Unstable Distal Radius Fractures: Restoration of the Radial Length with Use of Special Palmar Fixed-angle Plate

Qu, Yimin; Xu, J.; Jiang, Tao; Zhao, Hong; Gao, Yi; Weilin, Hou

doi:10.1055/s-0033-1338002

Cited by 4 publications

(1 citation statement)

References 12 publications

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“…27,[49][50][51][52][53][54][55][56][57][58][59] This was followed by an irreducible fracture in 5% (11/213) of the studies. 10,33,40,42,43,[60][61][62][63][64][65] The most frequently used classification system to describe an unstable distal radius fracture was the AO classification (8%, 18/213). 23,[66][67][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82] An AO type C2 was the fifth most commonly mentioned description used to define an unstable distal radius fracture (5%, 10/213).…”

Section: What Were the Most Commonly Mentioned Descriptions Of An Unsmentioning

confidence: 99%

The Unstable Distal Radius Fracture—How Do We Define It? A Systematic Review

et al. 2015

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Background?Unstable distal radius fractures are a popular research subject. However, to appreciate the findings of studies that enrolled patients with unstable distal radius fractures, it should be clear how the authors defined an unstable distal radius fracture. Questions?In what percentage of studies involving patients with unstable distal radius fractures did the authors define unstable distal radius fracture? What are the most common descriptions of an unstable distal radius fracture? And is there one preferred evidence-based definition for future authors? Methods?A systematic search of literature was performed to identify any type of study with the term unstable distal radius fracture. We assessed whether a definition was provided and determined the level of evidence for the most common definitions. Results?The search yielded 2,489 citations, of which 479 were included. In 149 studies, it was explicitly stated that patients with unstable distal radius fractures were enrolled. In 54% (81/149) of these studies, the authors defined an unstable distal radius fracture. Overall, we found 143 different definitions. The seven most common definitions were: displacement following adequate reduction; Lafontaine's definition; irreducibility; an AO type C2 fracture; a volarly displaced fracture; Poigenf?rst's criteria; and Cooney's criteria. Only Lafontaine's definition originated from a clinical study (level IIIb). Conclusion?In only half of the studies involving patients with an unstable distal radius fracture did the authors defined what they considered an unstable distal radius fracture. None of the definitions stood out as the preferred choice. A general consensus definition could help to standardize future research.

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Section: What Were the Most Commonly Mentioned Descriptions Of An Unsmentioning

confidence: 99%

The Unstable Distal Radius Fracture—How Do We Define It? A Systematic Review

et al. 2015

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The role of brachioradialis release during AO type C distal radius fracture fixation

Zheng

et al. 2017

Orthopaedics & Traumatology: Surgery & Research

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Geographical distribution and roles of centralized hand trauma services in Europe

Boeckstyns¹,

Kvernmo

2018

J Hand Surg Eur Vol

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Hand and wrist injuries account for nearly one-third of all visits to emergency departments in some hospitals in Europe, and they impose a large personal and economic burden (Larsen et al., 2004). The injuries span from simple lacerations or fractures to complex injuries. The treatment of the severely traumatized hand should be ideally centralized in centres of excellence. These centres can provide a team of on-call experts with great technical confidence in dealing with complex patterns of fractures, multiple soft-tissue injuries and defects, reconstructive procedures and microsurgery. Facilities including specialized equipment, advanced imaging technology and experienced personnel for postoperative care and rehabilitation are also required. Such centres are usually secondary or tertiary referral services located in teaching or university hospitals and are the platform of research and of the education of hand surgeons and traumatologists. Improved outcomes after complex hand trauma are associated with high volume, which is well documented for digital replantation, but it applies to all surgery for major hand trauma.

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Unstable Distal Radius Fractures: Restoration of the Radial Length with Use of Special Palmar Fixed-angle Plate

Abstract: The used special gear drive plate allows accurate restoration of the length of the radius even in unstable fractures with good clinical results.

Cited by 4 publications

References 12 publications

The Unstable Distal Radius Fracture—How Do We Define It? A Systematic Review

The Unstable Distal Radius Fracture—How Do We Define It? A Systematic Review

The role of brachioradialis release during AO type C distal radius fracture fixation

Geographical distribution and roles of centralized hand trauma services in Europe

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