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

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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