Risk Factors Associated With The Early Failure Of Cannulated Hip Screws / Robert W. Jordan in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.34-38 Titre : Risk Factors Associated With The Early Failure Of Cannulated Hip Screws Type de document : texte imprimé Auteurs : Robert W. Jordan, Auteur Année de publication : 2014 Article en page(s) : p.34-38 Langues : Français (fre) Résumé : Aim : We report our experience with cannulated hip screws and analyse the risk factors associated with their early failure. Materials and methods : All patients undergoing cannulated hip screws at a single UK Major Trauma Centre between November 2009 and November 2011 were retrospectively identified. Radiographs were ana­lysed for fracture displacement, successful reduction, and screw configuration. Risk factors predicting early failure, defined as re-operation within 6 months, were identified using logistic regression models. Results : 340 patients were included in the study, 70% were female and the mean age was 81 years. After six months 23% patients had undergone revision surgery. Initial fracture displacement (p = 0.02) and unsuccessful lateral reduction (p = 0.04) were significant predictors of early failure. Conclusion : Initial fracture displacement and successful fracture reduction are the most important factors­ related to the risk of early re-operation. We found no evidence that screw configuration is an important predictor of outcome. Permalink : ./index.php?lvl=notice_display&id=33522 [article] Risk Factors Associated With The Early Failure Of Cannulated Hip Screws [texte imprimé] / Robert W. Jordan, Auteur . - 2014 . - p.34-38. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.34-38 Résumé : Aim : We report our experience with cannulated hip screws and analyse the risk factors associated with their early failure. Materials and methods : All patients undergoing cannulated hip screws at a single UK Major Trauma Centre between November 2009 and November 2011 were retrospectively identified. Radiographs were ana­lysed for fracture displacement, successful reduction, and screw configuration. Risk factors predicting early failure, defined as re-operation within 6 months, were identified using logistic regression models. Results : 340 patients were included in the study, 70% were female and the mean age was 81 years. After six months 23% patients had undergone revision surgery. Initial fracture displacement (p = 0.02) and unsuccessful lateral reduction (p = 0.04) were significant predictors of early failure. Conclusion : Initial fracture displacement and successful fracture reduction are the most important factors­ related to the risk of early re-operation. We found no evidence that screw configuration is an important predictor of outcome. Permalink : ./index.php?lvl=notice_display&id=33522

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The value of manipulation of displaced distal radius fractures in the emergency department / Robert W. Jordan in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 203-209 Titre : The value of manipulation of displaced distal radius fractures in the emergency department Type de document : texte imprimé Auteurs : Robert W. Jordan ; Rahil Naeem ; Saqiba Jadoon ; [et al...] Année de publication : 2016 Article en page(s) : p. 203-209 Langues : Anglais (eng) Mots-clés : radius  fracture  réduction Résumé : The aim of this study was to report the success of maintaining reduced distal radius fractures with cast immobilisation and analyse risk factors for redisplacement. A retrospective analysis of distal radius fracture manipulated between April 2011 and 2013 was conducted. Age, gender, fracture classification, ulna fracture, dorsal comminution and volar alignment were recorded. Reduction and redisplacement were measured using Sarmiento’s modification of Lidstrom’s system. 110 patients were included ; mean age 62.8 years and 83.4% female. The AO classification was used to grade initial fractures A2 (44%), A3 (25%), C1 (20%) and C2 (10%). 86.4% of cases were improved following manipulation, although 48.4% redisplaced and 27.4% required surgical intervention. The radial length (60%) was harder to maintain than dorsal alignment (44%) in cases of redisplacement. Successful alignment of the volar cortices was associated with a statistically significant reduction in redisplacement (p = 0.024). Manipulation of distal radius fractures is initially beneficial but half of cases redisplace. Permalink : ./index.php?lvl=notice_display&id=46084 [article] The value of manipulation of displaced distal radius fractures in the emergency department [texte imprimé] / Robert W. Jordan ; Rahil Naeem ; Saqiba Jadoon ; [et al...] . - 2016 . - p. 203-209. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 203-209 Mots-clés : radius  fracture  réduction Résumé : The aim of this study was to report the success of maintaining reduced distal radius fractures with cast immobilisation and analyse risk factors for redisplacement. A retrospective analysis of distal radius fracture manipulated between April 2011 and 2013 was conducted. Age, gender, fracture classification, ulna fracture, dorsal comminution and volar alignment were recorded. Reduction and redisplacement were measured using Sarmiento’s modification of Lidstrom’s system. 110 patients were included ; mean age 62.8 years and 83.4% female. The AO classification was used to grade initial fractures A2 (44%), A3 (25%), C1 (20%) and C2 (10%). 86.4% of cases were improved following manipulation, although 48.4% redisplaced and 27.4% required surgical intervention. The radial length (60%) was harder to maintain than dorsal alignment (44%) in cases of redisplacement. Successful alignment of the volar cortices was associated with a statistically significant reduction in redisplacement (p = 0.024). Manipulation of distal radius fractures is initially beneficial but half of cases redisplace. Permalink : ./index.php?lvl=notice_display&id=46084

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