The Requirement for Closed Reduction of Dorsally Displaced Unstable Distal Radius Fractures Before Operative Treatment

Löw, Steffen; Papay, Marion; Spies, Christian; Unglaub, Frank; Eingartner, C.

doi:10.3238/arztebl.2020.0783

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…The surgeon's personal choice based on his or her experience is also a factor. Closed reduction is unnecessary for less severe, non-displaced, or minimally displaced fractures [25]. Traction techniques are applied in more complex fractures, especially those with significant displacement.…”

Section: Discussionmentioning

confidence: 99%

“…In daily clinical practice, patients with a closed distal radius fracture without neurological symptoms are normally treated after the regression of the soft tissue swelling within 14 days after injury. The effect of preoperative repositioning on the day of trauma is unclear, and waiving the reduction does not result in worse outcomes [25].…”

Section: Introductionmentioning

confidence: 99%

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How Preoperative Closed Reduction and Time to Surgery Impact Postoperative Palmar Inclination in Distal Radius Fractures

Beyer,

Oppermann,

Prasse

et al. 2024

JCM

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Background: The anatomical reconstruction of the wrist is the aim when treating distal radius fractures. Current literature on the importance of preoperative reduction in fractures that are treated operatively is limited. Methods: This study investigated the effect of the preoperative closed reduction of distal radius fractures on the day of trauma and the time to surgery on postoperative palmar inclination. A total of eighty patients (48 females and 32 males, mean age 55.6 years) were studied retrospectively. All patients were treated with an open reduction and internal fixation. The palmar inclination angle was measured using X-rays by two investigators, and the interobservers and pre- and post-reduction parameters were compared. Results: When the surgical management of closed distal radius fractures is required, neither initial repositioning nor a delay of up to 14 days to the surgical treatment influences postoperative palmar inclination. Conclusions: The significance of preoperative reduction of distal radius fractures without neurovascular or extensive soft tissue damage is limited and is not leading to improved outcomes. When surgery is about to be performed, surgeons should carefully consider if reduction is really vital preoperatively. Level of evidence: III.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

How Preoperative Closed Reduction and Time to Surgery Impact Postoperative Palmar Inclination in Distal Radius Fractures

Beyer,

Oppermann,

Prasse

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

“…Our institutional practice of closed reduction attempts in all distal radius fractures enabled the inclusion of higher Frykman grades in our study. However, growing evidence supports a more selective approach in assessing which fractures may benefit from closed reduction [ 13 , 14 ]. Fractures that possess some indication for operative management may be unlikely to benefit from closed attempts to restore acceptable radiographic parameters [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Circumferential periosteal block versus hematoma block for the reduction of distal radius and ulna fractures: a randomized controlled trial

Lari

Jarragh

Alherz

et al. 2022

Eur J Trauma Emerg Surg

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Purpose To assess the analgesic efficacy of the circumferential periosteal block (CPB) and compare it with the conventional fracture hematoma block (HB). Methods This study was a prospective single-center randomized controlled trial performed in a national orthopedic hospital. Fifty patients with displaced distal radius (with or without concomitant ulna) fractures requiring reduction were randomized to receive either CPB or HB prior to the reduction. Pain was sequentially measured using the visual analogue scale (VAS) across three stages; before administration of local anesthesia (baseline), during administration (injection) and during manipulation and immobilization (manipulation). Further, the effect of demographic factors on the severity of pain was analyzed in multivariate regression. Finally, complications and end outcomes were compared across both techniques. Results Patients receiving CPB experienced significantly less pain scores during manipulation (VAS = 0.64) compared with HB (VAS = 2.44) (p = < 0.0001). There were no significant differences between groups at baseline (P = 0.55) and injection (P = 0.40) stages. Conclusion The CPB provides a superior analgesic effect over the conventional HB with no documented complications in either technique. Level of evidence Therapeutic Level II.

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Frakturen der Speiche und des distalen Unterarms

Quadlbauer,

Krimmer

2024

Expertenwissen Handchirurgie

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The Requirement for Closed Reduction of Dorsally Displaced Unstable Distal Radius Fractures Before Operative Treatment

Cited by 6 publications

References 18 publications

How Preoperative Closed Reduction and Time to Surgery Impact Postoperative Palmar Inclination in Distal Radius Fractures

How Preoperative Closed Reduction and Time to Surgery Impact Postoperative Palmar Inclination in Distal Radius Fractures

Circumferential periosteal block versus hematoma block for the reduction of distal radius and ulna fractures: a randomized controlled trial

Frakturen der Speiche und des distalen Unterarms

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