Should distal radioulnar joint be fixed following volar plate fixation of distal radius fracture with unstable distal radioulnar joint?

Liu, J.; Wu, Zhiyang; Li, S.; Li, Zhen; Wang, J.; Yang, Chen; Yu, Li; Chen, De

doi:10.1016/j.otsr.2014.02.015

Cited by 8 publications

(2 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Distal radius fracture associated with distal radioulnar joint instability or radiocarpal joint dislocation was more complicated and tended to be operated on. Although there was still much debate about whether early surgery was necessary for the instability of distal radioulnar joint, the first thing we needed to do was to stabilize the distal radius fracture by operation. However, we also found that the presence of an associated ulnar styloid fracture did not influence the decision to operate.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the decision for operative versus conservative treatment of displaced distal radius fractures in the elderly

Yang

Xie

et al. 2019

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background: The treatment of senile distal radius fractures had not been clearly defined. The objective of this study was to identify the factors associated with the decision for operative treatment of displaced distal radius fractures in patients aged over 55 years. Methods: Data of 318 patients with displaced distal radius fractures were collected on patient-, fracture-and surgeon-related characteristics that were plausibly related to the decision for operation. Mean comparisons or chi-squared test were used for univariate analysis of the above-mentioned factors, and then multiple logistic regression was used to identify factors associated with the decision for operation. Results: Univariate analysis showed that age, osteoporosis, Charlson score, associated orthopaedic injuries requiring surgery, Orthopaedic Trauma Association (AO) and Fernandez classification, radial height, volar tilt, volar/dorsal comminution, ulnar variance, intra-articular displacement/step-off, associated distal radioulnar joint instability or radiocarpal joint dislocation and subspecialty of treating surgeons had statistically significant association with operative intervention. In the multivariate analysis, the predictors of operative intervention were younger patient age (P = 0.028), associated orthopaedic injuries requiring surgery (P = 0.020), higher AO classification (P = 0.037), higher Fernandez classification (P = 0.041), radial shortening >5 mm (P = 0.020), volar tilt > −10 (P = 0.020), volar/dorsal comminution (P = 0.020), ulnar variance >5 mm (P = 0.023), intra-articular displacement/step-off >2 mm (P = 0.004), associated distal radioulnar joint instability or radiocarpal joint dislocation (P = 0.047) and treatment by an upper extremity specialist (P = 0.038). Conclusion: The decision for surgery was predominantly influenced by the characteristics and severity of the fracture. Patients' age and treatment by an upper extremity specialist were also significant factors associated with a higher likelihood of operative intervention. © 2019 Royal Australasian College of Surgeons ANZ J Surg 89 (2019) E428-E432 ANZJSurg.com © 2019 Royal Australasian College of Surgeons E432Wu et al.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors associated with the decision for operative versus conservative treatment of displaced distal radius fractures in the elderly

Yang

Xie

et al. 2019

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Plate fixation maintains the accurate reduction of DRFs, which may reduce the risk of post-traumatic ulnar impaction syndrome caused by distal radial malunion. In addition, recent reports of the treatment of DRFs by plate fixation support the notion that USFs or acute distal radioulnar joint laxity due to a TFCC tear do not have adverse effects on wrist function or pain (Kim et al, 2010Liu et al, 2014;Souer et al, 2009;Zenke et al, 2009). However, the natural history and factors associated with USWP after surgical treatment of DRFs have not been well addressed.…”

Section: Introductionmentioning

confidence: 99%