The spanning plate as an internal fixator in complex distal radius fractures: a prospective cohort study

2021 ◽  
Author(s):  
Rémy Liechti ◽  
Reto Babst ◽  
Urs Hug ◽  
Björn-Christian Link ◽  
Bryan J. M. van de Wall ◽  
...  
Keyword(s):  
Cohort Study ◽  
Distal Radius ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Distal Radius Fractures ◽  
Internal Fixator ◽  
Radius Fractures

A Prospective Cohort Study on Accuracy of Dorsal Tangential Views to Avoid Screw Penetration With Volar Plating of Distal Radius Fractures

2020 ◽  
Vol 34 (9) ◽  
pp. e291-e297
Author(s):  
Minke Bergsma ◽  
Anne Eva Bulstra ◽  
David Morris ◽  
Michiel Janssen ◽  
Ruurd Jaarsma ◽  
...  
Keyword(s):  
Cohort Study ◽  
Distal Radius ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures ◽  
Screw Penetration

scholarly journals Agreement between Initial Classification and Subsequent Reclassification of Fractures of the Distal Radius in a Prospective Cohort Study

Hand ◽  
2009 ◽  
Vol 5 (1) ◽  
pp. 68-71 ◽  
Author(s):  
Roderick H. van Leerdam ◽  
J. Sebastiaan Souer ◽  
Anneluuk L. C. Lindenhovius ◽  
David C. Ring
Keyword(s):  
Cohort Study ◽  
Distal Radius ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Initial Classification

scholarly journals Plating Distal Radius Fractures Using Wide-Awake Local Anesthesia No Tourniquet (WALANT) Versus General Anesthesia: A Cohort Study

2020 ◽  
Vol 2 (6) ◽  
pp. 331-338
Author(s):  
Liew Mei Yi ◽  
Amir Adham Ahmad ◽  
Shairil Rahayu Ruslan ◽  
Shalimar Abdullah ◽  
Abdul Rauf Ahmad
Keyword(s):  
Cohort Study ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Wide Awake ◽  
No Tourniquet

Radiographic Outcomes and Complications of Delayed Fixation of Distal Radius Fractures

Hand ◽  
2020 ◽  
pp. 155894472093030
Author(s):  
Stella J. Lee ◽  
Derek S. Stenquist ◽  
Jamie E. Collins ◽  
Ariana N. Mora ◽  
Brett A. Teplitz ◽  
...  
Keyword(s):  
Cohort Study ◽  
Surgical Treatment ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
X Rays ◽  
Matched Cohort ◽  
Radius Fractures ◽  
Radiographic Outcomes ◽  
Radiographic Parameters ◽  
Surgical Fixation

Background: Surgeons are sometimes presented with patients with distal radius fractures who present in a delayed fashion or lose reduction after several weeks of attempted closed management. There are limited studies on delayed surgical treatment of distal radius fractures to assist providers in decision-making. Methods: We conducted a matched cohort study to compare radiographic outcomes and complications for patients with a distal radius fracture treated with delayed (3-5 weeks) or early (0-2 weeks) surgical fixation. Patients ages 18+ who underwent open reduction and internal fixation of distal radius fractures by a volar approach at 2 Level I trauma centers between 2003 and 2015 were eligible. We measured radiographic outcomes and reviewed medical records to determine operative approach and complications. Results: There were 25 cases and 50 controls matched for age (18-87), sex, and AO fracture type. The delayed group had surgery at a mean of 24.8 days from injury and the early group at 5.6 days. There was no statistically significant difference between the delayed and early cohorts in radiographic parameters on injury x-rays, in improvement in radiographic parameters on first postoperative x-rays, or in maintenance of radiographic parameters at union. Conclusion: We did not find significant differences in radiographic outcomes or complication rates between patients with delayed versus early surgical treatment for distal radius fracture. Providers treating patients with late presentation or late displacement have the option of surgical fixation beyond the first few weeks after injury. Level of Evidence: III (Retrospective matched cohort study)

scholarly journals A Cohort Study of One-Year Functional and Radiographic Outcomes following Intra-Articular Distal Radius Fractures

Hand ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. 237-243 ◽  
Author(s):  
Emily A. Lalone ◽  
Vaishnav Rajgopal ◽  
James Roth ◽  
Ruby Grewal ◽  
Joy C. MacDermid
Keyword(s):  
Cohort Study ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Radiographic Outcomes ◽  
One Year

scholarly journals A novel retractor-assisted closed reduction combined with percutaneous pinning fixation for the treatment of elderly distal radius fractures: a retrospective cohort study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Bin Zhao ◽  
Wenqian Zhao ◽  
Isaac Assan ◽  
Zhenji Li ◽  
Rongxiu Bi
Keyword(s):  
Cohort Study ◽  
Distal Radius ◽  
Closed Reduction ◽  
Retrospective Cohort ◽  
The Elderly ◽  
Distal Radius Fractures ◽  
Percutaneous Pinning ◽  
Radius Fractures ◽  
Steinmann Pin

Abstract Background Percutaneous pinning fixation (PCP) has been used for the treatment of distal radius fractures for decades, especially in the elderly with fragile soft tissue. However, achieving and maintaining a sound anatomic reduction before PCP is difficult if we use the manipulative reduction method alone. Our study innovatively applied the Steinmann pin retractor for closed reduction combined with PCP, to provide a new protocol for the treatment of distal radius fractures. Methods From March 2017 to July 2018, 49 patients out of 57 that met the inclusion criteria but not the exclusion criteria were included in our retrospective cohort study. Sixteen patients were treated with Steinmann pin retractor-assisted closed reduction combined with PCP (S-PCP), and 19 patients were treated with the manipulative reduction combined with PCP (M-PCP), and 14 patients were treated with the manipulative reduction combined with cast splint (M-C). All these patients received a positive postoperative radiological and clinical evaluation. Results All the patients were followed up for a minimum of 2 years. The radiological parameters in each group improved significantly postoperative (posttreatment). In the S-PCP group, the values of radial height (postoperative, 13.33±1.74 mm; the first follow-up, 13.27±1.81mm; last follow-up, 13.16±1.76mm) and ulnar variance (postoperative, −0.10±1.29mm; the first follow-up, −0.05±1.27mm; last follow-up, −0.12±1.09mm) significantly improved as compared to the M-PCP and M-C groups. While the patients in the M-C group experienced significant re-displacement at the first and last follow-ups, in the S-PCP group, the range of wrist motion including extension (89.94±5.21%), radial deviation (90.69±6.01%), and supination (90.25±5.87%); ulnar deviation (89.81±5.82%) and QuickDASH score (2.70±3.64); and grip strength (92.50±5.59%), pronation (90.50±6.04%), and modified Mayo wrist score (90.94±4.17, the excellent rate reached up to 75%) also improved as compared to the M-PCP group, M-C group, or both groups at the last follow-up. Conclusion S-PCP improves fracture reduction and wrist function and can serve as an effective method for A2(AO/OTA) and A3 type of distal radius fractures in the elderly with limited dorsal comminution, including intra-articular fractures with displacement less than 2mm.

scholarly journals The incidence of distal radius fractures in a Swedish pediatric population - an observational cohort study of 90 970 individual fractures

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Hanna Südow ◽  
Cecilia Mellstrand Navarro
Keyword(s):  
Cohort Study ◽  
Distal Radius ◽  
Pediatric Population ◽  
Incidence Rates ◽  
Observational Cohort Study ◽  
The Body ◽  
Fracture Incidence ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Observational Cohort

Abstract Background 40–50 % of all boys and 30–40 % of girls suffer from at least one fracture during childhood. A quarter of these fractures affects the wrist, making it the worst affected part of the body. Children often sustain the injury during play or sport activities. There has been a lifestyle change among European children during the last decades, and there is reason to believe that fracture incidence is changing. Methods For the purpose of this observational cohort study registry data was retrieved from the Swedish National Patient Register for all pediatric patients registered with a distal radius fracture during the period 2005–2013. Incidence rates were calculated for each year using data from Statistic Sweden on population size by age and gender. Results 90 970 distal radius fractures were identified. The mean age at the time of fracture was 10 years. In ages 10–17 the proportion of male patients was significantly larger. Seasonal variations were detected with peak incidences in May and September. A decreasing total fracture incidence was observed during the study period. Conclusions The incidence of distal radius fractures in a population 0–17 years in Sweden was higher among male than in female patients. The incidence was lower in 2008–2013 as compared to 2005. Further studies are necessary to reveal if the incidence will continue to decrease.

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