Loss of radial height in extra-articular distal radial fracture following volar locking plate fixation

Cheng, Ming; Chiang, Cheng‐Chin; Lin, Chun Cheng; Chang, Ming Chau; Wang, Chien Shun

doi:10.1016/j.otsr.2021.102842

Cited by 11 publications

(30 citation statements)

References 36 publications

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“…According to a recent study, the most important risk factor for radial collapse following open reduction and internal fixation with a volar plate is post-operative ulnar positive deformity. However, there were no statistically significant differences in range of motion, grip strength, or pain in elderly patients (39). The reduced functional demand in the upper limbs assumed to be connected to aging may be the cause of the lack of correlation between radiographic and functional results.…”

Section: Discussionmentioning

confidence: 79%

Comparison between closed reduction plaster casting and percutaneous Kirschner wire pinning in the management of distal radius fractures in patients aged 65 years and older

Karadeniz

Yurtbay

Ozturk

et al. 2022

Journal of Health Sciences and Medicine

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Aim: Closed reduction plaster casting (CRPC) and percutaneous pinning (CRPP) remain an important treatment modalities for extra-articular distal radius fractures especially in elderly patients. These two treatment methods have advantages and disadvantages compared to each other. The ideal treatment of extra-articular distal radius fractures is still debatable. We aimed to retrospectively evaluate the clinical and radiological results after CRPC and CRPP for the treatment of distal radius fractures in the patient population over 65 years of age. Material and Method: Between 1 January 2015 and 1 January 2019, patients older than 65 years of age who presented with extra-articular noncomminuted distal radius fractures were retrospectively evaluated. 95 patients diagnosed with distal radius fracture were separated into 2 groups, who were administered the following: CRPC (n:51), CRPP (n:44). We compared the characteristics of the patients, the mechanisms of injury, fracture types and treatment methods, pre-reduction and post-reduction radiological parameters and clinical functions for the two groups. Volar tilt, radial inclination, ulnar variance, and radial length were compared. Clinical results were also compared. Results: The mean follow-up period was 19.8 months (range, 12-29 months; SD=11.0) in the CRPC group and 18.6 months (range, 12-26 months; SD=10.9) in the CRPP group. Mean range of motion and grip strength were maintained in both treatment groups at one-year follow-up. There was no statistically significant difference between the groups (p>0.05). There was no statistically significant difference between the groups in terms of the scores evaluating the daily activity, pain and mental status of the patients after the treatment (p>0.05). There are no statistically significant differences between fixation with CRPC and CRPP in terms of clinical and radiological results (p>0.05). Conclusion: Closed reduction plaster casting and closed reduction percutaneous pinning are equally effective in the treatment of extra-articular distal radius fractures in the elderly.

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Section: Discussionmentioning

confidence: 79%

Comparison between closed reduction plaster casting and percutaneous Kirschner wire pinning in the management of distal radius fractures in patients aged 65 years and older

Karadeniz

Yurtbay

Ozturk

et al. 2022

Journal of Health Sciences and Medicine

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“…15 Another study showed that only 54% of the cases present restoration of all radiographic parameters; RH loss accounts for the worst functional outcomes, loss of mobility, decreased grip strength, and chronic pain. 4,6,17 A comparison of radiographic parameters between the groups revealed that group 1 had more cases with restored normal parameters and better RI and VI mean values. As far as we know, the literature has no study with a comparison similar to ours.…”

Section: Discussionmentioning

confidence: 97%

“…5,7 Therefore, their restoration is essential to achieve satisfactory functional outcomes. 4,11,13,17 The most significant radiographic parameters in DRF are radial height (RH), radial inclination (RI), and volar inclination (VI). 4,5,11 However, there is no consensus on the ideal values of those.…”

Section: Introductionmentioning

confidence: 99%

“…15 Loss of RH is a relevant factor affecting functional capacity, which may lead to pain, osteoarthritis, instability, and limited pronosupination. 17 Moreover, VI with a dorsal deviation above 20°increases the osteoarthritis risk. 4,16 Patient in women, and 21.3°in group 1 and 17°in group 2 [p < 0.001] in men) and volar inclination (10.1°and 12.8°in groups 1 and 2, respectively [p < 0.001]).…”

Section: Introductionmentioning

confidence: 99%

“… 5 7 Therefore, their restoration is essential to achieve satisfactory functional outcomes. 4 11 13 17 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparação de características sociodemográficas e radiográficas no tratamento de fratura de rádio distal: Cirurgiões de mão versus não especialistas

Veiga,

Hobi,

Marot

et al. 2024

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo: Avaliar as características sociodemográficas e radiográficas dos pacientes com fratura de rádio distal tratados em um hospital de trauma no sul do Brasil, comparando os casos tratados pelos especialistas em cirurgia da mão (grupo 1) com aqueles tratados por não especialistas (grupo 2). Métodos: Coorte retrospectiva realizada com 200 pacientes, no ano de 2020. Por meio da revisão de prontuários e radiografias, analisaram-se: idade, sexo, mecanismo de trauma, lateralidade, presença de comorbidades e fraturas associadas, classificação da fratura (AO), altura radial, inclinação radial e, inclinação volar. Comparou-se os dois grupos por meio do teste t de Student, qui-quadrado ou exato de Fisher. Resultados: A maioria era de pacientes do sexo feminino (54%), traumas de baixa energia (58%) e lateralidade esquerda (53%). O grupo 1 apresentou média de idade menor (50,2 anos), traumas de alta energia (54%), e fraturas tipo C (73%), enquanto no grupo 2 fraturas tipo A prevaleceram (72%). As radiografias apresentaram diferença significativa quanto à média de valores de inclinação radial (21,5° no grupo 1 e 16,5° no grupo 2 [p < 0,001] nas mulheres e, 21,3° no grupo 1 e 17° no grupo 2 [p < 0,001] nos homens) e inclinação volar (10,1° e 12,8° no grupo 1 e 2, respectivamente [p < 0,001]), bem como no número absoluto de casos que reestabeleceram os parâmetros anatômicos nas três variáveis avaliadas, sendo todos melhores no grupo 1. Conclusão: Os cirurgiões de mão trataram as fraturas mais graves e apresentaram os melhores resultados radiográficos.

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Effectiveness of surgical versus conservative treatment of distal radius fractures in elderly patients: A systematic review and meta-analysis

Gutiérrez-Espinoza

Araya-Quintanilla

Olguín-Huerta

et al. 2022

Orthopaedics & Traumatology: Surgery & Research

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Loss of radial height in extra-articular distal radial fracture following volar locking plate fixation

Cited by 11 publications

References 36 publications

Comparison between closed reduction plaster casting and percutaneous Kirschner wire pinning in the management of distal radius fractures in patients aged 65 years and older

Comparison between closed reduction plaster casting and percutaneous Kirschner wire pinning in the management of distal radius fractures in patients aged 65 years and older

Comparação de características sociodemográficas e radiográficas no tratamento de fratura de rádio distal: Cirurgiões de mão versus não especialistas

Effectiveness of surgical versus conservative treatment of distal radius fractures in elderly patients: A systematic review and meta-analysis

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