Background: Distal radius fractures (DRFs) are a common orthopaedic injury, often requiring surgical intervention. Routine postoperative radiographs are frequently obtained after surgical fixation to ensure adequacy of fixation and rule out early complications, yet their necessity remains unclear. Through this study, we tried to evaluate the impact of routine postoperative radiographs on the management of DRFs. The objective was to determine whether routine postoperative radiographs are necessary for the effective management of patients following surgical fixation of DRFs using volar locking plates.
Methods: A review of 176 patients who underwent distal radius open reduction and internal fixation with volar locking plates at a UK district general hospital was conducted over a period of two years. Data on patient demographics, fracture characteristics, postoperative imaging new findings, and management changes were collected and analysed. The primary outcome measure was the rate of reoperation based on new findings in the routine postoperative radiographs.
Results: Routine postoperative radiographs were obtained in all the cases, with only 1% (one patient) requiring reoperation based on the presence of new findings on the postoperative radiographs. Approximately 8% (12 patients) experienced a change in their management in the form of prolonged cast immobilization.
Conclusion: Routine postoperative radiographs for DRFs with open reduction internal fixation may have limited impact on management decisions. The study highlights the potential overutilization of postoperative radiographs, leading to increased healthcare costs and radiation exposure. Based on the study's findings, a case-by-case approach, considering fracture type, associated injuries, and clinical indications, is advocated. Reducing the use of routine radiographs could save resources and reduce unnecessary radiation exposure without compromising patient care.
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http://dx.doi.org/10.7759/cureus.73960 | DOI Listing |
Hand Surg Rehabil
December 2024
Institut Main Nantes Atlantique, Boulevard Charles-Gautier, 44800 Saint-Herblain, France. Electronic address:
Introduction: Destruction of the metacarpophalangeal joint can result in disabling pain and stiffness. Several therapeutic options are available, including pyrocarbon interposition implants. The primary endpoint of this study was assessment of clinical and radiographic outcomes in 34 patients treated with HAPY® pyrocarbon interposition implants (Tornier, Grenoble, France) with a minimum follow-up of 3 years.
View Article and Find Full Text PDFClin Neurol Neurosurg
December 2024
Case Western Reserve University School of Medicine, Cleveland, OH, United States; Department of Neurological Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, United States. Electronic address:
Background: Degenerative cervical myelopathy is one of the most common causes of spinal cord dysfunction. Cervical laminoplasty is an excellent surgical procedure that address the underlying pathology along with motion preservation with various advantages over other surgical options. While the advantages are intuitive and are being proven in multiple recent studies, concerns regarding failure still remains precluding wider utilization despite evidence to the contrary.
View Article and Find Full Text PDFPituitary
December 2024
Computational Neuroscience Outcomes Center, Harvard Medical School, Boston, Massachusetts, USA.
Purpose: The objective of this study was to characterize the clinical characteristics and factors predictive of biochemical remission in patients with symptomatic acromegaly undergoing transsphenoidal surgery (TSS) at an academic tertiary care center, as defined by the 2022 Acromegaly Consensus Conference guidelines.
Methods: In this single institution, longitudinal, retrospective study, a large cohort of 158 patients with a preoperative diagnosis of acromegaly undergoing surgery at a large, academic, tertiary care center were examined. We excluded 38 patients as IGF-1 testing was performed less than 12 weeks postoperatively.
BMC Musculoskelet Disord
December 2024
Department of Traumatology, Hand Surgery and Sports Medicine, ViDia Clinics Karlsruhe, Steinhaeusserstr. 18, Karlsruhe, D-76135, Germany.
Purpose: The aim of the study was to determine preoperative patient- and fracture-related risk factors for estimating the risk of fracture sequelae after surgically treated proximal humerus fractures (PHF) using locking plate osteosynthesis. The purpose was to develop a fracture sequelae risk score as an additional tool to facilitate the treatment strategy for PHF.
Methods: All patients with PHF who underwent surgery with locking plate osteosynthesis were included.
Spine J
December 2024
Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University.. Electronic address:
Background Context: Hybrid surgery (HS), which involves both anterior cervical discectomy and fusion (ACDF) and cervical disc replacement (ACDR), is increasingly used to treat multilevel cervical disc degenerative disease, yielding satisfactory clinical outcomes. Early fusion is critical after anterior cervical fusion surgeries, but there are no studies comparing the rate of early fusion of HS with that of ACDF.
Purpose: The purpose of this study was to compare the rate of early fusion (3-6 months postoperatively) of two-level HS with that of two-level ACDF surgery.
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