Radiographic Outcome of Unstable Distal Radial Fracture Treated by Closed Reduction and Pin in Plaster

2009 ◽  
Vol 2 ◽  
pp. CMTIM.S1929
Author(s):  
Ebrahim Ghaiem Hasankhani ◽  
Mohamad Taghi Pivandi ◽  
Ali Birjandi Nejad
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Low Cost ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Radiographic Outcome ◽  
Satisfactory Outcome ◽  
Appropriate Treatment ◽  
Type C ◽  
Fracture Of Distal Radius

Background There is controversy about the appropriate treatment for severely displaced and unstable comminuted fracture of distal radius (type C of AO or OTA classification). Recently, there has been an increase in the number of predilection for surgical management of this fracture. Aim To determine the radiographic outcome in type C fractures of the distal radius treated with closed reduction and pin in plaster. Materials and Methods Eighty consecutive patients 60 male and 20 female, average age 40 years (22–60 years), with type C fractures of the distal radius seen between February 2001 and July 2003 in Shahid Kamiab Hospital of Mashad University, were treated by closed reduction and pin in plaster, followed up by anteroposterior and lateral radiographs to evaluate radial height, inclination and volar tilt. Results There was significant improvement in the measurements of radial height, inclination and volar tilt after closed reduction and pin in plaster, and at the time the pins and plaster were removed. (P = 0.00). Conclusion Closed reduction and pin in plaster is an effective, simple and low cost method in type C fractures of distal radius with satisfactory outcome.

scholarly journals PHYSIOTHERAPY REHABILITATION OF DISTAL RADIAL FRACTURE TO ENHANCE THE ACTIVITY OF DAILY LIVING

2021 ◽  
Vol 10 (4) ◽  
pp. 3343-3345
Author(s):  
Ragini Dadgal
Keyword(s):  
Patient Outcomes ◽  
Distal Radius ◽  
Daily Living ◽  
Wrist Joint ◽  
Functional Independence ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Provide Pain Relief ◽  
Positive Effect ◽  
Fracture Of Distal Radius

Fracture of distal radius is the commonest fracture present in the upper limb. In fact, it is most commonly treated by the doctor. An outstretched hand is the most common cause of distal radius or wrist fractures. The fracture of distal radius can also lead to nerve injury mostly median nerve. Physical Therapy plays important role which provides positive effect in treating post fracture cases. A case of 45 years female is presented in this report who had an fall over right wrist joint and diagnosed with distal radius fracture and operated conservatively results into pain over wrist joint, decrease in physical activities. Rehabilitation protocol is explained below in the report. We report that there were improvement in patient outcomes level increases in muscles strength, provide pain relief and improvement in patient functional Independence.

scholarly journals Volar Fixation of Dorsally Displaced Distal Radial Fracture Using Locking Compression Plate

2005 ◽  
Vol 13 (2) ◽  
pp. 153-157 ◽  
Author(s):  
KK Wong ◽  
KW Chan ◽  
TK Kwok ◽  
KH Mak
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Locking Compression Plate ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Compression Plate ◽  
One Year ◽  
Compression Plating ◽  
Unstable Fractures

Purpose. To evaluate the functional and radiological results of treating unstable fractures of the dorsal distal radius with a volar locking plate. Methods. Dorsally displaced distal radial fractures in 30 patients (11 men and 19 women; mean age, 58.6 years) were fixed by volar locking compression plate and followed up for a minimum of one year. Results. At final functional assessment, 24 patients achieved excellent and 5 achieved good outcomes, with one patient exhibiting fair results. Radiological scores demonstrated 22 excellent and 8 good outcomes. No nonunion or infection occurred. Conclusion. Volar locking compression plating is a safe and effective treatment for unstable fractures of the dorsal distal radius.

A comparative study on treatment outcomes of bandage and casting in non-displaced extra-articular fracture of distal radius: A clinical trial study

2020 ◽  
Vol 92 (5) ◽  
pp. 1-5
Author(s):  
Hamid Reza Arti ◽  
Reza farahnak
Keyword(s):  
Clinical Trial ◽  
Distal Radius ◽  
Dash Score ◽  
Articular Fracture ◽  
Appropriate Treatment ◽  
Significant Difference ◽  
Vas Scores ◽  
The Difference ◽  
Fracture Of Distal Radius

Background: There are some therapeutic choices in non-displaced extra-articular fracture of distal radius that confront with some controversy in their selection. We tried to study these two methods in this article. Methods: This was a prospective randomized clinical trial conducted on the patients (n=62) with NDEA fracture of distal radius, during 2015. The patients were randomly assigned to casting (n-32) or bandage (n=30) group to receive the respective fracture healing procedure. The patients were followed-up at the first, second, third, and sixth weeks after the treatment. The Disabilities of the DASH and the VAS questionnaire were completed. All patients underwent an X-ray radiographic assessment to evaluate any potential complication. Results: At the end of the study, in the bandage and casting group 30 and 32 patients finished the study. The statistical analyses showed that the bandage group showed significantly higher mean DASH score than the casting group at the first week, but for the second week the difference decreased so that for the third week, the casting group showed significantly higher value than the bandage group. Finally, at the sixth week the two groups showed no significant difference in the DASH value. The two groups showed no significant differences in the VAS scores for all follow up assessments. The returning time to work was shorter in the bandage group and the treatment cost was also lower in this group. Conclusion: Bandage is more appropriate treatment option for the NDEA fractures of distal radius.

scholarly journals Combined Plating of Intra-Articular Distal Radius Fractures, a Consecutive Series of 74 Cases

2020 ◽  
Vol 09 (05) ◽  
pp. 388-395
Author(s):  
Marcus Sagerfors ◽  
Eva Lundqvist ◽  
Patrik Bjorling
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Patient Reported Outcome ◽  
Radiographic Outcome ◽  
Pain Scores ◽  
Hand Grip ◽  
Articular Fractures ◽  
Patient Reported ◽  
Tendon Ruptures ◽  
Type C

Abstract Background The distal radius fracture (DRF) is the most common fracture in adults. For unstable intra-articular fractures, the choice of treatment is often operative. The optimal choice of fixation remains a matter of discussion. Question/Purpose Can combined volar and dorsal plating, using a dorsal frame plate, achieve a good functional and radiographic 1-year outcome in intra-articular DRFs? Methods In a retrospective cohort study, we evaluated 74 consecutive patients operated with combined plating using a volar plate and a dorsal frame plate. The DRFs were operated between 2016 and 2017 and all cases were AO type C intra-articular fractures. The primary outcome was patient-reported outcome measures including radiographic examination 1 year postoperatively. Secondary outcome measures included wrist range of motion, visual analog scale (VAS) pain scores, and hand grip strength. Results The median patient-rated wrist evaluation score was 18 points; the quick disabilities of the arm, shoulder, and hand score was 14.8 points. The median Batra radiographic score was 88. Wrist extension was 76% of the uninjured side, flexion was 74%, pronation was 94%, and supination was 94%. VAS pain scores were 0 at rest and 2 during activity. Hand grip strength was 82% compared with the uninjured side. The radiographic outcome according to Batra did not correspond to the patient-reported outcome. Patients older than 60 years had significantly better QuickDASH (quick disabilities of the arm, shoulder, and hand) and PRWE scores (patient-rated wrist evaluation scores) and less pain during activity compared with younger patients despite similar radiographic outcome. There were no tendon ruptures; hardware removal was performed in 21 of the 74 patients. Conclusion The radiographic outcome did not correspond to the functional outcome 1 year postoperatively. Older patients report less pain and better functional outcome compared with younger patients. There were no tendon ruptures and the frequency of hardware removal was acceptable. Complex intra-articular DRFs AO type C can be managed with volar and dorsal frame-plate fixation to restore distal radius anatomy and achieve a good functional outcome.

Nonunion of a Distal Radial Fracture in a Healthy Child

1997 ◽  
Vol 22 (2) ◽  
pp. 175-177 ◽  
Author(s):  
S. KWA ◽  
M. A. TONKIN
Keyword(s):  
Healthy Child ◽  
Closed Reduction ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Fractures In Children ◽  
Plaster Immobilization

Nonunion of distal radial fractures in children are rare. We report a case of a closed distal radial fracture in a healthy child, which developed a nonunion following closed reduction and plaster immobilization.

Comparison of volar locking plates with external fixation and K-wires in arthroscopically assisted intra-articular distal radial fracture fixation

2019 ◽  
Vol 45 (4) ◽  
pp. 333-338
Author(s):  
Uldis Krustins ◽  
Janis Krustins ◽  
Diana Bringina ◽  
Kristine Laurane ◽  
Andris Jumtins
Keyword(s):  
External Fixator ◽  
Distal Radial Fracture ◽  
Locking Plates ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Level Of Evidence ◽  
Arthroscopically Assisted ◽  
Type C ◽  
K Wires ◽  
Score Range

This article presents the results of a prospective cohort study that included 63 patients with intra-articular (AO Type C) distal radial fractures who were treated using an arthroscopically assisted approach with either volar locking plates or external fixator and K-wires. Postoperative analysis was carried out using X-ray assessment, clinical data, Patient-Rated Wrist Evaluation score, Gartland and Werley score, Modern Activity Subjective Survey of 2007 score, range of motion, grip, pinch and tripod pinch assessment at 1, 3, 6 and 12 months postoperatively. Despite the statistically significant differences found in a number of parameters during the period of observation, there were no clinically relevant differences determined between the two methods. There was a greater number of complications in the external fixator and K-wire treated patients. Level of evidence: II

THE INTERNAL CONSISTENCY AND VALIDITY OF THE PATIENT EVALUATION MEASURE FOR OUTCOMES ASSESSMENT IN DISTAL RADIUS FRACTURES

2007 ◽  
Vol 32 (3) ◽  
pp. 262-267 ◽  
Author(s):  
D. P. FORWARD ◽  
J. S. SITHOLE ◽  
T. R. C. DAVIS
Keyword(s):  
Distal Radius ◽  
Internal Consistency ◽  
Objective Measures ◽  
Distal Radial Fracture ◽  
Strongly Correlated ◽  
Patient Evaluation ◽  
Radial Fracture ◽  
Radius Fractures ◽  
Evaluation Measure ◽  
Fracture Outcome

The internal consistency and validity of the Patient Evaluation Measure (PEM) was investigated in the setting of the distal radius fracture by assessing 200 patients 6 to 42 years after injury using the PEM and DASH questionnaires and objective measures of outcome. The PEM was completed separately for both the injured and uninjured wrist. We found highly significant correlations between the PEM and objective measures and, also, between the PEM and DASH scores. We also calculated a comparative PEM score by subtracting the score of the uninjured wrist from that of the injured side, to eliminate the effect of co-existing disease. This score was more strongly correlated with outcome than the PEM alone. We suggest that the PEM is a valid method of assessing distal radial fracture outcome. It may, also, be used to reduce the effect of symptoms from coexisting bilaterally represented pathologies.

scholarly journals Functional outcome of distal radius fractures treated with fixation by percutaneous cannulated screw

2019 ◽  
Vol 5 (5) ◽  
pp. 904
Author(s):  
Prakash Kumar ◽  
Ashok Desai ◽  
Harshal Patkar ◽  
Deepak Phalgune
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Closed Reduction ◽  
Ulnar Variance ◽  
Distal Radial Fracture ◽  
Percutaneous Fixation ◽  
Continuous Variables ◽  
Radial Inclination ◽  
Mayo Wrist Score

<p class="abstract"><strong>Background:</strong> In the present study primary objectives were to evaluate the clinical and functional outcome and union rates, whereas secondary objective was to study complications associated with closed reduction percutaneous fixation of displaced unstable fractures of distal radius in adults by using cannulated cancellous (CC) screw.</p><p class="abstract"><strong>Methods:</strong> Thirty two patients aged more than 18 years, with unstable displaced distal radial fracture were included in this prospective observational study. Patients were treated by closed reduction and percutaneous fixation by CC screw. Radiological parameters like radial inclination, radial height, ulnar variance, volar tilt were measured. Mayo wrist score and range of motion were noted. Patients were followed up for six months. Continuous variables were compared by using paired and unpaired ‘t’ test.<strong></strong></p><p class="abstract"><strong>Results:</strong> Mean Mayo wrist score at six months post-operative follow-up (82.8) was significantly higher compared to six weeks post-operative follow-up (64.4). Mean early post-operative radial height, mean radial inclination, and mean volar tilt were significantly higher compared to mean six months post-operatively. Mean early post-operative ulnar variance was significantly lower compared to mean six months post-operatively. Mean flexion, mean extension, mean supination, mean pronation, mean radial deviation, and mean ulnar deviation was significantly higher six months post-operative follow-up compared to six week post-operative follow-up. Mean grip strength was significantly higher six months post-operative follow-up compared to six week post-operative follow-up.</p><p class="abstract"><strong>Conclusions:</strong> Clinical and functional outcomes associated with closed reduction and percutaneous fixation by cannulated cancellous screw was excellent. Mayo wrist score was increased over six months follow up period.</p>

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