scholarly journals Functional outcomes and cost estimation for extra-articular and simple intra-articular distal radius fractures treated with open reduction and internal fixation versus closed reduction and percutaneous Kirschner wire fixation

2013 ◽  
Vol 56 (6) ◽  
pp. 378-384 ◽  
Author(s):  
Ivan Dzaja ◽  
Joy C. MacDermid ◽  
James Roth ◽  
Ruby Grewal
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
Cost Estimation ◽  
Closed Reduction ◽  
Functional Outcomes ◽  
Open Reduction ◽  
Kirschner Wire ◽  
Radius Fractures ◽  
Kirschner Wire Fixation ◽  
Wire Fixation

Dorsal Fracture–Dislocation of the Proximal Interphalangeal Joint: A Comparative Study of Percutaneous Kirschner Wire Fixation Versus Open Reduction and Internal Fixation

2005 ◽  
Vol 30 (2) ◽  
pp. 120-128 ◽  
Author(s):  
A. ALADIN ◽  
T. R. C. DAVIS
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Kirschner Wire ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Fracture Dislocation ◽  
Cerclage Wire ◽  
Kirschner Wire Fixation ◽  
Wire Fixation

Nineteen patients with a dorsal fracture–dislocation of the proximal interphalangeal joint of a finger were treated with either closed reduction and transarticular Kirschner wire fixation (eight cases) or open reduction and internal fixation, using either one or two lag screws (six cases) or a cerclage wire (five cases). At a mean follow-up of 7 (range 6–9) years, most patients reported satisfactory finger function, even though some of the injuries healed with proximal interphalangeal joint incongruency (seven cases) or subluxation (four cases). Those treated by open reduction complained of more “loss of feeling” in the affected finger and those specifically treated by cerclage wire fixation reported more cold intolerance and had a significantly larger fixed flexion deformity (median, 30°: range 18–38°) and a smaller arc of motion (median, 48°: range 45–60°) at the proximal interphalangeal joint, despite having the best radiological outcomes. Closed reduction and transarticular Kirschner wire fixation produced satisfactory results, with none of the eight patients experiencing significant persistent symptoms despite a reduced arc of proximal interphalangeal joint flexion (median=75°; range 60–108°). The results of this relatively simple treatment appear at least as satisfactory as those obtained by the two techniques of open reduction and internal fixation, both of which were technically demanding.

Treatment of Distal Radius Fractures in Women Older than 80 Years: A Preliminary Report of Functional and Radiographic Outcomes after Open Reduction and Internal Fixation

2021 ◽  
Author(s):  
Lili E. Schindelar ◽  
Richard M. McEntee ◽  
Robert E. Gallivan ◽  
Brian Katt ◽  
Pedro K. Beredjiklian
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
Functional Outcomes ◽  
Open Reduction ◽  
The Elderly ◽  
Distal Radius Fractures ◽  
Implant Design ◽  
Complication Rates ◽  
Radius Fractures ◽  
Hardware Failures

Abstract Background Distal radius fractures are one of the most common fractures seen in the elderly. The management of distal radius fractures in the elderly, especially patients older than 80 years, has not been well defined. The purpose of this study was to evaluate operative treatment of distal radius fractures in patients older than 80 years to determine functional outcomes and complication rates. Materials and Methods A retrospective review was performed to identify patients 80 years or older who were treated for a distal radius fracture with open reduction and internal fixation (ORIF). Medical records were reviewed for demographics, medical history, functional outcomes including quick Disabilities of the Arm, Shoulder, and Hand (qDASH), radiographs, and postoperative complications. Results There were 40 patients included for review. Average age was 84 years. The preoperative qDASH score was 69. At 6 months follow-up, the postoperative qDASH score was 13 (p < 0.001). There were five (12.5%) complications reported postoperatively. All fractures healed with adequate radiographic alignment and there were no hardware failures. Conclusion Distal radius fractures in patients older than 80 years treated with ORIF have good functional outcomes and low complication rates. Increased functionality and independence of the elderly, as well as updated implant design can lead to the effective surgical management of these patients. When indicated from a clinical perspective, operative fixation of distal radius fractures should be considered in patients older than 80 years.

Open Reduction-Internal Fixation of a Navicular Body Fracture with Dorsal Displacement of the First and Second Cuneiforms

2013 ◽  
Vol 103 (3) ◽  
pp. 246-249 ◽  
Author(s):  
Robert C. Andersen ◽  
Katherine Neiderer ◽  
Billy Martin ◽  
James Dancho
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Revisional Surgery ◽  
Kirschner Wire ◽  
Open Reduction Internal Fixation ◽  
Kirschner Wire Fixation ◽  
Body Fracture ◽  
Wire Fixation ◽  
Ligamentous Reconstruction

Body fractures of the tarsal navicular are relatively uncommon. To date, there is little literature discussing a navicular body fracture with dorsal subluxation of the first and second cuneiforms over the navicular. This case study presents a 30-year-old patient with this injury. He underwent open reduction internal fixation of the navicular body fracture successfully but failed adequate reduction of the navicular cuneiform joint after ligamentous reconstruction. After revisional surgery, he also failed 6 weeks of percutanous pinning with Kirschner-wire fixation. When comparing the literature of a similar injury, the Lisfranc fracture disclocation, the same principles may apply. One should consider rigid open reduction internal fixation or even primary fusion to treat disclocation of the naviculocuneiform joint following a navicular body fracture. (J Am Podiatr Med Assoc 103(3): 246–249, 2013)

Open Reduction and Internal Fixation of Mandibular Angle Fractures Using Temporary Kirschner Wire Fixation

2012 ◽  
Vol 129 (1) ◽  
pp. 192e-194e ◽  
Author(s):  
Adam D. Perry ◽  
Derrick C. Wan ◽  
Hubert Shih ◽  
Neil Tanna ◽  
James P. Bradley
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Kirschner Wire ◽  
Mandibular Angle ◽  
Kirschner Wire Fixation ◽  
Wire Fixation ◽  
Angle Fractures

scholarly journals Comparison of Hand Grip Strength in patients with Distal Radius Fracture that are treated by Closed Reduction with Cast versus Open Reduction and Internal Fixation in Haji Adam Malik Hospital Medan

2020 ◽  
Vol 13 (1) ◽  
pp. 84-89
Author(s):  
Adri Yandra Hidayat ◽  
Nino Nasution ◽  
Iman Dwi Winanto
Keyword(s):  
Internal Fixation ◽  
Grip Strength ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Closed Reduction ◽  
Open Reduction ◽  
Hand Grip Strength ◽  
Radius Fracture ◽  
Radius Fractures ◽  
Hand Grip

Background- Distal radius fracture is quite often found in emergency settings. There are many options to assess the outcome of treatment in distal radius fracture cases. One option that can be done is to measure the strength of the injured handgrip. Patient often complained about the decrease in ability to grasp and rotate and bear the burden after distal radius fracture. Objective-To find out the comparison of the hand grip strength in patients with distal radius fractures that are treated by closed reduction and casting to open reduction and internal fixation. Material and Methods-The study was conducted in a retrospective, observational analytic study with a cross sectional approach, which aimed to analyze the comparison of hand grip strength in patients with distal radius fractures that are treated by closed reduction and casting to open reduction and internal fixation12 months after treatment. Target population was all patients with distal radius fracture who underwent closed reduction and casting and open reduction and internal fixation in all inpatient at Adam Malik Hospital, Medan. Results- In this study the distribution of the number of samples was as many as 57 subjects with 17 are women (29.8%) and 40 are men (70.2%). 18 years old is the youngest age of the samples and the oldest is 76 years old with a mean of 32.77 ± 14.03 years. Based on the mechanism of injury : motor vehicle accidents is the most common mechanism of injury, it accounts 45 people (78.9%). According to time arrivals mostly patient came <24 hours. There are 11 extraarticular fractures ( 19.3%) and 46 intraarticular fractures (80.7%), there were 24 people (42.1%) fracture in the right hand and 33 people (57.9%) in the left hand. Statistical analysis shows that there is no difference in the ratio of hand grip strength with significance value of (p value) 0.881 (> 0.05). Conclusion- There were no significant differences in the clinical outcome of the patient's hand grip strength in patients that are treated with closed reduction and casting to open reduction intenal fixation after 12 months post theraphy.

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