Evaluation of Treatment of Low-energy Distal Radial Fractures in Postmenopausal Women
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2017, Vol 19, Issue 1
Abstract
[b]Background.[/b] Distal radial fractures are one of the most common injuries seen in traumatology. Most are treated conservatively with closed reduction and immobilisation in a plaster cast. However, this method does not always allow for achieving and maintaining normal fracture reduction in unstable fractures. The aim of this study was assess clinical and radiographic outcomes of treatment of distal radial fractures depending on the method used.[b]Material and methods.[/b] A total of 77 postmenopausal female subjects were divided into three subgroups, depending on the treatment methods: 1. closed reduction and immobilisation in a plaster cast; 2. closed reduction and percutaneous fixation with K wires; 3. open reduction and fixation with a locking plate. Follow-up examinations took place at 4 and 12 months post injury and involved measurements of the range of motion in the radiocarpal joint and hand grip strength. The results were classified according to the Mayo Wrist Score. X-ray images were used to mark parameters of radiographic assessment of the distal radius and the results were classified according to the radiographic Lidstrom score.[b]Results.[/b] The percentage of excellent and good results was significantly higher in both surgically treated groups (plate: 92.6%, K wires: 88.0%) than in the group treated conservatively (48%).[b]Conclusion.[/b] 1.The percentage of excellent and good results from both surgically treated groups (plate: 92.6%, K wires: 88.0%) was significantly higher than in the group treated conservatively (48%). 2. Open reduction with locking plate fixation of distal radial fractures produces better functional outcomes in the early postoperative period and reduces the risk of development of complex regional pain syndrome.
Authors and Affiliations
Mariusz Tomaszuk, Jan Kiryluk, Andrzej Tomaszuk, Janusz Popko
Keywords
Related Articles
- EP ID EP207160
- DOI -
- Views 69
- Downloads 0
Siła mięśni antygrawitacyjnych a siła prostownika grzbietu u dzieci ze skoliozami
Wstęp. Z przeglądu piśmiennictwa wynika, że w programie reedukacji posturalnej znaczące miejsce zajmują ćwiczenia wzmacniające mięśnie prostujące grzbietu. Ćwiczenia te wykonywane są zwykle w pozycjach innych niż pionowe...
A Modified Technique of Using the S-Quattro External Finger Fixation System- A Case Report
Fractures of the phalangeal joints of the hand present a challenging problem because of the small size of the fracture fragments, limiting internal fixation, and their articular nature necessitating early mobilisation to...
A New Syndrome Sheds Light on Old Medical & Rehabilitative Dilemmas: Paraparesis due to Rhabdomyolysis and bilaterally symmetric Compartment Syndrome in four patients
Via our description of a seemingly heterogenous group of four patients who presented to our rehabilitation facility with a rather unusual clinical presentation of compartment syndrome with development of a flaccid parapa...
Stimulation of Bone Union with Dynamic Beams of Konzal’s “R” External Fixator
Background. Treatment of septic long bone non-union remains a complex therapeutic problem. External stabilisation with Konzal's R fixator has been used in the Orthopaedic Department of CPME for years and allows for rigid...
Rehabilitation after damage to the anterior cruciate ligament for persons actively participating in sport
Background. The goal of our research was to evaluate the effectiveness of rehabilitation in cases of major damage to the anterior cruciate ligament. Material and methods. The research involved a group of 80 persons in re...