Intra-Articular Fracture of the Distal Radius: Arthroscopic-Assisted Reduction

Arthroscopic assisted treatment of distal radius fractures and concomitant injuries

“…A 2.7-mm arthroscope may be passed through the gap between carpals from the midcarpal space Furthermore, the correlation of anatomical reconstruction with the clinical and functional outcome, that has more importance for the treated patients, could not be answered in any of the studies. Catalano et al and Goldfarb reported that short and longterm functional outcomes did not correlate with the magnitude of the residual step-off and gap displacement, with the awareness that most of the patients had a good restoration of extra-articular alignment with surgical treatment and few had major articular incongruities [27,[34][35][36].…”

“…Currently, debridement appears to be the only available option, although micro fracturing may be attempted without adequate proof of its benefit [10]. Yet, severely comminuted radius fractures with destroyed cartilage may even need, or benefit from, partial wrist fusion or hemi-arthroplasty instead of arthroscopically assisted open reduction and internal fixation [10,36,[38][39][40][41].…”

Management of Severely Comminuted Distal Radius Fractures

“…One technical challenge associated with its use is the risk of fluid extravasation with subsequent compartment syndrome. 63 This has led others to support the use of dry arthroscopy to reduce the risk of fluid extravasation. 64 Bone grafting and bone graft substitutes Bone grafts may be used as an adjunct to fixation and may be divided into 2 major categories: osteoinductive, which stimulates bone formation, and osteoconductive, which provides structural support.…”

Distal radius kırıklarının cerrahi tedavisi

“…Fonksiyonel üstünlük ve bağ yaralanmalarının tedavisi günümüzün tartışmalı konularıdır. [30] ULNA STİLOİD KIRIKLARI Cerrahi tedavi edilmiş distal radius kırığına eşlik eden ulna stiloid kırığının tespiti tartışmalıdır. Bazı cerrahlar semptomatik instabilite ve kaynamama nedeniyle tespit önerirken; bazılarına göre tespitin dezavantajları, fonksiyonel sonuçlara etkisizlik, cerrahi sürenin uzaması ve implant rahatsızlıklarıdır.…”