Aspects anatomiques et biomécaniques des fractures du radius distal de l’adulte : revue de la littérature

Obert, L.; Uhring, Julien; Rey, P.-B.; Rochet, S.; Lepage, D.; Leclerc, Grégoire; Serre, A; Garbuio, P.

doi:10.1016/j.main.2012.08.010

Cited by 13 publications

(3 citation statements)

References 62 publications

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“…Few studies on the anatomy of the radial epiphysis have been published in the past 10 years [ 1 ]. However, with the availability of new intra- and extra-medullary implants and the recent rash of avoidable iatrogenic injuries, now is the time for a more detailed description of the metaphyseal-epiphyseal regions in the distal radius.…”

Section: A Fresh Look At Distal Radius Anatomymentioning

confidence: 99%

Distal radius anatomy applied to the treatment of wrist fractures by plate: a review of recent literature

Obert

Loisel

Gasse

et al. 2015

SICOT-J

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Few studies on the anatomy of the radial epiphysis have been published in the past 10 years. However, with the availability of new intra- and extra-medullary implants and the recent rash of avoidable iatrogenic injuries, now is the time for a more detailed description of the metaphyseal-epiphyseal regions in the distal radius. Published studies on distal radius anatomy in recent years have focused on three aspects: distal limit and watershed line, dorsal tubercle, and wrist columns. Furthermore, a fresh look at distal radius biomechanics shows that the loads experienced by the distal radius vary greatly. This information should be taken into account during volar plating of distal radius fractures.

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Section: A Fresh Look At Distal Radius Anatomymentioning

confidence: 99%

Distal radius anatomy applied to the treatment of wrist fractures by plate: a review of recent literature

Obert

Loisel

Gasse

et al. 2015

SICOT-J

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“…Few studies of operative techniques have involved the assessment of the NSD elastic stress area and preoperative biomechanical parameters. Biomechanical principles are extensively applied in orthopedics and other fields (17,18). Despite a lack of muscle tissue and the influence of other mechanical factors, the anatomical structure of the nasal septum can be generally viewed as an elastic mechanical model that conforms to biomechanical rules (19).…”

Section: Discussionmentioning

confidence: 99%

Measurement of deformation rate in nasal septum deviation by three-dimensional computer tomography reconstruction and its application in nasal septoplasty endoscopic surgery

Yang

Zhao

Wang

et al. 2017

Experimental and Therapeutic Medicine

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Nasal septum deviation (NSD) typically occurs following otorhinolaryngologic surgery. However, there is a lack of biomechanical parameters able to accurately evaluate the severity of NSD. The present study aimed to determine whether the deformation rate (DR) is associated with visual analogue scale (VAS) and nasal airway resistance (NAR), and to evaluate the application of DR measurements in nasal septoplasty endoscopic surgery. In the present clinical trial, a total of 30 patients with NSD were enrolled, and DRs were calculated prior to surgery by three dimensional computer tomography (3D-CT) reconstruction techniques combined with mechanical analysis. The distribution of stress lines at the nasal septum deviation site was evaluated prior to operation. Following nasal septoplasty endoscopic surgery, pre and postoperation scores for VAS and NAR were compared. The results demonstrated that DR was significantly correlated with preoperational NAR (r=0.534) and VAS scores (r=0.397). According to preoperative CT measurements of NSD, DR and biomechanical properties, selective excision was performed to remove core areas of stress. It was observed that postoperative DR, NAR and VAS scores were significantly lower (all P<0.01) than those measured preoperation. Furthermore, over a follow-up period of 3 months, 23 cases (73.1%) were cured and 7 cases (23.3%) exhibited improvements. These results indicate that preoperative measurement of septum DR by 3D-CT reconstruction techniques may be important in determining the specific surgical approach of nasal septoplasty required.

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“…External fixation has a multiple disadvantages, some of which include pin track infection, pin loosening neuropathies of the superficial or median radial nerve, radial shortening, and loss of radial tilt (6) . The double intrafocal pinning method was initially explained by Aldalbert Kapandji in 1976 (7) . Intrafocal Kapandji wiring is a safe and effective technique for treating unstable fractures of the lower end of the radius.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Unstable Displaced Distal Radius Fractures Using Kapandji Technique

2023

The Egyptian Journal of Hospital Medicine

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Background: One of the most frequent injuries seen in orthopedic practice is distal radius fractures. X-ray is the most common test used to determine the presence of a fracture. In some cases, a CT scan is needed to confirm a fracture or exclude intraarticular extension. Intrafocal Kapandji wiring is a safe and effective technique for treating stable fractures of the lower end of the radius. Objective: The current study aimed to evaluate the results of treatment of unstable displaced distal radius fractures in adults with the kapandji procedure. Patients and methods: A total of 18 patients were included in this clinical trial, with a mean age of 46.61 years; 61.1% of them were female. The extra articular unstable displaced distal radius fractures they had were treated by the Kapandji procedure at the Orthopedic Department, Zagazig University Hospital (Egypt) and Central Ajdabia Hospital (Libya), during the period from March 2022 to September 2022, with 6 months follow up. Results: Concerning overall outcome, only 1 (5.6%) patient had fair outcome, 8 (44.4%) patients had good outcome while 9 (50%) patients had excellent outcome. Concerning complications, no patient had tendon injury, no neurovascular injury or sundeck's atrophy. Meanwhile, 7 (38.9%) patients had superficial infection. Conclusion: An efficient surgical approach for treating distal radius fractures is closed reduction and percutaneous k-wire fixation using kapandji technique.

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Aspects anatomiques et biomécaniques des fractures du radius distal de l’adulte : revue de la littérature

Cited by 13 publications

References 62 publications

Distal radius anatomy applied to the treatment of wrist fractures by plate: a review of recent literature

Distal radius anatomy applied to the treatment of wrist fractures by plate: a review of recent literature

Measurement of deformation rate in nasal septum deviation by three-dimensional computer tomography reconstruction and its application in nasal septoplasty endoscopic surgery

Treatment of Unstable Displaced Distal Radius Fractures Using Kapandji Technique

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