Factors Predicting Late Collapse of Distal Radius Fractures Factors Predicting Late Collapse of Distal Radius Fractures

Myderrizi, Neritan

doi:10.5704/moj.1111.006

Cited by 13 publications

(6 citation statements)

References 14 publications

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“…Additionally, the definition of an acceptable ulnar variance provided a wide variety in answers. Although in literature ulnar variance is widely used to predict instability [12, 31] and radiographic alignment following operative or non-operative treatment of distal radius fractures [22, 32–34], our results question whether ulnar variance is as well-known as we think it is and how it is best used in distal radius fracture management. Moreover, there was consensus among both surgeons and residents on an intra-articular step-off and gap of less than 2 mm, indicating an acceptable reduction.…”

Section: Discussionmentioning

confidence: 81%

Classification and treatment of distal radius fractures: a survey among orthopaedic trauma surgeons and residents

Mulders

Rikli

Goslings

et al. 2016

Eur J Trauma Emerg Surg

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PurposeClassification, the definition of an acceptable reduction and indications for surgery in distal radius fracture management are still subject of debate. The purpose of this study was to characterise current distal radius fracture management in Europe.MethodsDuring the European Congress of Trauma and Emergency Surgery (ECTES) 2015 a 20-question multiple-choice survey was conducted among the attending surgeons and residents of the hand and wrist session. Consensus was defined as more than 50 % identical answers (moderate consensus 50–75 % and high consensus more than 75 %).ResultsA total of 46 surgeons and residents participated in the survey. High consensus was found among both surgeons and residents for defining the AO/OTA classification as the preferred classification system. For the definition of an acceptable reduction, a moderate to high consensus could be determined. Overall, high consensus was found for non-operative treatment instead of operative treatment in dislocated extra- and intra-articular distal radius fractures with an acceptable closed reduction, regardless of age. We found high (surgeons) and moderate (residents) consensus on the statement that an intra-articular gap or step-off ≥2 mm, in patients younger than 65 years, is an absolute indication for ORIF. The same applied for ORIF in dislocated fractures without an acceptable closed reduction in patients younger than 75 years of age.ConclusionCurrent distal radius fracture management in Europe is characterised by a moderate to high consensus on the majority of aspects of fracture management.

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Section: Discussionmentioning

confidence: 81%

Classification and treatment of distal radius fractures: a survey among orthopaedic trauma surgeons and residents

Mulders

Rikli

Goslings

et al. 2016

Eur J Trauma Emerg Surg

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“…Several factors have already been reported to predict the outcome of the volar plating system for the DRF. Age, AO classification, distal radial ulnar joint injury, ulnar styloid fracture and initial displacement are predictive of reduction loss and knowing that these factors are predictive can aid in early decision-making as to the method of treatment [10, 11]. Age, sex and size of dorsal cortex comminution can be used to predict the late dorsal tilt angulation of distal articular surface of radius at the end of the immobilization [12].…”

Section: Discussionmentioning

confidence: 99%

“…There are already some factors reported to predict the functional outcomes following DRF. Myderrizi N [10] found that factors such as age, AO classification, distal radial ulnar joint injury, ulnar styloid fracture and initial displacement are predictive of reduction loss. Belloti JC et al [11] also found that ulnar styloid fracture may be a predictive factor of worse functional outcome for DRF.…”

Section: Introductionmentioning

confidence: 99%

A new method to predict the outcome of the volar locked plate treatment for distal radius fracture

Yao

Zhang

et al. 2019

BMC Musculoskelet Disord

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BackgroundVolar locked plate for distal radius fracture is one of the common procedures performed in trauma surgery. There are already some factors which can be used to predict the functional outcome after volar locked plating for distal radius fracture. However their limitations caused that the outcomes couldn’t be satisfactorily predicted. Better factors for predicting the prognosis more precisely are of great interest. The aim of this study is to introduce such a new factor.MethodsA total of 56 patients suffered from unilateral distal radius fracture were managed operatively with the volar locked plate. Before operation, all CT scans of the distal radius were obtained. The ratios of soft tissue circumference to bone circumference at the watershed line in the distal radius were calculated based on the preoperative CT scans. Outcomes were evaluated after operation. The correlations between the ratio and the outcomes were analyzed using single factor linear regression analysis.ResultsStatistically significant linear relationships between the ratio and flexion degrees, extension degrees also patient-rated wrist evaluation (PRWE) scores were discovered. With the increase of the ratios, the flexion and extension range increased and the PRWE scores declined.ConclusionsThere are obvious linear relationships between the ratio and postoperative wrist flexion-extension degrees also PRWE scores when using volar locked plating for distal radius fracture. So the ratio can be used as a predictor aiding surgeons to predict the outcome.

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“…There is evidence that worse AO fracture types (Group C fractures) may lead to an increased risk of loss of reduction in closed management [17]. However, in operative treatment, its impact on restoration of normal radiographic parameters and early loss of reduction has yet to be studied.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Fracture Type on Restoration of Radiographic Parameters and Early Loss of Reduction in Surgical Treated Distal Radius Fractures

Sambhariya,

Roberts,

et al. 2023

Trauma Care

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Purpose: Early loss of reduction remains a challenging complication in distal radius fracture management. There are limited data on factors that correlate with early loss of reduction. The Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification has become a popular way of evaluating complex fracture patterns. This study aims to determine the impact of fracture pattern, as determined by the AO classification, on restoration of intraoperative parameters, early loss of reduction, and time to fracture union in operatively treated distal radius fractures. Methods: Following IRB approval, adult patients with surgically treated acute distal radius fractures at a single level I institution were identified. Retrospective chart and radiographic review were used to obtain AO classification, postoperative radiographic parameters, early loss of reduction, time to fracture union, as well as any complications. Results: 422 patients with operatively treated distal radius fractures were included in this study. Across fracture patterns, there were no significant differences in restoration of radial height or inclination. Higher severity fracture classifications had decreased restoration of volar tilt. Overall, simple fractures (A2, C1) and partial articular fractures (B1, B2, B3) had higher rates of satisfactory alignment restoration compared to comminuted fractures (A3, C2, C3). Although there were differences in restoration of radiographic parameters, fracture type did not correlate with loss of reduction within 30 days. C type fractures correlated with increased weeks to radiographic healing. Conclusions: This study establishes that distal radius fracture pattern, as determined by the AO classification, has a significant impact on intraoperative restoration of parameters but does not correlate with early loss of reduction. Furthermore, more difficult fracture patterns may have a longer time to fracture union, but fracture type does not appear to have an effect on postoperative complications.

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Factors Predicting Late Collapse of Distal Radius Fractures Factors Predicting Late Collapse of Distal Radius Fractures

Cited by 13 publications

References 14 publications

Classification and treatment of distal radius fractures: a survey among orthopaedic trauma surgeons and residents

Classification and treatment of distal radius fractures: a survey among orthopaedic trauma surgeons and residents

A new method to predict the outcome of the volar locked plate treatment for distal radius fracture

The Effect of Fracture Type on Restoration of Radiographic Parameters and Early Loss of Reduction in Surgical Treated Distal Radius Fractures

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