Clinical Utility of 3-Dimensional Reconstruction Images to Predict Conservative Treatment Outcomes of Intra-Articular Distal Radius Fractures

被引:3
作者
Kong, Lingde [1 ]
Zhang, Zuzhuo [2 ]
Lu, Jian [1 ]
Zhang, Bing [1 ]
Zhou, Yanqing [1 ]
Tian, Dehu [1 ]
机构
[1] Hebei Med Univ, Dept Orthoped, Hosp 3, Shijiazhuang, Hebei, Peoples R China
[2] Hebei Med Univ, Dept Radiol, Hosp 3, Shijiazhuang, Hebei, Peoples R China
来源
MEDICAL SCIENCE MONITOR | 2020年 / 26卷
关键词
Fractures; Closed; Imaging; Three-Dimensional; Intra-Articular Fractures; Radius Fractures; REDUCTION; FIXATION;
D O I
10.12659/MSM.926894
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background: Three-dimensional (3D) images can provide additional information on bone fractures, especially in patients with intra-articular distal radius fractures (DRFs). We aimed to identify possible risk factors for adverse outcomes using a 3D reconstruction technique. Material/Methods: We retrospectively reviewed adult patients who underwent plaster immobilization with or without closed reduction for DRFs in our hospital between February 2016 and May 2019. The 3D reconstruction image of DRFs was viewed from multiple angles to determine the existence of gaps or steps. Then, a semiquantitative standard was used to assess the severity of fracture. The patients' basic data and radiographic data were collected, and multiple linear regression analyses were used to identify possible risk factors associated with adverse outcomes. Results: A total of 89 cases were analyzed in our study. There were 28, 39, and 22 patients with level 1, 2, or 3 fractures, respectively, based on the semiquantitative standard. In a multiple linear regression, preoperative severity degree (beta, 0.393; 95% confidence interval [CI], 0.260-0.526) and postoperative rehabilitation exercise (beta, 0.352; 95% CI, 0.023-0.681) were associated with the Patient-Rated Wrist Evaluation during follow-up. Conclusions: Our study presents a new method based on 3D reconstruction images to assess the severity of intra-articular DRFs. Patients who were identified as having severe fractures based on this method were found to have worse functional outcome.
引用
收藏
页数:6
相关论文
共 19 条
[1]   Arthroscopic-Assisted Reduction of Intra-articular Distal Radius Fracture [J].
Abe, Yukio ;
Fujii, Kenzo .
HAND CLINICS, 2017, 33 (04) :659-+
[2]   Conservative treatment of distal fractures after the age of 65: a review of literature [J].
Bruyere A. ;
Vernet P. ;
Botero S.S. ;
Igeta Y. ;
Hidalgo Diaz J.J. ;
Liverneaux P. .
European Journal of Orthopaedic Surgery & Traumatology, 2018, 28 (8) :1469-1475
[3]   Treatment of Die-Punch Fractures with 3D Printing Technology [J].
Chen, Chunhui ;
Cai, Leyi ;
Zhang, Chuanxu ;
Wang, Jianshun ;
Guo, Xiaoshan ;
Zhou, Yifei .
JOURNAL OF INVESTIGATIVE SURGERY, 2018, 31 (05) :385-392
[4]   Intra-articular distal radius fractures: Arthroscopic assessment of radiographically assisted reduction [J].
Edwards, CC ;
Haraszti, CJ ;
McGillivary, GR ;
Gutow, AP .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2001, 26A (06) :1036-1041
[5]   Incidence and risk factors for redisplacement after closed reduction and instant rigid cast immobilization for paediatric distal radius fractures: a case control study [J].
Kong, Lingde ;
Lu, Jian ;
Zhou, Yanqing ;
Tian, Dehu ;
Zhang, Bing .
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2020, 15 (01)
[6]   Surgical treatment of intra-articular distal radius fractures with the assistance of three-dimensional printing technique [J].
Kong, Lingde ;
Yang, Gang ;
Yu, Jian ;
Zhou, Yanqing ;
Li, Sujuan ;
Zheng, Quanhui ;
Zhang, Bing .
MEDICINE, 2020, 99 (08)
[7]   The Necessity of Restoration of Radiologic Parameters by Closed Reduction in Elderly Patients with Distal Radius Fractures [J].
Kong, Lingde ;
Kou, Ningzhao ;
Wang, Yanxue ;
Lu, Jian ;
Tian, Dehu ;
Zhang, Bing .
MEDICAL SCIENCE MONITOR, 2019, 25 :6598-6604
[8]   Distal Radius Fractures in the Elderly [J].
Levin, L. Scott ;
Rozell, Joshua C. ;
Pulos, Nicholas .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2017, 25 (03) :179-187
[9]   Patient rating of wrist pain and disability: A reliable and valid measurement tool [J].
MacDermid, JC ;
Turgeon, T ;
Richards, RS ;
Beadle, M ;
Roth, JH .
JOURNAL OF ORTHOPAEDIC TRAUMA, 1998, 12 (08) :577-586
[10]   Epidemiology of distal radius fractures and factors predicting risk and prognosis [J].
MacIntyre, Norma J. ;
Dewan, Neha .
JOURNAL OF HAND THERAPY, 2016, 29 (02) :136-144