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.

Comparison of immobilization periods following open reduction and internal fixation of distal radius fracture: A systematic review and meta-analysis

2021 ◽  
Author(s):  
Abdullah A. Ghaddaf ◽  
Ahmed S. Abdulhamid ◽  
Mohammed S. Alomari ◽  
Mohammed S. Alquhaibi ◽  
Abdulaziz A. Alshehri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Open Reduction ◽  
Meta Analysis ◽  
Radius Fracture

scholarly journals Evaluation of Factors Driving Cost Variation for Distal Radius Fracture Open Reduction Internal Fixation

2018 ◽  
Vol 43 (7) ◽  
pp. 606-614.e1 ◽  
Author(s):  
Nikolas H. Kazmers ◽  
Christopher H. Judson ◽  
Angela P. Presson ◽  
Yizhe Xu ◽  
Andrew R. Tyser
Keyword(s):  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Open Reduction ◽  
Open Reduction Internal Fixation ◽  
Radius Fracture ◽  
Cost Variation

scholarly journals Clinical outcomes in management of unstable distal radius fractures treated with external fixation and internal fixation: a prospective comparative study

2017 ◽  
Vol 3 (5) ◽  
pp. 1004 ◽  
Author(s):  
Sunil Kumar Dash ◽  
Manish Kumar Sharma ◽  
Sanket Mishra ◽  
Hatia Marandi ◽  
Aurobinda Das ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Functional Recovery ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Dash Score ◽  
Radius Fractures ◽  
Articular Fractures ◽  
Group I

<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>

scholarly journals Feasibility and Reliability of Open Reduction Internal Fixation in Delayed Distal Radius Fracture Management

2019 ◽  
Vol 1 (3) ◽  
pp. 138-143
Author(s):  
Christopher Lee ◽  
Clifford Pereira ◽  
Stephen Zoller ◽  
Jason Ghodasra ◽  
Kent Yamaguchi ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Open Reduction ◽  
Open Reduction Internal Fixation ◽  
Radius Fracture ◽  
Fracture Management

Concurrent Minimally Invasive Carpal Tunnel Release Techniques in Distal Radius Open Reduction Internal Fixation

2016 ◽  
Vol 21 (01) ◽  
pp. 121-124 ◽  
Author(s):  
O-Wern Low ◽  
Andre E. J. Cheah
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Carpal Tunnel ◽  
Open Reduction ◽  
Carpal Tunnel Release ◽  
Minimally Invasive Techniques ◽  
Radius Fractures ◽  
Invasive Techniques

Carpal tunnel syndrome is a common complication associated with distal radius fractures. Open carpal tunnel release in the same setting as open reduction and internal fixation of distal radius fractures is widely accepted. In this paper, we describe the technical details of a minimally invasive carpal tunnel release in the same setting as the fixation of a distal radius fracture via the same incision. Two options of minimally invasive techniques are described: The Knifelight® (Stryker, Kalamazoo, Michigan, USA) instrument and the single portal carpal tunnel release system (Agee, 3M Healthcare, St Paul, Minnesota, USA). Being well known and accepted techniques of carpal tunnel release, we believe that the techniques described in this paper provide a viable alternative for carpal tunnel release in the setting of distal radius fracture fixation; with the added advantages of the original minimally invasive techniques.

scholarly journals A comparative study of management of Colles fracture by closed reduction with cast versus closed reduction with internal fixation (K-wires/4 mm CC screws)

2017 ◽  
Vol 4 (1) ◽  
pp. 86
Author(s):  
Vamshi Varenya Nimmagadda ◽  
Bhanu Prabha T. ◽  
Johorul Islam Tapadar
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Closed Reduction ◽  
Simple Procedure ◽  
Treatment Options ◽  
Radius Fracture ◽  
Neutral Position ◽  
Percutaneous Pinning

<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>

scholarly journals Isolated Carpal Dislocation of the Pisiform with Distal Radius Fracture in Two Adults: A Rare Entity

2019 ◽  
Vol 12 (03) ◽  
pp. 215-218
Author(s):  
Ajay Lall ◽  
Nicholas Shephard ◽  
Simon Greenbaum ◽  
Teresa Doerre ◽  
Sean Wilson ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Closed Reduction ◽  
Adult Population ◽  
Symptomatic Improvement ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Radius Fractures ◽  
Rare Injury ◽  
Good Pain Relief

Abstract Background Pisiform dislocations are an extremely rare injury. There are reports in the literature of isolated dislocations, but to our knowledge there are no reports of distal radius fractures with associated pisiform dislocations. Methods and Results We present two cases of isolated pisiform dislocation and distal radius fracture in the adult population. Both patients were managed conservatively with closed reduction in both the distal radius and pisiform, and subsequently achieved good pain relief and progressive return of wrist function. Conclusion For adult patients with distal radius fractures and an associated pisiform dislocation, successful closed reduction and immobilization can result in symptomatic improvement and return of function.

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