Seven-Year Outcome Following Colles’ Type Distal Radial Fracture. A Comparison of Two Treatment Methods

2003 ◽  
Vol 28 (5) ◽  
pp. 405-408 ◽  
Author(s):  
C. F. YOUNG ◽  
A. M. NANU ◽  
R. G. CHECKETTS
Keyword(s):  
External Fixation ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Range Of Movement ◽  
Post Traumatic ◽  
Function Range ◽  
High Level ◽  
Traumatic Arthritis ◽  
Plaster Immobilization

Eighty-five patients were reviewed 7 years after prospective randomization to bridging external fixation or plaster immobilization for treatment of a Colles’ type distal radial fracture. The Gartland and Werley score showed that most patients in each group had an excellent or good outcome and patient satisfaction was comparable and high in both groups. The fixator group had significantly less radial shortening ( P < 0.05 ). Despite a high level of radiographic malunion (50%) overall function, range of movement and activities of daily living were not limited. Twenty-five per cent of patients had minor radiological signs of post-traumatic arthritis although only one patient was symptomatic. We conclude that, in the long term, external fixation of distal radius fractures does not confer an improved outcome when compared to plaster immobilization.

Primary External Fixation Versus Plaster Immobilization of the Intra-Articular Unstable Distal Radial Fracture in the Elderly

2004 ◽  
Vol 34 (2) ◽  
pp. 64-70 ◽  
Author(s):  
J. H. Hegeman ◽  
J. Oskam ◽  
J. van der Palen ◽  
H. J. ten Duis ◽  
P. A. M. Vierhout
Keyword(s):  
External Fixation ◽  
The Elderly ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Plaster Immobilization

Long-Term Results Following Ankle Arthrodesis for Post-Traumatic Arthritis

2001 ◽  
Vol 83 (2) ◽  
pp. 219-228 ◽  
Author(s):  
Lisa M. Coester ◽  
Charles L. Saltzman ◽  
John Leupold ◽  
William Pontarelli
Keyword(s):  
Ankle Arthrodesis ◽  
Long Term Results ◽  
Post Traumatic ◽  
Traumatic Arthritis

Total Hip Arthroplasty in Young Patients with Post-Traumatic Arthritis of the Hip

2017 ◽  
Vol 27 (6) ◽  
pp. 546-550 ◽  
Author(s):  
Ishaan Swarup ◽  
Ryan Sutherland ◽  
Jayme C. Burket ◽  
Mark P. Figgie
Keyword(s):  
Patient Reported Outcomes ◽  
Young Patients ◽  
Implant Survival ◽  
Long Term Outcomes ◽  
Patient Reported ◽  
Revision Tha ◽  
Post Traumatic ◽  
Traumatic Arthritis

Background Post-traumatic arthritis of the hip is a degenerative condition that commonly affects young patients. In this study, we evaluate long-term implant survival and patient-reported outcomes after primary total hip arthroplasty (THA) in patients aged 35 or younger with post-traumatic arthritis of the hip. Methods We conducted a retrospective study with follow-up. A chart review was performed to identify young patients with post-traumatic arthritis of the hip treated with primary THA. Follow-up surveys were conducted to determine implant survival and patient-reported outcomes. Implant survival was assessed using Kaplan-Meier survival analysis, and patient outcomes were determined using the hip disability and osteoarthritis outcome score (HOOS). Results We studied 42 patient s (44 THAs) with a mean time to follow-up of 14 years. The 10-year implant survival rate was 87% and 20-year implant survival rate was 41%. Implant survival did not differ based on patient age, gender, implant type, bearing surface, or use of cement for implant fixation (p>0.05). The mean HOOS scores at follow-up were 87 for pain, 85 for symptoms, 89 for ADLs, and 76 for sports. HOOS scores were significantly worse in patients that had undergone revision THA (p<0.05). Conclusions Young patients with post-traumatic arthritis of the hip have good long-term outcomes after THA. However, revision THA is predictive of worse long-term outcomes.

Interactive Surgery System with 3D Electromagnetic Motion Tracker for Training Surgeons in Skin Cutting Skills Needed in Total Knee Arthroplasty

2017 ◽  
Vol 21 (7) ◽  
pp. 1180-1188
Author(s):  
Yosuke Uozumi ◽  
Kouki Nagamune ◽  
◽  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Operative Time ◽  
Training System ◽  
Expert Surgeon ◽  
Total Knee ◽  
Post Traumatic ◽  
High Level ◽  
Traumatic Arthritis ◽  
Skin Cutting

Total knee arthroplasty (TKA) is an effective surgery for knees damaged by osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis. This procedure requires an expert surgeon with a high level of skill and experience. Although a navigation system for improving precision and shortening operative time has been already studied, there has not yet been a study done on an instruction system for improving the skills of surgeons. The purpose of this study is to develop a training system that teaches the TKA surgery so that non-expert surgeons can use it to obtain skin-cutting skills. The proposed method includes a simulator for a model knee with a 3D electromagnetism motion tracker. Through experimentation, a method of evaluating incisions into the skin is established by tracing a line with a mock scalpel. The proposed method is applied to six non-experts. The results for the length experiments are 87.82±8.88 (Set 1: non-teaching), 92.66±5.77 (Set 2: teaching), and 92.14±6.17 (Set 3: non-teaching). The results for the position experiments are 70.64±15.11 (Set 1: non-teaching), 83.63±10.07 (Set 2: teaching), and 82.05±7.80 (Set 3: non-teaching). In conclusion, the proposed method succeeds in teaching the operator scalpel incision skills.

Nonunion of a Distal Radial Fracture in a Healthy Child

1997 ◽  
Vol 22 (2) ◽  
pp. 175-177 ◽  
Author(s):  
S. KWA ◽  
M. A. TONKIN
Keyword(s):  
Healthy Child ◽  
Closed Reduction ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Fractures In Children ◽  
Plaster Immobilization

Nonunion of distal radial fractures in children are rare. We report a case of a closed distal radial fracture in a healthy child, which developed a nonunion following closed reduction and plaster immobilization.

scholarly journals A clinical study of management of comminuted distal radial fracture in adults by external fixation and ligamentotaxis

2020 ◽  
Vol 6 (2) ◽  
pp. 236-242
Author(s):  
Dr. Manish Teckchand Kanojiya ◽  
Dr. Manoj Jain ◽  
Dr. Ashutosh Dwivedi ◽  
Dr. Saurabh Vashishtha
Keyword(s):  
Clinical Study ◽  
External Fixation ◽  
Distal Radial Fracture ◽  
Radial Fracture

Four Corner Intercarpal Arthrodesis

2009 ◽  
Author(s):  
Gregory Rafijah
Keyword(s):  
Ligament Injury ◽  
Bony Union ◽  
Proximal Row Carpectomy ◽  
Non Union ◽  
Scapholunate Ligament Injury ◽  
Post Traumatic ◽  
Wrist Fusion ◽  
Traumatic Arthritis ◽  
Intercarpal Arthrodesis

Intercarpal arthrodesis is a common motion sparring procedure for post-traumatic arthritis of the wrist. Untreated scaphoid non-union or scapholunate ligament injury often leads to progressive arthritis of the wrist that can be salvaged by proximal row carpectomy (PRC), limited intercarpal arthrodesis or total wrist fusion. Most surgeons elect to perform a motion sparring procedure in lieu of total wrist fusion. PRC is favored by many because of the ease of surgery and no need to obtain bony union. However, several reports are pessimistic about the out comes of the PRC operation in the long term. Most agree that the four corner arthrodesis with scaphoid excision is the optimal reconstruction to maintain wrist motion and strength and provide long-term durability.

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