AI Article Synopsis
- This study focused on the treatment of distal radius fractures, aiming to evaluate the impact of preoperative reduction on postoperative outcomes.
- Eighty patients were analyzed, undergoing open reduction and internal fixation, with measurements taken of the palmar inclination angle through X-rays.
- Results showed that neither initial repositioning nor delays of up to 14 days before surgery significantly affected the palmar inclination, suggesting that preoperative reduction may not be essential for better outcomes in these cases.
Article Abstract
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. 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. 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. 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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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11051345 | PMC |
| http://dx.doi.org/10.3390/jcm13082316 | DOI Listing |
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