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Analysis of soft-tissue complications of volar plate fixation for managing distal radius fractures and clinical effect while preserving pronator quadratus / Jian Fan in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
Titre : Analysis of soft-tissue complications of volar plate fixation for managing distal radius fractures and clinical effect while preserving pronator quadratus Type de document : texte imprimé Auteurs : Jian Fan ; Bo Jiang ; Bing Wang ; [et al...] Année de publication : 2016 Article en page(s) : p. 305-312 Langues : Anglais (eng) Mots-clés : fracture radius chirurgie Résumé : The aim of the study was to analysis soft-tissue complications of volar plate fixation and it’s prevention strategies along with exploring clinical effects of preserving pronator quadratus (PQ) muscle. From February 2011 to February 2013, sixty-five patients with distal radius fracture underwent open reduction and internal fixation with the volar locking palmar plates. The group with preserving PQ involved 30 patients and group with PQ repair involved 35 patients. Surgeons must took great care of not letting drill pierce dorsal cortical bone rapidly and dorsal carpal tangential fluoroscopy was also taken in addition to lateral fluoroscopy to get accurate screw length. Volar plate must be placed not go beyond the watershed region of distal radius. The wrist pain, forearm range of motion, grip strength, wrist functional recovery score, X-ray and CT imaging were followed-up after surgery. Two groups were compared for Clinical efficacy. The minimum follow-up for the whole cohort was one year. The relevant post operative data were collected after 2 weeks, 6 weeks, 3 and 12 month respectively. Fractures healing after postoperative 3 months are significant in X -ray and CT imaging. Fixation position and stability were good, but each group had one case with a screw piercing the dorsal cortical. The differences between the two groups were significant regarding the wrist pain, forearm range of motion, grip and strength at 2 and 6 weeks after operation, but not significant at 3 and 12 month after operation. The differences between the two groups were also significant regarding wrist functional scores at 6 weeks, but not significant at 3 and 12 month after operation. Drilling the dorsal cortical bone gently and accurate screws length can avoid extensor tendon injury. Dorsal carpal tangential fluoroscopy is a useful supplement for accurate screws length besides lateral fluoroscopy. Volar plate’s position not go beyond the watershed region of distal radius is the key factor in reducing the flexor tendon injury and preservation of the PQ muscle can also prevent the flexor tendon injury, yield better early wrist function and shorten rehabilitation time. Permalink : ./index.php?lvl=notice_display&id=46098
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 305-312[article] Analysis of soft-tissue complications of volar plate fixation for managing distal radius fractures and clinical effect while preserving pronator quadratus [texte imprimé] / Jian Fan ; Bo Jiang ; Bing Wang ; [et al...] . - 2016 . - p. 305-312.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 305-312
Mots-clés : fracture radius chirurgie Résumé : The aim of the study was to analysis soft-tissue complications of volar plate fixation and it’s prevention strategies along with exploring clinical effects of preserving pronator quadratus (PQ) muscle. From February 2011 to February 2013, sixty-five patients with distal radius fracture underwent open reduction and internal fixation with the volar locking palmar plates. The group with preserving PQ involved 30 patients and group with PQ repair involved 35 patients. Surgeons must took great care of not letting drill pierce dorsal cortical bone rapidly and dorsal carpal tangential fluoroscopy was also taken in addition to lateral fluoroscopy to get accurate screw length. Volar plate must be placed not go beyond the watershed region of distal radius. The wrist pain, forearm range of motion, grip strength, wrist functional recovery score, X-ray and CT imaging were followed-up after surgery. Two groups were compared for Clinical efficacy. The minimum follow-up for the whole cohort was one year. The relevant post operative data were collected after 2 weeks, 6 weeks, 3 and 12 month respectively. Fractures healing after postoperative 3 months are significant in X -ray and CT imaging. Fixation position and stability were good, but each group had one case with a screw piercing the dorsal cortical. The differences between the two groups were significant regarding the wrist pain, forearm range of motion, grip and strength at 2 and 6 weeks after operation, but not significant at 3 and 12 month after operation. The differences between the two groups were also significant regarding wrist functional scores at 6 weeks, but not significant at 3 and 12 month after operation. Drilling the dorsal cortical bone gently and accurate screws length can avoid extensor tendon injury. Dorsal carpal tangential fluoroscopy is a useful supplement for accurate screws length besides lateral fluoroscopy. Volar plate’s position not go beyond the watershed region of distal radius is the key factor in reducing the flexor tendon injury and preservation of the PQ muscle can also prevent the flexor tendon injury, yield better early wrist function and shorten rehabilitation time. Permalink : ./index.php?lvl=notice_display&id=46098 Exemplaires (1)
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Exclu du prêtHand Function, Experienced Pain, and Disability After Distal Radius Fracture / Karin YDREBORG in American Journal of Occupational Therapy, Vol. 69/1 (janvier-février 2015)
[article]
Titre : Hand Function, Experienced Pain, and Disability After Distal Radius Fracture Type de document : texte imprimé Auteurs : Karin YDREBORG ; et al. ; Ingrid STEINVALL ; Christina ENGSTRAND Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Fracture Radius Main Douleur Fixateur externe Résumé : OBJECTIVE. We sought to explore differences in range of motion (ROM), grip strength, and self-reported pain and disability over time after plate-fixation surgery for distal radius fracture.
METHOD. We used a prospective repeated-measures research design with four measure points for a study sample of 101 patients. The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire; the Global Assessment Scale; and the Canadian Occupational Performance Measure were used to assess ROM, grip strength, and pain level.
RESULTS. ROM and grip strength improved over time. Pain improved until 6 mo after surgery but greatly deteriorated from 6 to 24 mo. Concurrently, overall discomfort (global index) from the wrist extensively improved from 12 to 24 mo. DASH score decreased 20.1 points from 6 wk to 6 mo and remained stable until 24 mo.
CONCLUSION. Even when ROM and grip strength were almost fully regained at 12 mo, pain at rest and during activity was still an issue at 24 mo.Permalink : ./index.php?lvl=notice_display&id=35334
in American Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015)[article] Hand Function, Experienced Pain, and Disability After Distal Radius Fracture [texte imprimé] / Karin YDREBORG ; et al. ; Ingrid STEINVALL ; Christina ENGSTRAND . - 2015.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/1 (janvier-février 2015)
Mots-clés : Fracture Radius Main Douleur Fixateur externe Résumé : OBJECTIVE. We sought to explore differences in range of motion (ROM), grip strength, and self-reported pain and disability over time after plate-fixation surgery for distal radius fracture.
METHOD. We used a prospective repeated-measures research design with four measure points for a study sample of 101 patients. The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire; the Global Assessment Scale; and the Canadian Occupational Performance Measure were used to assess ROM, grip strength, and pain level.
RESULTS. ROM and grip strength improved over time. Pain improved until 6 mo after surgery but greatly deteriorated from 6 to 24 mo. Concurrently, overall discomfort (global index) from the wrist extensively improved from 12 to 24 mo. DASH score decreased 20.1 points from 6 wk to 6 mo and remained stable until 24 mo.
CONCLUSION. Even when ROM and grip strength were almost fully regained at 12 mo, pain at rest and during activity was still an issue at 24 mo.Permalink : ./index.php?lvl=notice_display&id=35334 Exemplaires (1)
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Exclu du prêtThe value of manipulation of displaced distal radius fractures in the emergency department / Robert W. Jordan in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
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
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 203-209[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)
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Exclu du prêtFracture diaphysaire des deux os de l'avant-bras de l'adulte / F. Weppe in EMC : Appareil locomoteur, Volume 10 numéro 1 (Janvier 2015)
[article]
Titre : Fracture diaphysaire des deux os de l'avant-bras de l'adulte Type de document : texte imprimé Auteurs : F. Weppe, Auteur ; D. Guignand, Auteur Année de publication : 2015 Article en page(s) : p.1-14 [14-044-A-10] Langues : Français (fre) Mots-clés : Fracture Avant-bras Radius Ulna Membrane interosseuse Ostéosynthèse Résumé : Les fractures diaphysaires des os de l'avant-bras comprennent les fractures simultanées du radius et de l'ulna ou les fractures isolées d'un des deux os associées ou non à des lésions ligamentaires des articulations sus- ou sous-jacentes ou de la membrane interosseuse. Le pronostic fonctionnel dépend des lésions associées dans les traumatismes à haute énergie et, plus généralement, des conséquences sur la pronosupination. Les fractures étant fréquemment déplacées, le traitement est le plus souvent chirurgical, représenté par l'ostéosynthèse interne par plaque vissée. Les complications immédiates à rechercher sont les lésions des parties molles environnantes et le syndrome des loges. À moyen et long termes, les complications principales sont représentées par la pseudarthrose, la synostose et le cal vicieux. Permalink : ./index.php?lvl=notice_display&id=41038
in EMC : Appareil locomoteur > Volume 10 numéro 1 (Janvier 2015) . - p.1-14 [14-044-A-10][article] Fracture diaphysaire des deux os de l'avant-bras de l'adulte [texte imprimé] / F. Weppe, Auteur ; D. Guignand, Auteur . - 2015 . - p.1-14 [14-044-A-10].
Langues : Français (fre)
in EMC : Appareil locomoteur > Volume 10 numéro 1 (Janvier 2015) . - p.1-14 [14-044-A-10]
Mots-clés : Fracture Avant-bras Radius Ulna Membrane interosseuse Ostéosynthèse Résumé : Les fractures diaphysaires des os de l'avant-bras comprennent les fractures simultanées du radius et de l'ulna ou les fractures isolées d'un des deux os associées ou non à des lésions ligamentaires des articulations sus- ou sous-jacentes ou de la membrane interosseuse. Le pronostic fonctionnel dépend des lésions associées dans les traumatismes à haute énergie et, plus généralement, des conséquences sur la pronosupination. Les fractures étant fréquemment déplacées, le traitement est le plus souvent chirurgical, représenté par l'ostéosynthèse interne par plaque vissée. Les complications immédiates à rechercher sont les lésions des parties molles environnantes et le syndrome des loges. À moyen et long termes, les complications principales sont représentées par la pseudarthrose, la synostose et le cal vicieux. Permalink : ./index.php?lvl=notice_display&id=41038 Exemplaires
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DisponibleLes deux os de l’avant-bras / Michel Dufour in Kinésithérapie, la revue, 172 (Avril 2016)
PermalinkLong term results after bipolar radial head arthroplasty / Emanuel Van Hoecke in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
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