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2021, Number 2

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Ortho-tips 2021; 17 (2)

Clinical radiological evaluation of the use of a new device for the closed reduction of distal radio fractures

Sáyago RF, García TGS

Language: Spanish
References: 26
Page: 98-107
PDF size: 372.38 Kb.


ABSTRACT

Distal radius fractures are frequent and represent 55% of the total in children and adults as well as 1.5% of the total emergency room visits. In children, 90% are managed with closed reduction and application of plaster; in adults, treatment varies according to type, experience of the doctor and general condition of the patient. In this setting, it is common for primary care to be delayed due to empirical events, causing significant inflammation and edema, which makes the closed reduction of the fracture difficult, causing the need for open reduction. The present work shows a steel device, designed for the closed reduction of distal radius fractures that was used in public hospitals in Navojoa, Sonora, Mexico. Thirty patients with displaced distal radius fracture with an evolution between one and seven days, from 2017 to 2019, were documented. Standard radiological measurements were performed before and after reduction, obtaining results of 96.66% of the cases with satisfactory alignment, and statistically significant difference between pre and post indices (p < 0.05). One case required surgical treatment for poor correction, no distal neurovascular complications caused by the reduction mechanism were documented. Biomechanical tests were performed on the device that showed advantages over the traditional thumb reduction technique. It is concluded that this device for the closed reduction of distal radius fractures is an effective tool and that it is possible to favor its use.


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