COMPARISON BETWEEN CLOSED PINNING AND PLATE PLASTERING TREATMENT METHODS FOR DISTAL RADIUS FRACTURE IN YOUNG PATIENTS ADMITTED TO LMAM KHOMEINI HOSPITAL IN JIROFT IN 2019

2021 ◽  
pp. 2150021
Author(s):  
Sina Heydari ◽  
Najmeh Alizadeh ◽  
Milad Rezaiye ◽  
Mohammad Ali Sheikh Beig Goharrizi ◽  
Akbar Mehralizade ◽  
...  
Keyword(s):  
Treatment Group ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Young Patients ◽  
Radius Fracture ◽  
Dominant Hand ◽  
Treatment Methods ◽  
Treatment Groups ◽  
Study Results ◽  
Significant Difference

Background: Distal radius fracture is a common type of bone fracture in patients of all ages. Most of the complications of this type of fracture are related to intra-articular fractures. Aim: This study aimed to compare the treatment results of distal radius fracture with two closed pinning and plate plastering methods in young patients admitted to Imam Khomeini Hospital in Jiroft in 2019. Method: The sample size was 176 patients with distal radius fractures admitted to Imam Khomeini Hospital in Jiroft in 2019. The patients were randomly divided into two treatment groups: (1) closed reduction and percutaneous pinning, and (2) plastering with plates. Finally, patients were compared in terms of the mentioned variables immediately after surgery and three months after that. The collected data were coded, entered, and analyzed by using SPSS. Results: The mean age of the selected patients in the closed pinning treatment group was 27.32 years and in the plate plastering group was 27.72 years. The minimum age of patients was four years, and the maximum was 59 years. Patients in the plate plastering treatment group seemed to have a higher mean age than those in the closed pinning treatment group, but this difference is not statistically significant ( [Formula: see text]). There was no statistically significant difference between men’s and women’s ratio in terms of being in the two treatment groups ( [Formula: see text]). There was no statistically significant difference between the right hand and left dominant hand ratio in the two treatment groups ( [Formula: see text]). There was a statistically significant difference between the ability and disability ratio to perform the activity in the two treatment groups ( [Formula: see text]). There was no significant difference between the subjective ratio of no pain, minor pain, and occasional pain in the two treatment groups ( [Formula: see text]). There was a significant difference between the ratio of movement limitation less than 20%, limitation 20–50%, and limitation more than 50% in the two treatment groups ( [Formula: see text]). There was a significant difference between the ratio of normal wrist strength, strength 30–60, and strength 60–90 in the two treatment groups ( [Formula: see text]). There was no statistically significant difference between the uncomplicated ratio and partial crepitation in terms of placement in the two treatment groups ( [Formula: see text]). Finally, there was no statistically significant difference between the total score ratio, closed pinning, and plate plastering treatment groups ( [Formula: see text]). Conclusion: According to this study results, there is no difference between the two treatment methods of closed pinning and plastering with a plate. However, the pinning treatment group had the highest frequency of excellent scores than the plate plastering method.

scholarly journals Functional outcomes of distal radius fractures with and without ulnar styloid fractures: a meta-analysis

2017 ◽  
Vol 43 (2) ◽  
pp. 150-157 ◽  
Author(s):  
Marjolein A. M. Mulders ◽  
Lili J. Fuhri Snethlage ◽  
Robert-Jan O. de Muinck Keizer ◽  
J. Carel Goslings ◽  
Niels W. L. Schep
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Functional Outcomes ◽  
Meta Analysis ◽  
Styloid Process ◽  
Radius Fracture ◽  
Visual Analogue Scale Pain ◽  
Ulnar Styloid ◽  
Significant Difference ◽  
Ulnar Styloid Process

The aim of this meta-analysis was to compare the functional outcomes of patients with a distal radius fracture with and without a concomitant fracture of the ulnar styloid process. A systematic literature search was performed to identify all studies comparing patients with a distal radius fracture with and without an ulnar styloid process fracture. The initial search revealed 511 articles, of which 12 articles with a total of 2243 patients were included; 1196 patients with and 1047 patients without an ulnar styloid process fracture. A statistically significant mean difference of 3.40 points (95% CI 1.33–5.48) in the Disability of the Arm, Shoulder, and Hand score was found in favour of patients without an ulnar styloid process fracture. This difference is less than 10 and therefore not clinically important. No significant difference was found in Patient-Rated Wrist Evaluation scores, range of motion, grip strength, visual analogue scale pain scores, ulnar-sided wrist pain and distal radio-ulnar joint instability between patients with and without an ulnar styloid process fracture after 1 year of follow-up. Moreover, no significant differences were found between ulnar styloid base and nonbase fractures. Level of evidence: I

scholarly journals Effects of circumferential rigid wrist orthoses in rehabilitation of patients with radius fracture at typical site

2005 ◽  
Vol 62 (4) ◽  
pp. 257-264 ◽  
Author(s):  
Aleksandar Djurovic ◽  
Mirjana Zivotic-Vanovic ◽  
Zoran Railic
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Rehabilitation Program ◽  
Radius Fracture ◽  
Control Group ◽  
Significant Difference ◽  
Hand Grasp ◽  
Clinically Significant ◽  
Experimental Group ◽  
Typical Site

Background. The use of orthoses is a questionable rehabilitation method for patients with the distal radius fracture at typical site. The aim of this study was to compare the effects of the rehabilitation on patients with radius fracture at the typical site, who wore circumferential static wrist orthoses, with those who did not wear them. Methods. Thirty patients were divided into 3 equal groups, 2 experimental groups, and 1 control group. The patients in the experimental groups were given the rehabilitation program of wearing serially manufactured (off-the-shelf), as well as custom-fit orthoses. Those in the control group did not wear wrist orthoses. Evaluation parameters were pain, edema, the range of the wrist motion, the quality of cylindrical, spherical, and pinch-spherical grasp, the strength of pinch and hand grasp, and patient's assessment of the effects of rehabilitation. Results. No significant difference in the effects of rehabilitation on the patients in experimental groups as opposed to control group was found. Patients in the first experimental group, and in control group were more satisfied with the effects of rehabilitation, as opposed to the patients in the second experimental group (p<0,05). Conclusion. The effects of circumferential static wrist orthoses in the rehabilitation of patients with distal radius fracture at the typical site were not clinically significant. There was no significant difference between the custom and off-the-shelf orthoses.

scholarly journals Radial Plate Fixation of Distal Radius Fracture

Hand ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 103-110 ◽  
Author(s):  
Sherif Dabash ◽  
Eric Potter ◽  
Elizabeth Pimentel ◽  
Juan Shunia ◽  
Amr Abdelgawad ◽  
...  
Keyword(s):  
Grip Strength ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Plate Fixation ◽  
Radius Fracture ◽  
Pinch Strength ◽  
Volar Approach ◽  
Significant Difference ◽  
Subjective Outcomes ◽  
Radial Plate

Background: A radial incision with radial plate fixation for distal radius fracture has historically been avoided due to its risk to the superficial branch of the radial nerve (SBRN). With careful technique, it is possible to avoid injury to the SBRN, thereby minimizing the soft tissue injury associated with other approaches. We compare subjective and objective functional outcomes of radial plate fixation surgeries that we performed with those of dorsal and volar plate fixation in current literature. Methods: Patients at a single center who underwent radial plate fixation for an AO type A or AO type B distal radius fracture between December 2006 and December 2014 were enrolled in the study. Postoperative grip strength and 3-digit pinch strength were measured systematically in the injured and uninjured wrists. Patients also completed a Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire to assess subjective outcomes. Results: Thirty-six patients met our inclusion criteria and had available medical records. Postoperative grip strength in the injured wrist was significantly lowered—68% compared with the uninjured wrist. After subgroup analysis of dominant and nondominant wrist injuries, there was no significant difference in grip strength between injured and uninjured wrists. There was no significant decrease in postoperative 3-digit pinch strength in the injured wrist—89% compared with the uninjured wrist. The mean QuickDASH score for our study participants was 20.9. Conclusions: Radial plate fixation is an effective approach for distal radius fractures. Objective and subjective outcomes are noninferior to those of a dorsal or volar approach.

scholarly journals Volar plate for intra-articular distal radius fracture. A prospective comparative study between elderly and young patients

2020 ◽  
Vol 106 (2) ◽  
pp. 319-323 ◽  
Author(s):  
Alejandro Lizaur-Utrilla ◽  
Daniel Martinez-Mendez ◽  
Maria F. Vizcaya-Moreno ◽  
Fernando A. Lopez-Prats
Keyword(s):  
Comparative Study ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Young Patients ◽  
Volar Plate ◽  
Radius Fracture ◽  
Prospective Comparative Study

scholarly journals The Role of Additional K-Wires on AO Type C Distal Radius Fracture Treatment with External Fixator in Young Population

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Ivan Micic ◽  
Erica Kholinne ◽  
Yucheng Sun ◽  
Jae-Man Kwak ◽  
In-Ho Jeon
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
External Fixator ◽  
Critical Role ◽  
Radius Fracture ◽  
Significant Difference ◽  
Type C ◽  
K Wires

Objectives. Several methods have been proposed to treat AO type C distal radius fracture. External fixator has gained popularity for its simple procedure and rapid recovery. Some surgeons suggested that additional K-wires may play a critical role in the outcome. The purpose of study is to evaluate the role of additional K wires in treating distal radial fracture with external fixator regarding its outcome. Material and Methods. From January 2006 to January 2010, 40 patients with AO type C distal radius fracture were treated with external fixator, with (EF) or without additional K wires (EFK). Radiologic outcome parameters include radial inclination, volar tilt, radial length, and the presence of radiocarpal arthritis according to Knirk and Jupiter. Clinical outcomes include New York Orthopedic Hospital (NYOH) wrist scoring scale. Results. Radiographic outcome showed significant difference in regard of articular congruency at the final follow-up with the EFK group showing the advantage in maintaining the articular incongruity. NYOH wrist scoring scale showed no significant difference between both groups at final follow-up. The amount of articular step-off was less in EFK group with significant statistical finding on the final follow up. Conclusion. Both EF and EFK technique were able to provide satisfactory result in treating AO type C distal radius fractures. We observed that EFK is superior in reducing the number of radiocarpal arthritic changes compared to EF group due to its superiority in reducing articular step-off.

scholarly journals The Effect of Therapeutic Whirlpool and Hot Packs on Hand Volume During Rehabilitation After Distal Radius Fracture: A Blinded Randomized Controlled Trial

Hand ◽  
2016 ◽  
Vol 12 (3) ◽  
pp. 265-271 ◽  
Author(s):  
Mike Szekeres ◽  
Joy C. MacDermid ◽  
Trevor Birmingham ◽  
Ruby Grewal ◽  
Emily Lalone
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Volume Change ◽  
Controlled Trial ◽  
Therapy Session ◽  
Radius Fracture ◽  
Significant Difference ◽  
Hand Volume ◽  
Heat Application ◽  
Hot Pack

Background: Edema is a possibility with all heating modalities due to the increase in local blood flow caused by vasodilation. Despite the frequent application of superficial heat modalities, their relative effect on hand volume has not been determined for the upper extremity. The objective of this study was to compare the immediate effects of hot packs and whirlpool on hand volume for patients with distal radius fracture (DRF) and to determine whether any changes in volume between these modalities were still present 30 minutes after heat application. Finally, to determine whether there were any differences in volume change between groups after 3 repeated therapy visits. Methods: Sixty patients with clinically healed DRFs were divided into 2 groups. Half received therapeutic whirlpool at each therapy visit, and the other half received a moist hot pack treatment for 3 consecutive visits. Hand volume was measured before heat, after heat, and at the end of each 30-minute therapy session. Results: There was a significant difference between groups immediately after heat application, as patients in the whirlpool group experienced an initial volume increase greater than those who received a hot pack. When remeasured after a hand therapy session approximately 30 minutes later, this group difference in volume change was no longer significant. The overall change in volume from enrollment in the study to completion of the study 3 weeks later was not statistically different between groups. Conclusion: Whirlpool is a potential consideration when selecting a heat modality for patients with DRF.

scholarly journals The Usefulness of Radial Column Plate in Distal Radius Fracture: Indications and Results

2021 ◽  
Author(s):  
Sung Jin An ◽  
Sang Hyun Lee ◽  
Dong Hee Kim ◽  
Hyo Seok Jang ◽  
Sung Min Hong ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Articular Surface ◽  
Radius Fracture ◽  
Dash Score ◽  
Locking Plates ◽  
Radial Inclination ◽  
Significant Difference ◽  
Radial Length

Purpose: The most common surgical treatment for distal radius fracture is internal fixation using volar locking plates, but it is sometimes difficult to maintain reduction with them. Therefore, this research reports the results of surgical treatment with additional radial column plates.Methods: We analyzed 12-month follow-up results in 100 cases. The patients had the B or C types of distal radius fractures, in accordance with AO classification, and underwent surgical treatment at our hospital from May 2013 to December 2019. There were 16 cases of B-type and 84 cases of C-type fractures. Out of these, 87 were treated with volar locking plates (V group) and 13 had additional radial column plates (VR group). The results of surgical treatment were examined clinically by measuring the disabilities of the arm, shoulder and hand (DASH) and Mayo wrist score, and radiologically by measuring the radial length, radial inclination, and volar tilt, before and after surgery.Results: After treatment, the radiographic average in the V group showed a radial length of 12.3 mm, radial inclination of 20.2°, and volar tilt of 5.8°, while the VR group showed 11.6 mm, 22.3°, and 9.0° respectively. A statistically significant difference was found in the DASH score, and the DASH score showed good results in the VR group.Conclusion: Additional radial column plate fixation is worth considering because it provides clinically and radiologically satisfactory results in treatment of B and C types distal radius fracture involving articular surface.

scholarly journals Perbandingan Fungsi Extremitas Atas pada Fraktur Metafise Distal Radius Intraartikuler Usia Muda Antara Tindakan Operatif Dan Non Operatif dengan Penilaian Klinis Quickdash Score

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Edi Burhan ◽  
Menker Manjas ◽  
Ardian Riza ◽  
Erkadius Erkadius
Keyword(s):  
Distal Radius Fracture ◽  
Operative Treatment ◽  
Distal Radius ◽  
Young Age ◽  
Radius Fracture ◽  
Dash Score ◽  
Significant Difference ◽  
Meaningful Relationships ◽  
Radius Distal ◽  
Quick Dash

AbstrakFraktur metafise distal radius merupakan fraktur dengan insiden tertinggi kedua pada usia tua di luar fraktur daerah panggul. Di Rumah Sakit Dr. M. Djamil Padang terdapat 122 dari 612 kasus fraktur radius, antara Januari 2011 – Juni 2012. Tujuan utama terapi ini adalah pengembalian permukaan sendi ke posisi anatomis dengan fiksasi yang stabil dan pengembalian fungsi extremitas atas semaksimal mungkin. Metode: Penelitian ini berupa penelitian retrospektif yang dilakukan di poliklinik orthopaedi RSUP Dr M Djamil Padang pada bulan November-Desember 2012 pada pasien fraktur metafise distal radius intraartikuler usia muda yang mendapat tindakan operatif dibandingkan dengan kelompok non-operatif dengan penilaian klinis Quick DASH Score. Sampel yang digunakan sebanyak 30 orang dari 55 orang yang memenuhi kriteria inklusi. Hasil: Ada hubungan yang bermakna antara fungsi extremitas atas dengan penilaian Quick DASH Score antara tindakan operatif pada fraktur distal radius intraartikuler usia muda dengan tindakan non-operatif (p Fisher = 0,010). Tidak terdapat hubungan bermakna antara Quick DASH Score dengan jenis kelamin dan diagnosa kanan atau kiri. Pembahasan: Terdapat perbedaan yang bermakna antara pasien fraktur metafise distal radius intraartikuler pada usia muda yang mendapat tindakan operatif berupa ORIF dengan yang mendapatkan tindakan non-operatif berupa pemasangan Gips.Kata kunci: Fraktur Metafise Distal Radius, Tindakan Operatif dan Non Operatif, Quick Dash ScoreAbstractFracture metafise distal radius is fracture with second highest incident on old age besides a fracture in the pelvic area. In the Dr. M. Djamil Hospital found 122 from 612 cases fracture of radius from january 2011 to june 2012. The main purpose therapy is restore the joint in the surface position anatomically by fixation a stable and restore the function upper extremitas over their best. Method: This study is a retrospective conducted at the Orthopaedi clinic of Dr M Djamil Hospital in November-December 2012 on young age patinet with the distal radius metafise intrartikular fracture who got the operative treatment in compare with non-operative groups with clinical assessment Quick Dash Score. The sample used is 30 people from 55 people who meet criteria for inclusion. Result: There is meaningful relationship the function upper extremitas with Quick Dash Score a distal radius fracture actions on intraartikuler at a young age that got an operative treatment and non-operative (p Fisher = 0,010 S). There is not meaningful relationships between Quick Dash Score with gender and diagnosis right or left. Discussion: There is significant difference between patients of intraarticuler radius distal metafise fractur who get operatif treatment, such as ORIF and the pasients who get non-operatif treatment, such as Gips.Keywords: Metafise Distal Radius Fracture, Operatif and Non Operatif Treatment, Quick Dash Score

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