeutic study, Level IVa.

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Section: Discussionmentioning

confidence: 99%

“…Currently, the optimal technique is still debated. K-wire fixation is a widely accepted treatment, but the optimal configuration is controversial [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment of distal radius fractures using a cemented K-wire frame

Meng

et al. 2022

BMC Musculoskelet Disord

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“…As technology expands, so does the market of various plating systems, which provides a greater battleground of comparative studies in an attempt to find the optimum solution for the superior outcomes of various patterns of distal radius fractures. [6][7][8][9][10] The most common management of distal radius fractures is through a volar approach using fixed-angle plating systems, but this is not universal. [2][3][4][5] The fracture pattern, surgeon preference and experience, and the literature orientation in any point in time guide hand surgeons in the management of distal radius fractures.…”

Section: Editorialmentioning

confidence: 99%