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[Artículo traducido] Ensayo clínico aleatorizado sobre la utilidad de la impresión 3D en las fracturas intraarticulares de radio distal.
Rev Esp Cir Ortop Traumatol
December 2024
Servicio de Cirugía Ortopédica y Traumatología, Hospital General Universitario Dr. Balmis, Alicante, Spain.
Objectives: We evaluated the utility of 3 D printing technology for preoperative planning in the treatment of intra-articular fractures of the distal radius in relation to the improvement of surgical technique, radiological and clinical results.
Material And Methods: A total of 30 patients with 2 B and C fractures of the AO classification were operated on by a single surgeon with a volar plate, randomly divided into two groups, 15 of them with conventional planning (Rx and CT) and 15 adding a 3 D model of the fracture and the previous simulation of the intervention. Simulation time, surgical time in minutes, radioscopy time in minutes, loss of material expressed in lost screws were recorded.
Recovery of Comfort and Capability After Upper Extremity Fracture Is Predominantly Associated With Mindset: A Longitudinal Cohort From the United Kingdom.
J Orthop Trauma
October 2024
Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX.
Objectives: To determine the relative influence of mindset and fracture severity on 9-month recovery trajectories of pain and capability after upper extremity fractures.
Design: Secondary use of longitudinal data.
Setting: Single Level-1 trauma center in Oxford, United Kingdom.
Clinical and functional outcomes of locked plating vs. cerclage compression wiring for AO type C patellar fractures- a retrospective single-center cohort study.
Eur J Trauma Emerg Surg
December 2024
Department of Trauma Surgery, University Hospital Zurich, University of Zurich, Ramistr. 100, Zurich, 8091, Switzerland.
Purpose: Although "tension-band wiring" is still commonly used to stabilize patellar fractures, the technique has recently been scrutinized due to biomechanical insufficiency. Consequently, the AO Foundation renamed the principle to compression cerclage wiring (CCW). Several studies propose favorable outcomes when utilizing locked plating (LP).
View Article and Find Full Text PDFEffectiveness of Delayed Surgical Treatment for Distal Radius Fractures With Loss of Reduction.
J Hand Surg Am
November 2024
Department of Orthopaedics and Traumatology, Adıyaman University Training and Research Hospital, Adıyaman, Türkiye.
Purpose: This study investigated the effectiveness of volar plate surgery in patients with distal radius fractures (DRFs) initially treated nonsurgically but later experiencing reduction loss during follow-ups. Specifically, it assessed the impact of early surgery (E) (<3 weeks) versus delayed surgery (D) (3-6 weeks) on wrist function in surgically treated DRFs.
Methods: This retrospective study included 131 patients who underwent surgery after loss of reduction.
Incidence and predictors of dorsal comminution in older adults with low-energy distal radius fracture.
Eur J Trauma Emerg Surg
December 2024
Department of Orthopaedic Surgery, Hospital of Chung-Ang University of Medicine, 224-1 Heukseok-dong, Dongjak-gu, Seoul, 156-755, Republic of Korea.
Purpose: To identify the incidence of dorsal comminution using computed tomography (CT) images and identify predictors of this phenomenon in older adults with low-energy distal radius fractures (DRFs).
Methods: A total of 150 patients aged > 50 years with fall-induced dorsally angulated DRFs were enrolled in this study. Patients were divided into two groups based on the presence of dorsal comminution, defined as a metaphyseal void of greater than one-third of the maximum posterior to anterior depth of the bone on at least three cuts in the sagittal plane on post-reduction CT images.
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