An unstable distal radius fracture is one that is not capable of resisting displacement after initial closed reduction. The challenge in managing distal radius fractures is identifying which fractures are prone to displacement. Currently, there are no standard criteria for assessing the stability of distal radius fractures. The fracture pattern and patient characteristics should be taken into consideration when treating distal radius fractures. This article discusses how to recognize and manage distal radius fractures that are prone to displacement.
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http://dx.doi.org/10.1016/j.hcl.2023.02.004 | DOI Listing |
BMC Surg
December 2024
Department of Hand (Micro) Surgery, Binzhou Medical University Hospital, Binzhou, Shandong, China.
Purpose: Achieving and maintaining an optimal reduction in partially or fully displaced intra-articular fractures, specifically Type C distal radius fractures, can present challenges. This study aims to retrospectively evaluate and summarize a method utilizing multi-directional temporary Kapandji technique in combination with the volar locking plate fixation for these fractures.
Method: The study involved 15 patients diagnosed with Type C distal radius fractures who underwent surgery between January 2024 and April 2024.
Knee
December 2024
Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
Aims: The aim of the present study was to evaluate the morphology of the distal medial femoral surface during coronal osteotomy in medial closed wedge distal femoral varus osteotomy (MCWDFO) using plain CT.
Methods: Twenty knees (mean age, 55.3 years) were included.
Background: Distal radius fractures (DRFs) are some of the most common injuries suffered by the elderly; however, there are varied opinions on management. As there is limited research on patient factors affecting functional outcomes in conservatively managed patients with DRFs, this study aimed to find predictive factors for functional outcomes in such patients.
Methods: Patients with DRFs satisfying the inclusion criteria were managed with closed reduction and slab followed by cast application.
J Hand Surg Glob Online
November 2024
The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD.
Purpose: Osteoporotic patients are at risk of peri-implant fractures after distal radius fixation. A unicortical screw in the proximal hole of the plate can theoretically decrease stress riser formation by eliminating the hole in the far bone cortex. This construct has been proposed in orthopedic literature to prevent peri-implant fractures but has not been tested in an osteoporotic distal radius model.
View Article and Find Full Text PDFJ Hand Surg Glob Online
November 2024
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.
Purpose: This study aimed to identify which patients were "unsafe" for outpatient surgery patients and determine the most predictive demographic and clinical factors contributing to postoperative risk following open reduction internal fixation for distal radius fractures.
Methods: Adult patients (aged ≥18 years) who presented with distal radius fracture and underwent open reduction internal fixation were identified using the American College of Surgeons National Surgical Quality Improvement Program database for years 2016 to 2021. Patients who were deemed "unsafe" therefore contraindicated for outpatient open reduction internal fixation of distal radius fracture if they required admission (length of stay of one or more days) or experienced any complication or required readmission within 7 days of the index operation.
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