Early movement does not cause loss of reduction in surgically treated boxer fractures

2021 ◽  
Author(s):  
Metin Uzun
Keyword(s):  
Loss Of Reduction

scholarly journals Biodegradable magnesium screws in elbow fracture fixation: Clinical case series

2021 ◽  
pp. 221049172098698
Author(s):  
Wai-Him Lam ◽  
Chi-Yin Tso ◽  
Ning Tang ◽  
Wing-Hoi Cheung ◽  
Ling Qin ◽  
...  
Keyword(s):  
Case Series ◽  
Elbow Fracture ◽  
Normal Range ◽  
Head Region ◽  
Screw Head ◽  
Loss Of Reduction ◽  
Clinical Series ◽  
Post Operation ◽  
Bioabsorbable Screws ◽  
Biodegradable Magnesium

Biodegradable magnesium-based implants are innovative alternatives that potentially eliminate the need for implant removal. Recent studies have demonstrated the osteogenic properties and bacterial inhibition potentials of magnesium screws. We reported a clinical series of three elbow fracture cases, where magnesium screws were used in the treatment of one radial head and two capitellum fractures. Postoperative clinical courses were uneventful, and fracture healing occurred within 3 months. In all cases, radiolucencies were observed around implants especially in the screw head region at 2 months post-operation, but disappeared with consolidation at 1 year post-operation. All patients achieved near normal range of motion, minimal symptoms and good functional outcomes. No complication such as failure of fixation, loss of reduction, malunion or infection was seen. No implant revision or removal was necessary. Magnesium bioabsorbable screws are shown to be a viable option for these fractures.

Assessing the Relationship Between Bone Density and Loss of Reduction in Nonsurgical Distal Radius Fracture Treatment

2021 ◽  
Author(s):  
Jason H. Ghodasra ◽  
Imran S. Yousaf ◽  
Kavya K. Sanghavi ◽  
Tamara D. Rozental ◽  
Kenneth R. Means ◽  
...  
Keyword(s):  
Bone Density ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Radius Fracture ◽  
Fracture Treatment ◽  
Loss Of Reduction ◽  
The Relationship

Classification and Management of Failed Fixation of the Volar Marginal Fragment in Distal Radius Fractures

2021 ◽  
Author(s):  
M. Carolina Orbay ◽  
Jorge L. Orbay
Keyword(s):  
Distal Radius ◽  
Patient Characteristics ◽  
Distal Radioulnar Joint ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures ◽  
Fracture Patterns ◽  
Loss Of Reduction ◽  
Operative Fixation ◽  
Specific Fracture

AbstractGreater understanding of specific fracture patterns following distal radius fractures has arisen with the advent of volar plating. The volar marginal fragment (VMF) is a small peripheral piece of bone which is critical to carpal stability. Failure to achieve good fixation of the VMF can result in volar subluxation of the carpus and distal radioulnar joint instability. Due to its small, distal nature, this fragment can be easily missed and difficult to fix. Loss of reduction of the VMF following operative fixation presents specific challenges and surgical considerations dictated by patient characteristics and timing. Our goal of this review is to present a classification system for these failed VMFs which can help guide surgical treatment as well as expected outcomes.

Analysis of Factors Affecting Postoperative Loss of Reduction in Unstable Thoracolumbar Fractures

2017 ◽  
Vol 24 (3) ◽  
pp. 190
Author(s):  
Jaewan Soh ◽  
Chang-Hwa Hong ◽  
Chung-Won Bang ◽  
Jae Chul Lee ◽  
Byung-Joon Shin
Keyword(s):  
Thoracolumbar Fractures ◽  
Factors Affecting ◽  
Loss Of Reduction

Intra-articular distal radius fractures in elderly patients: a randomized prospective study of casting versus volar plating

2017 ◽  
Vol 43 (2) ◽  
pp. 142-147 ◽  
Author(s):  
Daniel Martinez-Mendez ◽  
Alejandro Lizaur-Utrilla ◽  
Joaquin de-Juan-Herrero
Keyword(s):  
Conservative Treatment ◽  
Elderly Patients ◽  
Distal Radius ◽  
Articular Surface ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures ◽  
Level Of Evidence ◽  
Loss Of Reduction

We compared outcomes in elderly patients with intra-articular distal radius fractures treated by closed reduction and plaster immobilization or open reduction and internal fixation with a volar plate. Ninety-seven patients older than 60 years were randomly allocated to conservative (47 patients) or surgical (50 patients) treatment. Over a 2-year period, we assessed patient-rated wrist evaluation score, DASH (disability arm, shoulder and hand) questionnaire, pain, wrist range of motion, grip strength, and radiological parameters. The functional outcomes and quality of life were significantly better after volar plating fixation compared with conservative treatment. We found that restoration of the articular surface, radial inclination, and ulnar variance affected the outcomes, but the articular step-off did not. Twenty-five per cent of the patients with conservative treatment had secondary loss of reduction. We conclude that surgical plating leads to better outcomes than conservative treatment for elderly patients with intra-articular distal radius fractures. Level of evidence: I

Potential Causes of Loss of Reduction in Supracondylar Humerus Fractures

2014 ◽  
Vol 34 (7) ◽  
pp. 691-697 ◽  
Author(s):  
Andrew T. Pennock ◽  
Michael Charles ◽  
Molly Moor ◽  
Tracey P. Bastrom ◽  
Peter O. Newton
Keyword(s):  
Loss Of Reduction ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures

scholarly journals Short and long-arm fiberglass cast immobilization for displaced distal forearm fractures in children: a randomized controlled trial

2020 ◽  
Author(s):  
Michelle Seiler ◽  
Peter Heinz ◽  
Alessia Callegari ◽  
Thomas Dreher ◽  
Georg Staubli ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Range Of Motion ◽  
Daily Life ◽  
Controlled Trial ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Normal Range ◽  
Randomized Controlled ◽  
Loss Of Reduction ◽  
Distal Forearm Fractures

Abstract Purpose The aim of this study was to investigate whether short-arm fiberglass cast (SAC) immobilization provides fracture stabilization comparable to that of long-arm cast (LAC) treatment of displaced distal forearm fractures after closed reduction in paediatric patients. Methods A prospective, randomized, controlled trial of children aged four to 16 years (mean 9.9 years) was designed with a sample of 120 children, whose size was set a priori, with 60 treated with SAC and 60 with LAC. The primary outcome was fracture stability and rate of loss of reduction. The secondary outcome analysis evaluated duration of analgesic therapy, restriction in activities of daily life, and the duration until patients regained normal range of motion in the elbow. Results No statistically significant differences were found between the two groups in loss of reduction or duration of analgesic therapy. In contrast, the duration until normal range of motion in the elbow was regained was significantly longer in the LAC group (median 4.5 days, P < 0.001). Restriction in activities of daily life did not differ significantly between the two groups except for the item “help needed with showering in the first days after trauma” (SAC 60%, LAC 87%, P = 0.001). Conclusion Fracture immobilization with short-arm fiberglass cast in reduced distal forearm fractures is not inferior to long-arm casts in children four years and older, excluding completely displaced fractures. Furthermore, short-arm casting reduces the need for assistance during showering. Trial registration NCT03297047, September 29, 2017

scholarly journals Does the location of short-arm cast univalve effect pressure of the three-point mould?

2020 ◽  
Vol 14 (3) ◽  
pp. 236-240
Author(s):  
Blake K. Montgomery ◽  
Kenneth H. Perrone ◽  
Su Yang ◽  
Nicole A. Segovia ◽  
Lawrence Rinsky ◽  
...  
Keyword(s):  
Distal Radius ◽  
Sagittal Plane ◽  
Fracture Site ◽  
Radius Fractures ◽  
Sensory Inputs ◽  
Fractures In Children ◽  
Modifiable Factors ◽  
Loss Of Reduction ◽  
Ulnar Aspect ◽  
Volar Surface

Purpose Forearm and distal radius fractures are among the most common fractures in children. Many fractures are definitively treated with closed reduction and casting, however, the risk for re-displacement is high (7% to 39%). Proper cast application and the three-point moulding technique are modifiable factors that improve the ability of a cast to maintain the fracture reduction. Many providers univalve the cast to accommodate swelling. This study describes how the location of the univalve cut impacts the pressure at three-point mould sites for a typical dorsally displaced distal radius fracture. Methods We placed nine force-sensing resistors on an arm model to collect pressure data at the three-point mould sites. Sensory inputs were sampled at 15 Hz. Cast padding and a three-point moulded short arm fibreglass cast was applied. The cast was then univalved on the dorsal, volar, radial or ulnar aspect. Pressure recordings were obtained throughout the procedure. Results A total of 24 casts were analyzed. Casts univalved in the sagittal plane (dorsal or volar surface) retained up to 16% more pressure across the three moulding sites compared with casts univalved in the coronal plane (radial or ulnar border). Conclusion Maintaining pressure at the three-point mould prevents loss of reduction at the fracture site. This study shows that univalving the cast dorsally or volarly results in less pressure loss at moulding sites. This should improve the chances of maintaining fracture reductions when compared with radial or ulnar cuts in the cast. Sagittal plane univalving of forearm casts is recommended.

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