scholarly journals Older Patient Preferences for Internal Fixation after a Distal Radius Fracture

2018 ◽  
Vol 142 (1) ◽  
pp. 34e-41e ◽  
Author(s):  
Jacob S. Nasser ◽  
Helen E. Huetteman ◽  
Melissa J. Shauver ◽  
Kevin C. Chung
Author(s):  
Abdullah A. Ghaddaf ◽  
Ahmed S. Abdulhamid ◽  
Mohammed S. Alomari ◽  
Mohammed S. Alquhaibi ◽  
Abdulaziz A. Alshehri ◽  
...  

2018 ◽  
Vol 43 (7) ◽  
pp. 606-614.e1 ◽  
Author(s):  
Nikolas H. Kazmers ◽  
Christopher H. Judson ◽  
Angela P. Presson ◽  
Yizhe Xu ◽  
Andrew R. Tyser

Author(s):  
Sunil Kumar Dash ◽  
Manish Kumar Sharma ◽  
Sanket Mishra ◽  
Hatia Marandi ◽  
Aurobinda Das ◽  
...  

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Management of Distal Radius fracture that are inherently unstable is still a matter of debate. There is no conclusive evidence that support one surgical fixation method over another. An attempt was made to analyze patients treated with Ex-Fix and Internal-Fixation for unstable distal radius fractures and evaluate the clinical efficacy of Ex-fix using principles of ligamentotaxis and Internal-fixation and compare functional recovery, fracture healing time and complications</span><span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A prospective trial was undertaken at our hospital with 35 patients,all aged &gt;20 yrs with closed distal radius fracture and divided into two groups: group I (Ex-fix with or without percutaneous k-wire, and JESS) and group II (Int-Fixation) including 14 and 21 patients, respectively. Periodic clinical examination and x-ray review was carried out to find out fracture union, and functional assessment. Patients were followed up for 1 year, 6 months average</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Group I consumed significant less operative time, fluoroscopic exposure, reduced hospital stay, quicker post-operative pain relief. Quick DASH score were significantly high in elderly treated with Ex-Fix in comparison to young in which DASH score was higher with internal-fixator. Functional recovery was early with int-fixation but post-operative wrist stiffness was also higher. 2 cases of delayed wound healing &amp;1 case of pin tract infection with ex-fix application was observed</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Internal-fixation remains the treatment of choice for unstable distal radius fracture involving the articular surface and in the young, while ext-fixation can be considered as a primary treatment modality in the extra-articular fractures in young or even intra-articular fractures in the elderly</span><span lang="EN-IN">.</span></p>


2019 ◽  
Vol 1 (3) ◽  
pp. 138-143
Author(s):  
Christopher Lee ◽  
Clifford Pereira ◽  
Stephen Zoller ◽  
Jason Ghodasra ◽  
Kent Yamaguchi ◽  
...  

Author(s):  
Vamshi Varenya Nimmagadda ◽  
Bhanu Prabha T. ◽  
Johorul Islam Tapadar

<p class="abstract"><strong>Background:</strong> Distal radius fracture is extremely common and represents 16% of fractures treated by orthopaedic surgeons. Near anatomical reduction with restoration of radial length, radial tilt and ulnar variances are important for good functional results. A variety of treatment options have been proposed for distal radius fracture closed reduction and immbolization in cast has been the main stay of treatment, but because it invariably results in malunion, poor functional outcome and cosmetic outcome, other modality of treatment were brought into practice like percutaneous intrafocal pinning, transulnar percutaneous pinning, external fixation, plating etc. This comparative study was to compare the clinical outcomes of closed reduction with cast and closed reduction with Percutaneous Kirschner wiring (PKW)/canullated cancellous screws (CC screws 4 mm)for the management of Colles fractures in patients between 20 and 70 years old. In this study we did an prospective study in 40 patients with extra articular distal radius fracture treated by both closed reduction with cast and closed reduction internal fixation (PKW/CC screws).</p><p class="abstract"><strong>Methods:</strong> There were 20 patients with Colles fractures treated by closed reduction with cast and 20 patients treated with closed reduction internal fixation (PKW/CC screws). We compared both the managements together. All patients were followed up in the orthopaedic department prospectively for at least 12 months between June 2015-June 2016 The functional outcomes and radiological results were compared between the two groups.<strong></strong></p><p class="abstract"><strong>Results:</strong> The study included 40 patients, aged between 20 to 69 yrs. Average follow up was 12 months. Using the demerit scoring system of Gartland and Werley we had excellent to good results of 60% in closed reduction internal fixation compared to closed reduction with casting excellent to good was 10%.</p><p><strong>Conclusions:</strong> The percutaneous pinning/cc screws and immobilization in neutral position for 3 weeks followed by physiotherapy proved to be better and simple procedure for extra articular non comminuted distal radius fractures. </p>


Hand Surgery ◽  
2014 ◽  
Vol 19 (01) ◽  
pp. 109-111
Author(s):  
Satoshi Nakamura ◽  
Masato Okazaki ◽  
Kenichi Tazaki

To the best of our knowledge, there are no previous reports on anterior interosseous nerve palsy (AINP) caused by a soft tissue tumor after fracture of the distal radius. We treated a case of giant forearm lipoma that caused AINP one day after internal fixation of a distal radius fracture.


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