2016, Number 3
<< Back Next >>
Acta Med 2016; 14 (3)
External fixation of distal articular radius fractures in women upper 65 years old
Hernández GC, Salas MGA, Rodríguez REJ
Language: Spanish
References: 22
Page: 136-142
PDF size: 240.78 Kb.
ABSTRACT
Background: Radius fracture represents 17-20% of total injuries treated in emergency rooms, being the most common fracture of upper extremity with incidence of 100-350/100,000 cases per year.
Objective: To determine if external fixation with supplementary interfragmentary Kirschner wires results into a better functional result.
Material and methods: Descriptive, observational, transverse study, from January to December 2012, including surgery results of distal radius fracture clasification AO23C1 in women upper of 65 years old treated with external fixation with or without supplementary wires.
Results: for the group of patients with supplementary wires 87.5% (n = 14) observed good results, and 12.5% (n = 2) bad ones; for the group without supplementary wires 90.90% (n = 10) observed good results, and 9.09% (n = 1) bad one.
Conclusions: Adding supplementary wires to external fixation is not statistically significant.
REFERENCES
De Moulin D. Fracture of the lower end of the radius: an obscure injury for many centuries. Arch Chir Neerl. 1977; 29: 213-216.
Serrano de la Cruz F. Fracturas distales de radio. Clasificación y tratamiento conservador. Revista Española de Cirugía Osteoarticular. 2008; 46: 141-154.
Handoll HH, Huntley JS, Madhok R et al. External fixation versus conservative treatment for distal radial fractures in adults. Cochrane Database Syst Rev. 2007; 18 (3): CD006194.
Young BT, Rayan GM. Outcome following nonoperative treatment of displaced distal radius fractures in low-demand patients older than 60 years. J Hand Surg Am. 2000; 25: 19-28.
Green DP y cols. Fracturas del extremo distal del radio. En: Fernández DL, Wolfe SW. Green’s operative hand surgery. 5th ed., Madrid España, Editorial Marbán, 2007, pp. 645-710.
Weil WM, Trumble TE. Treatment of articular distal radial fractures by intrafocal pinning with arum pins. Hand Clinics. 2005; 21: 317-328.
Metha SP, McDermid JC, Richardson J et al. A systematic review of the measurement properties of the patient-rated wrist evaluation. J Orthop Sports Phys Ther. 2015; 45: 289-298.
Amorosa LF, Vitale MA, Brown S et al. A functional outcomes survey of elderly patients who sustained distal radius fractures. Hand. 2011; 6: 260-267.
Diaz-Garcia RJ, Oda T, Shauver MJ et al. A systematic review of outcomes and complications of treating unstable distal radius fractures in the elderly. J Hand Surg Am. 2011; 36: 824-835.
Sigurdardottir K, Halldorsson S, Robertsson J et al. Epidemiology and treatment of distal radius fractures in Reykjavik, Iceland in 2004: Comparison with an Icelandic study from 1985. Acta Orthop. 2011; 82: 494-498.
Lin C, Sun JS, Hou SM et al. External fixation with or without supplementary intramedullary Kirschner wires in the treatment of distal radial fractures. Can J Surg. 2004; 47: 431-437.
Nana AD, Joshi A, Litchman DM et al. Plating of the distal radius. J Am Acad Orthop Surg. 2005; 13: 159-171.
Jupiter JB. Complex articular fractures of the distal radius: Classification and management. J Am Acad Orthop Surg. 1997; 5: 119-129.
Gausepohl T, Pennig D, Mader K et al. Principles of external fixation and supplementary techniques in distal radius fractures. Injury. 2000; 31: 56-70.
Blackeney WG. Stabilization and treatment of Colle’s fractures in elderly patients. Clin Interv Aging. 2010; 5: 337-344.
Fernandez DL, Geissler WB. Treatment of displaced articular fractures of the radius. J Hand Surg Am. 1991; 16: 375-84.
Valenzuela G, Fuentes C, Zárate H. ¿Qué hay de nuevo en el tratamiento de las fracturas de radio distal? Revista Boliviana de Ortopedia y Traumatología. 2007; 17: 4-13.
Egol KA, Paksima N, Puopolo S et al. Treatment of external fixation pins about the wrist: A prospective, randomized trial. J Bone Joint Surg Am. 2006; 88: 349-354.
Synn AJ, Makhni BS, Makhni MC et al. Distal radius fractures in older patients: Is anatomic reduction necessary? Clin Orthop Relat Res. 2009; 467: 1612-1620.
McQueen MM et al. Redisplaced unstable fractures of the distal radius. A randomised, prospective study of bridging versus non-bridging external fixation. J Bone Joint Surg. 1998; 80: 665-669.
Rangel RR, Durán MN, Matus JJ y cols. Evaluación clínico-radiológica de fracturas distales de radio tratadas con técnica percutánea. Acta Ortopédica Mexicana. 2010; 24: 169-176.
Slutsky DJ. External fixation of distal radial fractures. J Hand Surg Am. 2007; 32: 1624-1637.