scholarly journals The importance of radiological results in distal radius fracture operations: Functional outcome after long-term (6.5 years) follow-up

2018 ◽  
Vol 6 ◽  
pp. 205031211877657 ◽  
Author(s):  
L Raudasoja ◽  
H Vastamäki ◽  
T Raatikainen
Keyword(s):  
Retrospective Study ◽  
Functional Outcome ◽  
Distal Radius ◽  
Statistical Correlation ◽  
Joint Surface ◽  
Radius Fractures ◽  
Radiological Results ◽  
Hand Evaluation

Background and Aims: Whether or not radiological results correlate with functional outcome after operative treatment of distal radius fractures still remains controversial. We carried out a retrospective study to analyse the long-term (6.5 year) outcome of radius fractures treated by means of surgery in our hospital. The aim of the study was to explore whether step-off on radius joint surface, shortening of the radius versus ulnar height and dorsal or volar tilt of the radius correlate with long-term Patient-Rated Wrist Evaluation or Quick Disability of the Arm, Shoulder and Hand scores among 100 consecutive patients after surgical treatment. Materials and Methods: Of these, 60 patients (63 wrists) participated. They were examined radiologically, clinically and by means of a questionnaire. Results: Shortening of the radius correlated significantly with both Patient-Rated Wrist Evaluation and Quick Disability of the Arm, Shoulder and Hand scores. Step-off on the radius joint surface correlated significantly with worse PRWE scores, with no difference in Quick Disability of the Arm, Shoulder and Hand evaluation. Dorsal or volar tilt showed no statistical correlation (though it was mild in this group). The age of the patients (below 60 years vs 60 years or above) did not affect the PRWE or Quick Disability of the Arm, Shoulder and Hand results. Conclusion: Our results indicate that when it comes to conserving the radial height and congruence of the joint surface, the more precise the reduction of the fracture achieved by surgical means, the better the functional outcome.

scholarly journals Comparison of functional outcome of extra-articular distal radius fractures treated by volar locking plate versus percutaneous pinning in adults-a retrospective study

2021 ◽  
Vol 7 (3) ◽  
pp. 611
Author(s):  
Shushrut B. Bhavi ◽  
Amith Shanmukgouda Kallanagoudar ◽  
Deepak Kaladagi ◽  
N. B. Sanakal
Keyword(s):  
Retrospective Study ◽  
Distal Radius ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Dash Score ◽  
Volar Locking Plate ◽  
Percutaneous Pinning ◽  
Radius Fractures ◽  
Plate Group

<p><strong>Background</strong>: Distal radius fractures are one of the most common fractures in an adult population and accounts for 17.5% of all the fractures. The management of distal radius fractures remains debatable despite the availability of different methods of treatment. The aim of this study is to assess the functional outcomes of extra-articular distal radius fractures treated with percutaneous pinning or internal fixation with volar locking plate in adults.</p><p><strong>Methods: </strong>A retrospective study of 40 patients diagnosed with distal radius fracture with AO classification were treated either with percutaneous pinning (n=20) or open reduction and internal fixation with volar locking plate (n=20) were included in study. DASH score and radiographs at 6<sup>th</sup> month was assessed for functional outcome and radiological union.</p><p><strong>Results: </strong>Mean age in plate group was 40 and 45 years in K wire group. The mean passive wrist ROM at the final follow-up evaluation in plate group was 63.8<sup>o</sup> extension and 70.5<sup>o </sup>flexion, 81.7<sup>o</sup> supination and 79<sup>o</sup> pronation, compared with 56.75<sup>o</sup> extension and 65.25<sup>o</sup> flexion, 74.7<sup>o</sup> supination and 85.5<sup>o</sup> pronation in patients treated with K wire group. Patients with plate group and K wire group had DASH score of 19.85 and 18.49 respectively (p=0.07) at 6 months follow-up.</p><p><strong>Conclusions:</strong> The use of ORIF with plate resulted in stable fixation of the unstable extraarticular fractures, allowing early post-surgical wrist motion and has good radiological outcome whereas K wire also has advantages of being minimal invasive, reduced hospital stay and minimal cost.</p>

scholarly journals Bone Loss in Distal Radial Fractures Treated with A Composite Xenohybrid Bone Substitute: A Two Years Follow-Up Retrospective Study

Materials ◽  
2020 ◽  
Vol 13 (18) ◽  
pp. 4040
Author(s):  
Riccardo Ferracini ◽  
Alessandro Bistolfi ◽  
Claudio Guidotti ◽  
Stefano Artiaco ◽  
Agnese Battista ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bone Loss ◽  
Bone Graft ◽  
Distal Radius ◽  
Bone Grafting ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Dash Score ◽  
Radius Fractures

(1) Background: Recently, surgical treatment of distal radius fractures has increased exponentially. Many locking plates’ fixation systems have been developed allowing a more stable reduction and early mobilization. Sometimes, open reduction and fixation of distal radius fractures may leave a residual bone loss requiring grafting. This retrospective study reports clinical and radiologic outcomes of distal radius fractures treated with xenohybrid bone grafting in order to assess (i) the safety of the investigated bone graft; (ii) its radiological integration and biomechanical performances, and (iii) clinical outcomes of the patients; (2) Methods: We performed a retrospective study on a cohort of 19 patients. Preoperative X-ray and CT scan were performed. The mean clinical and radiographical follow-up was two years. Safety of the xenohybrid bone graft was constantly evaluated. Clinical results were assessed through the DASH score and Mayo wrist score; (3) Results: No adverse reactions, infections, and local or general complication were related to the use of xenohybrid bone graft. The radiolucency of the xenografts suggested progressive osteointegration. No evidence of bone graft resorption was detected. All the patients reached consolidation with good to excellent clinical results; and (4) Conclusions: Clinical and radiological data demonstrated that xenohybrid bone grafting promotes new bone formation and healing in osteopenic areas caused by fracture reduction.

Use of the AO veterinary mini ‘T’-plate for stabilisation of distal radius and ulna fractures in toy breed dogs

2005 ◽  
Vol 18 (01) ◽  
pp. 18-25 ◽  
Author(s):  
S. J. Langley Hobbs ◽  
M. H. Hamilton
Keyword(s):  
Retrospective Study ◽  
Distal Radius ◽  
Revision Surgery ◽  
Suitable Choice ◽  
Distal Fragment ◽  
Ulna Fractures ◽  
Long Term Follow Up ◽  
Primary Form

SummaryThe use of the AO (Arbeitsgemeinschaft für Osteosynthesefragen) veterinary mini ‘T’-plate for stabilisation of distal radius and ulna fractures in toy breed dogs was evaluated in a retrospective study. All of the 14 dogs in the study weighed 3.5 kg or less. The AO mini ‘T’-platea was used as the final means of fixation in all cases. It was used as the primary form of stabilisation in ten dogs, and in four dogs it was used at revision surgery. In all cases the fractures healed. Return to function was graded as excellent in six cases, good in four and fair in two. Two dogs were lost to long-term follow up. It was concluded that the AO veterinary mini ‘T’-plate is a suitable choice of implant for stabilisation of distal radius and ulna fractures in toy breed dogs, especially when the distal fragment is very small.

Comparison of fracture healing and long-term patient-reported functional outcome between dorsal and volar plating for AO C3-type distal radius fractures

2019 ◽  
Vol 46 (3) ◽  
pp. 591-598 ◽  
Author(s):  
Paphon Sa-ngasoongsong ◽  
Manuela Rohner-Spengler ◽  
Dimitri E. Delagrammaticas ◽  
Reto Hansjörg Babst ◽  
Frank J. P. Beeres
Keyword(s):  
Fracture Healing ◽  
Functional Outcome ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures ◽  
Patient Reported
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