Osteosynthesis in Distal Radius Fractures with Conventional Bridging External Fixator; Tips and Tricks for Getting Them Right

Chilakamary, Vamshi Krishna Reddy

doi:10.7860/jcdr/2016/16696.7048

Cited by 13 publications

(19 citation statements)

References 24 publications

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“…Studies describing DRF and multiple fractures have not analyzed the relationship with CRPS. 6 , 7 , 11 , 17 , 18 A study by Rozen et al 19 reviewing exposed DRFs did not mention higher risk for CRPS; we agree with this study because our patients with exposed fractures were not more likely to develop CRPS.…”

Section: Discussionsupporting

confidence: 79%

Factors Associated With Complex Regional Pain Syndrome in Surgically Treated Distal Radius Fracture

Ortiz-Romero

Torres-González

et al. 2017

Acta ortop. bras.

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Objective:The aim of this study was to identify factors associated with developing complex regional pain syndrome (CRPS) after surgical treatment for distal radius fracture (DRF). Methods:This case-control study analyzed patients seen from January 2014 to January 2016. Results: In our sample of 249 patients, 4% developed CRPS. Associated factors were economic compensation via work disability (odds ratio [OR] 14.3), age (OR 9.38), associated fracture (OR 12.94), and level of impact (OR 6.46), as well as psychiatric history (OR 7.21). Conclusions:Economically-productive aged patients with a history of high-impact trauma and patients with a history of psychiatric disorders have greater risk of developing CRPS after DRF. Level of Evidence III, Case-Control Study.

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Section: Discussionsupporting

confidence: 79%

Factors Associated With Complex Regional Pain Syndrome in Surgically Treated Distal Radius Fracture

Ortiz-Romero

Torres-González

et al. 2017

Acta ortop. bras.

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“…Among the 109 studies were 21 randomized controlled trials, 37 prospective studies, and 51 retrospective studies (Supplementary Table S1). Among the 136 cohorts, 31 reported on outcomes after plaster cast immobilization , 37 on K-wire fixation [5,18,21,41,42,45,47,, 41 on volar plate fixation [4-6, 54-56, 60, 61, 72, 74, 77-107], 16 on external fixation [6,30,34,36,53,[108][109][110][111][112][113][114][115][116][117][118], and 11 on intramedullary fixation [4,6,43,81,92,96,[119][120][121][122][123]. Most of the included studies were of low or medium quality, 40% (N = 44) and 50% (N = 55), respectively.…”

Section: Resultsmentioning

confidence: 99%

Treatment options in extra-articular distal radius fractures: a systematic review and meta-analysis

Oijen

Lieshout

Reijnders

et al. 2021

Eur J Trauma Emerg Surg

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Purpose This systematic literature review aimed to make a detailed overview on the clinical and functional outcomes and to get insight into the possible superiority of a treatment method for extra-articular distal radius fractures. Methods Embase, Medline, Cochrane Library, Web of Science, and Google Scholar were searched for studies describing treatment results. Five treatment modalities were compared: plaster cast immobilization, K-wire fixation, volar plating, external fixation, and intramedullary fixation. Results Out of 7,054 screened studies, 109 were included in the analysis. Overall complication rate ranged from 9% after plaster cast treatment to 18.5% after K-wire fixation. For radiographic outcomes, only volar tilt in the plaster cast group was lower than in the other groups. Apart from better grip strength after volar plating, no clear functional differences were found across treatment groups. Conclusion Current literature does not provide uniform evidence to prove superiority of a particular treatment method when looking at complications, re-interventions, and long-term functional outcomes.

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“…Diğer serilerde bu oran %4 ile %13 arasında değişmektedir. 27,29 Kapandji grubunda herhangi bir yüzeyel enfeksiyon ile karşılaşmadık. Kapandji yöntemiyle tedavi edilen grupta 2 tendon rüptürü (ekstensör pollisis longus) ile karşılaştık, eksternal fiksatör grubunda tendon lezyonu ile karşılaşmadık.…”

Section: Tartişma Ve Sonuçunclassified

Radius Distal Uç Kırıkları: Kapandji Yöntemiyle İntrafokal Telleme ve Eksternal Fiksatör Tekniklerinin Prospektif Randomize Bir Çalışma ile Karşılaştırılması

Ulusoy

Vancabeke

Boute³

et al. 2020

Online Türk Sağlık Bilimleri Dergisi

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Bu çalışmanın amacı, radius distal uç kırıklarında, intrafokal telleme (Kapandji) ve eksternal fiksatör (EF) tekniklerini, karşılaştırmak, radyolojik olarak redüksiyon-'un kalitesi, fonksiyonel sonuçlar ve hastanın subjektif görüşlerini değerlendirmektir. Materyal ve Metot: Yaş göz önüne alınmadan, birden fazla eklem içi kırık hattı olan çok parçalı kırıklar hariç, dorsale yer değiştirmiş radius distal uç kapalı kırığı ile başvuran 101 hasta değerlendirmeye alındı. 46 tanesi Kapandji, 55 tanesi EF ile tedavi edildiler. Bulgular: Post-op 3. haftada, Kapandji yöntemiyle tedavi edilen hastalarda ağrı daha belirgindi (p=0,049). Hareket sınırları, ulnar deviasyon hariç, 6. haftada Kapandji yöntemiyle tedavi edilenlerde daha iyidi (fleksiyon için p<0,001, ekstansiyon için p<0,001). Eklem içi kırıkların, cerrahi teknik göz önüne alınmadan, fonksiyonel ilerleme (Hareket açıklığı, el sıkma kuvveti, günlük aktivite) üzerine etki etmediği görüldü. Sonuçlar 6. ayda benzer bulundu. El sıkma kuvvetinin geri kazanılması intrafokal telleme için 6. hafta (p=0,000) ve 3. Ayda (p=0,011) daha iyiydi. Sonuç: Her iki teknik ile elde edilen sonuçlar birbirine benzerdir. Bizce konsolidasyon süresi düşünülenden daha uzun sürmektedir. Acaba immobilizasyon süresinin biraz daha arttırılması veya tellerin çıkarılmasının geciktirilmesi gerekmez mi? Ayrıca, kemik grefti, önemli dorsal çok parçalanma olan kırıklarda radyolojik sonuçları iyileştirecek bir çözüm olabilir.

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Osteosynthesis in Distal Radius Fractures with Conventional Bridging External Fixator; Tips and Tricks for Getting Them Right

Cited by 13 publications

References 24 publications

Factors Associated With Complex Regional Pain Syndrome in Surgically Treated Distal Radius Fracture

Factors Associated With Complex Regional Pain Syndrome in Surgically Treated Distal Radius Fracture

Treatment options in extra-articular distal radius fractures: a systematic review and meta-analysis

Radius Distal Uç Kırıkları: Kapandji Yöntemiyle İntrafokal Telleme ve Eksternal Fiksatör Tekniklerinin Prospektif Randomize Bir Çalışma ile Karşılaştırılması

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