Management of Complications of Distal Radius Fractures

Mathews, Alexandra L.; Chung, Kevin C.

doi:10.1016/j.hcl.2014.12.002

Cited by 92 publications

(90 citation statements)

References 78 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the present study, 4 types of double-column die-punch fracture of the distal radius were included as follows: A comprehensive fracture classification system must include all fracture types and reflect the characteristics of the fractures. In addition, the system must exhibit an optimal performance (19,23,24). In the present study, all of the 498 patients were successfully grouped in the absence of missing data.…”

Section: Discussionmentioning

confidence: 94%

“…The results indicated that the Three-Column Classification system The Melone classification II and Fernandez classification III are established classifications of die-punch fractures, which were denoted as type III fractures in the present study (15,16). The Melone and Fernandez classification systems have been extensively cited by previous studies (17)(18)(19)(20)(21). Although this type of double-column die-punch fracture is widely known, the description of double-column die-punch fractures of the distal radius has not been previously reported (10,22).…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Identification of a novel three‑column classification for double‑column die‑punch fractures of the distal radius

Liu¹,

Liu

et al. 2020

Exp Ther Med

View full text Add to dashboard Cite

The present study aimed to classify double-column die-punch fractures of the distal radius according to imaging data, and to evaluate their clinical features. A retrospective analysis of imaging data derived from 498 patients diagnosed with a double-column die-punch fracture of the distal radius was performed. The fractures were divided into those with middle-column avulsion with fracture of the radial-column articular surface (type I), those with middle-column collapse with fracture of the radial-column articular surface (type II), those with middle-column collapse with fracture of epiphysis of the radial column (type III) or mixed-type fractures (type IV). The intra-and inter-observer consistency between assessors was analyzed with kappa statistics. The patients with double-column die-punch fractures of the distal radius were followed up. There were 21 cases of type I fracture, 135 cases of type II fracture, 130 cases of type III fracture and 212 cases of type IV fracture. The intra-observer kappa coefficient ranged from 0.810-0.861, whereas the inter-observer kappa coefficient range was 0.830-0.876, with high consistency. Following 13 months of follow-up, the patients were assessed for functional recovery of the wrist and hand using the Gartland-Werley scoring system. The analysis indicated that in 95.78% of the patients, wrist function was rated as excellent or good (n=477), while in 4.22% of patients it was rated as fair (n=21), mainly due to the development of post-traumatic arthritis of the wrist following inappropriate therapy. All of the cases were type IV and type III fractures. These data demonstrated the application of a novel classification system named the Three-Column Classification, used to classify double-column die-punch fractures of the distal radius. This method reflected the mechanisms and severity of the fractures, conforming to the principle of AO fracture classification. Furthermore, it exhibited high consistency and may provide reference values for clinical diagnosis, treatment and prognostic evaluation.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 98%

Identification of a novel three‑column classification for double‑column die‑punch fractures of the distal radius

Liu¹,

Liu

et al. 2020

Exp Ther Med

View full text Add to dashboard Cite

show abstract

“…6,32 Currently, volar placement of a plate is favored widely. 6,9 In the current study, a buttress plate is placed volarly and no impingement is worried.…”

Section: Discussionmentioning

confidence: 99%

A novel surgical approach for treating distal radial extraarticular malunion: Oblique osteotomy with buttress plate stabilization

2017

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

show abstract

“…Las complicaciones de las fracturas del radio distal son frecuentes (21-27%), pueden ocurrir tanto con el tratamiento conservador como con el quirúrgico y tienen diversas causas: la pérdida de movimiento está asociada a deformidad marcada, decremento de los arcos de movilidad articular, artrofibrosis, isquemia de Volkmann, contracturas y rigidez en los dedos; la mal unión y la unión retardada ocurren cuando la fractura sana con alineación inadecuada, incongruencia articular, longitud incorrecta o la combinación de todas las anteriores; la neuritis, la comprensión del nervio y el síndrome doloroso regional complejo se relacionan con una alta severidad en la fractura; las tenosinovitis, laceraciones y rupturas tendinosas dependen del tratamiento quirúrgico, y las infecciones de tejidos blandos y osteomielitis se asocian a fracturas abiertas o al material de osteosíntesis. Complicaciones menos frecuentes implican cicatrización queloide, artritis, artrosis, entre otras [12][13] .…”

Section: Introductionunclassified

Rehabilitación de fracturas del radio distal con órtesis robóticas

Gómez-Rendón¹,

Moreno-Arango²,

Gil-Henao³

et al. 2020

Rev Col Med Fis Reh

View full text Add to dashboard Cite

Rehabilitación de fracturas del radio distal con órtesis robóticas Rev Col Med Fis Rehab 2019;29(2):83-92 -http://revistacmfr.org RESUMENIntroducción. El presente estudio es una serie de casos clínicos que describe los resultados de un tratamiento de fracturas del radio distal realizado en Manizales, Colombia, por el grupo de investigación F-CIBER-HAND y que integra el manejo quirúrgico de la fractura, la rehabilitación convencional y la rehabilitación con órtesis robóticas. Objetivo. Generar evidencia clínica (nivel III) sobre las ventajas de la movilización pasiva temprana con órtesis robóticas en la rehabilitación de pacientes posquirúrgicos de fracturas del radio distal. Materiales y métodos. Se seleccionaron 10 pacientes con fracturas del radio distal que presentaron limitación funcional de la muñeca después de dos semanas del posoperatorio; a los sujetos se les practicó terapia física y movilización pasiva con órtesis robótica PRO-Wix. Resultados. Los pacientes presentaron mejoría funcional de la muñeca según el cuestionario Disabilities of the Arm, Shoulder and Hand score, disminución de la intensidad del dolor según la escala visual analógica y recuperación del arco de movilidad articular según goniometría. Además, luego de tres semanas de rehabilitación retornaron a las actividades que realizaban antes de la fractura. Discusión. Es necesario realizar nuevos ensayos clínicos aleatorizados para poder determinar las ventajas de la movilización temprana con órtesis robóticas frente a la implementación exclusiva de la terapia convencional. Conclusiones. La movilización pasiva con órtesis robóticas complementa eficazmente la terapia física en pacientes posquirúrgicos de fracturas del radio distal y favorece la disminución del dolor, la recuperación del arco de movilidad articular y la funcionalidad. Palabras clave. Fracturas del Radio; Dispositivo Exoesqueleto; Robótica; Escala Visual Analógica (DeCS). ABSTRACTIntroduction. The present case series study describes the results in the treatment of distal radius fractures, carried out by the F-CIBER-HAND research group in Manizales -Colombia; integrates the surgical management of the fracture, conventional rehabilitation and robotic orthosis rehabilitation. Objetive. The purpose of the study is to generate clinical evidence (level III) to the advantages of early passive mobilization with robotic orthosis in the rehabilitation of postoperative patients with distal radius fractures.Materials and methods. Ten (10) patients with distal radius fractures who presented wrist functional limitation after two (2) weeks postoperatively were selected, they underwent physical therapy and passive mobilization with the PRO-Wix robotic orthosis. Results. All patients had functional improvement of the wrist according to the DASH score, decreased pain intensity according to VAS, and recovery the joint mobility arch according to goniometry; In addition, after three weeks of rehabilitation they returned to the activities of daily life that they performed before to the fracture. Di...

show abstract

Management of Complications of Distal Radius Fractures

Cited by 92 publications

References 78 publications

Identification of a novel three‑column classification for double‑column die‑punch fractures of the distal radius

Identification of a novel three‑column classification for double‑column die‑punch fractures of the distal radius

A novel surgical approach for treating distal radial extraarticular malunion: Oblique osteotomy with buttress plate stabilization

Rehabilitación de fracturas del radio distal con órtesis robóticas

Contact Info

Product

Resources

About