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ISSN 1684-1824 (Electronic)

2022, Number 2

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Rev Méd Electrón 2022; 44 (2)

Behavior of patients with unstable distal radius fractures treated by external fixation

Álvarez-López A, Soto-Carrasco SR, Fuentes-Véjar R, García-Lorenzo YC

Language: Spanish
References: 29
Page: 333-344
PDF size: 829.58 Kb.


ABSTRACT

Introduction: distal radius fracture is one of the most frequent traumatic entities due which patients come to Traumatology emergency services. Although their treatment is usually conservative, there are situations where surgery with external fixation is necessary.
Objetive: to evaluate the results of external fixation in patients with unstable distal radius fractures.
Materials and methods: a pre-experimental study was carried out in patients with unstable fractures of the distal radius treated by external fixation at the Provincial Clinical Surgical Teaching Hospital Manuel Ascunce Domenech, of Camagüey, between April 2018 and May 2021. The research has IV level of evidence, D recommendation.
Results: the average age of the 41 patients was 40.5 years old, with minimum age of 20 and maximum age of 68 years. Female sex prevalence was observed (25 patients, 61%). The female-male sex ratio was 1.5 to 1, and the left-right wrist condition was 1.9 to 1. Significance was found between before and after using the imaging parameters and the evaluative scales, with improvement in both cases.
Conclusions: external fixation in unstable distal radius fracture is effective at twelve months in most patients. Complications are minimal and if they are present, they favorably answer to treatment.


REFERENCES

  1. Chung KC, Cho HE, Kim Y, et al. Assessment of anatomic restoration of distal radius fractures among older adults: a secondary analysis of a randomized clinical trial. JAMA Netw Open. 2020 Jan;3(1):[aprox. 6 pantallas]. Citado en PubMed; PMID: 31951273.

  2. Curtis DM, Lee CS, Boyajian HH, et al. Effect of global fracture care billing on distal radius fractures. Orthopedics. 2020 Sep;43(5):[aprox. 4 pantallas]. Citado en PubMed; PMID: 32501523.

  3. Yan B, Chen Y, Yin W. Influence of distal radius fractures involving the intermediate column on forearm rotation. J Orthop Surg Res. 2019 Apr;14(1):[aprox. 3 pantallas]. Citado en PubMed; PMID: 31018858.

  4. Egol KA, Koval KJ, Zuckerman JD. Handbook of fractures. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2019. p. 284-95.

  5. Eltorai AEM, Sobel AD, Thomas NP Jr, et al. Current trends in the management of distal radius fractures. Orthopedics. 2017 May;40(3):[aprox. 7 pantallas]. Citado en PubMed; PMID: 28112784.

  6. Boydstun S, Nash L, Rayan GM. Distal radius fracture fixation devices and their radiographs. J Hand Surg Asian Pac Vol. 2019 Dec;24(4):[aprox. 8 pantallas.]. Citado en PubMed; PMID: 31690197.

  7. Canhoto-Carula B, Da Silva-Pereira M, Bonilauri-Ferreira AP, et al. Analysis of the clinical and radiological results of bridge plate versus external fixation in comminuted distal radius fractures. Rev Bras Ortop (São Paulo). 2021 Feb;56(1):[aprox. 9 pantallas]. Citado en PubMed; PMID: 33627901

  8. Yu X, Yu Y, Shao X, et al. Volar locking plate versus external fixation with optional additional K-wire for treatment of AO type C2/C3 fractures: a retrospective comparative study. J Orthop Surg Res. 2019 Aug;14(1):[aprox. 4 pantallas]. Citado en PubMed; PMID: 31455394.

  9. Hanus M, Hanák F, Štastný E, et al. Surgical treatment of fractures of the distal radius - ORIF vs external fixation with ligamentotaxis. Rozhl Chir. 2020 Summer;99(8):[aprox.6 pantallas]. Citado en PubMed; PMID: 33032438.

  10. Marcio-Aita A, Lucas-Rodríguez F, Riveiro-Alves KHC, et al. Bridging versus Nonbridging Dynamic External Fixation of Unstable Distal Radius Fractures in the Elderly with Polytrauma: A Randomized Study. J Wrist Surg. 2019;8(5):[aprox. 7 pantallas]. Citado en PubMed; PMID: 31579551.

  11. Della-Rosa N, Bertozzi N, Adani R. Biomechanics of external fixator of distal radius fracture, a new approach: Mutifix Wrist. Musculoskelet Surg. 2020 Aug;106(1)89-97. Citado en PubMed; PMID: 32785816.

  12. Xie M, Yinghao Cao MM, Cai X, et al. The effect of a PEEK material-based external fixator in the treatment of distal radius fractures with non-transarticular external fixation. Orthop Surg [Internet]. 2021 Feb [citado 25/05/2021];13(1):[aprox. 7 pantallas]. Disponible en: Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/os.12837 12.

  13. Evans BT, Harper CM, Rozenthal TD. Fractures of the distal radius and ulna. En: Tornetta P, Ricci WM, Ostrum RF, et al. Rockwood and Green's Fractures in Adults. 9th ed. Philadelphia: Wolters Kluwer; 2020. p. 2539-85.

  14. Rundgren J, Enocson A, Navarro CM, et al. Responsiveness of EQ-5D in patients with distal radius fracture. Hand (NY). 2018 Sep;13(5):572-80. Citado en PubMed; PMID: 28836456.

  15. Cheng P, Wu F, Chen H, et al. Early hybrid nonbridging external fixation of unstable distal radius fractures in patients aged 50 years. J Int Med Res. 2020 Apr;48(4):[aprox. 10 pantallas]. Citado en PubMed; PMID: 31868044.

  16. Ali M, Eiriksdottir A, Murtadha M, et al. Incidence of distal radius fracture in a general population in southern Sweden in 2016 compared with 2001. Osteoporos Int. 2020;31(4):715-20. Citado en PubMed; PMID: 31930451.

  17. With-Solvang H, Andre-Nordheggen R, Clementsen S, et al. Epidemiology of distal radius fractures in Akershus, Norway, in 2010-2011. J Orthop Surg Research [Internet]. 2018 [citado 25/05/2021];13:[aprox. 7 pantallas]. Disponible en: Disponible en: https://josr-online.biomedcentral.com/articles/10.1186/s13018-018-0904-0 17.

  18. Hevonkorpi TP, Launonen AP, Huttunen TT, et al. Incidence of distal radius fracture surgery in Finn aged 50 years or more between 1998 and 2016 - too many patients are yet operated on? BMC Musculoskeletal Disorders [Internet]. 2018 [citado 25/05/2021];19(70):[aprox. 6 pantallas]. Disponible en: Disponible en: https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-018-1983-0 18.

  19. Rundgren J, Bojan A, Mellstrand Navarro C, et al. Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register. BMC Musculoskelet Disord. 2020 Feb;21(1). Citado en PubMed; PMID: 32035488.

  20. Ficke B, Ransom EF, Hess MC, et al. Outcomes of staged treatment for complex distal radius fractures. Cureus. 2018 Sep;10(9):e3273. Citado en PubMed; PMID: 3044344.

  21. Saving J, Heintz E, Pettersson H, et al. Volar locking plate versus external fixation for unstable dorsally displaced distal radius fractures-A 3-year cost-utility analysis. PLoS One. 2020 Oct;15(10). Citado en PubMed; PMID: 33031472.

  22. Ma C, Deng Q, Pu H, et al. External fixation is more suitable for intra-articular fractures of the distal radius in elderly patients. Bone Res. 2016 Jun;4:[aprox. 9 pantallas]. Citado en PubMed; PMID: 27408765.

  23. Sharma A, Pathak S, Sandhu H, et al. Prospective randomized study comparing the external fixator and volar locking plate in intraarticular distal radius fractures: which is better? Cureus. 2020 Feb;12(2). Citado en PubMed; PMID: 32181084.

  24. Liu Y, Bai YM. Efficacy of non-bridging external fixation in treating distal radius fractures. Orthop Surg. 2020 Jun;12(3). Citado en PubMed; PMID: 32343053.

  25. Rosenauer R, Pezzei C, Quadlbauer S, et al. Complications after operatively treated distal radius fractures. Arch Orthop Trauma Surg. 2020 May;140(5). Citado en PubMed; PMID: 32193674.

  26. Crijns TJ, Van der Gronde B, Ring D, et al. Complex regional pain syndrome after distal radius fracture in uncommon and is often associated with fibromyalgia. Clin Orthop Relat Res. 2018;476(4). Citado en PubMed; PMID: 29419627.

  27. Huang YY, Tung-Yi L, Chien-Hao CH, et al. Surgical outcomes of elderly patients aged more than 80 years with distal radius fracture: comparison of external fixation and locking plate. BMC Musculoskelet Disord [Internet]. 2020 Feb [citado 25/05/2021];21(91):[aprox. 3 pantallas]. Disponible en: Disponible en: https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-020-3101-3 27.

  28. Ermutlu C, Mert M, Kovalak E, et al. Management of distal radius fractures: comparison of three methods. Cureus. 2020 Aug;12(8). Citado en PubMed; PMID: 32963915.

  29. Dwyer CL, Crosby NE, Cooney T, et al. Treating unstable distal radius fractures with a nonspanning external fixation device: comparison with volar locking plates in historical control group. Am J Orthop (Belle Mead NJ) [Internet]. 2017 Sep-Oct;46(5). Citado en PubMed; PMID: 29099892.




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