Management of distal radius fractures: Treatment protocol and functional results

被引:19
作者
Cherubino, P. [1 ]
Bini, A. [1 ]
Marcolli, D. [1 ]
机构
[1] Univ Insubria, Dept Orthopaed & Traumatol, Osped Circolo, Fdn Macchi, I-2110 Varese, Italy
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2010年 / 41卷 / 11期
关键词
Distal radial fracture; Closed reduction; Plaster cast immobilisation percutaneous pinning; External fixation; Internal plates fixation; Locking volar plating; VOLAR PLATE FIXATION; EXTERNAL FIXATION; COLLES FRACTURES; INTERNAL-FIXATION; ARTICULAR FRACTURES; UNSTABLE FRACTURES; OPEN REDUCTION; INTRAARTICULAR FRACTURES; NONOPERATIVE TREATMENT; LATE DISPLACEMENT;
D O I
10.1016/j.injury.2010.09.016
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Distal radius fractures are the most frequent lesions encountered during clinical practice. The treatment is controversial and still debated in the literature. For a correct management of these lesions many authors recently emphasised the importance of anatomical reduction, a stable fixation and early joint mobilisation. We report our experience in the daily management of these lesions. The fractures are evaluated considering fracture type, fracture reduction criteria, adequacy of reduction criteria and overall fracture stability. The best treatment option must be decided in accordance to the type of fracture, the extent of metaphyseal comminution, the quality of the bone and the medical condition of the patient. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1120 / 1126
页数:7
相关论文
共 90 条
[1]   LATE DISPLACEMENT OF COLLES FRACTURES [J].
ABBASZADEGAN, H ;
VONSIVERS, K ;
JONSSON, U .
INTERNATIONAL ORTHOPAEDICS, 1988, 12 (03) :197-199
[2]   THE TREATMENT OF DISTAL RADIUS ARTICULAR FRACTURES THROUGH LCP SYSTEM [J].
Adani, R. ;
Tarallo, L. ;
Amorico, M. G. ;
Tata, C. ;
Atzei, A. .
JOURNAL OF HAND SURGERY-ASIAN-PACIFIC VOLUME, 2008, 13 (02) :61-72
[3]  
AGEE JM, 1993, ORTHOP CLIN N AM, V24, P265
[4]   EARLY AND LATE DISPLACEMENT OF FRACTURES OF THE DISTAL RADIUS - THE PREDICTION OF INSTABILITY [J].
ALTISSIMI, M ;
MANCINI, GB ;
AZZARA, A ;
CIAFFOLONI, E .
INTERNATIONAL ORTHOPAEDICS, 1994, 18 (02) :61-65
[5]  
ALTISSIMI M, 1986, CLIN ORTHOP RELAT R, V206, P202
[6]  
Anderson R., 1944, SURG GYN OBSTET, V78, P434
[7]   A Comparative Study of Clinical and Radiologic Outcomes of Unstable Colles Type Distal Radius Fractures in Patients Older Than 70 Years: Nonoperative Treatment Versus Volar Locking Plating [J].
Arora, Rohit ;
Gabl, Markus ;
Gschwentner, Martin ;
Denil, Christian ;
Krappinger, Dietmai ;
Lutz, Martin .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2009, 23 (04) :237-242
[8]   COLLES FRACTURE - A STUDY OF 2000 CASES FROM THE NEW YORK STATE WORKMENS COMPENSATION BOARD [J].
BACORN, RW ;
KURTZKE, JF .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1953, 35-A (03) :643-658
[9]   The effect of fracture-related factors on the functional outcome at 1 year in distal radius fractures [J].
Batra, S ;
Gupta, A .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2002, 33 (06) :499-502
[10]   Complications of Volar Plate Fixation for Managing Distal Radius Fractures [J].
Berglund, Lisa M. ;
Messer, Terry M. .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2009, 17 (06) :369-377