Late collapse of distal radius fractures after K-wire removal: Is it significant?

被引：4

作者：

Kurup H.V. ^{[1
]}

Mandalia V.M. ^{[2
]}

Shaju K.A. ^{[2
]}

Singh B. ^{[3
]}

Beaumont A.R. ^{[2
]}

机构：

[1] Mayday University Hospital

[2] Salisbury District Hospital

[3] Queen Elizabeth Hospital, London SE18 4QH, Woolwich

来源：

Journal of Orthopaedics and Traumatology | 2008年 / 9卷 / 2期

关键词：

Distal Radius Fracture; K wire fixation; Loss of reduction; Radiological variables;

D O I：

10.1007/s10195-008-0005-7

中图分类号：

学科分类号：

摘要：

Background: The aim of this study was to find out whether distal radius fractures treated by Kirschner wire (K wire) fixation loose reduction after wire removal and analyze the variables may influence this. Materials and methods: Patients who underwent K wire fixation for unstable fractures of distal radius over a period of 3 years were included in this retrospective study. Fractures were classified according to AO classification. Radiographs taken just prior to removal of K wires and radiographs taken at least 1 month after wire removal were analyzed to study three radiological parameters; Palmar or dorsal tilt, radial inclination and ulnar variance. Loss of these angles was analyzed statistically against variables like age, sex, AO classification and duration of fixation. Results: 59 fractures were analyzed with mean age of 56 years and male to female ratio of 1:2. Average loss of radial tilt was 2.6°, loss of palmar tilt was 2.6° and loss of ulnar variance was 1.3 mm. Conclusions: We found that distal radius fractures treated by percutaneous K wire fixation, did not suffer significant loss of reduction of fracture position after removal of wires. This remains true regardless of age, sex, fracture type according to AO type or duration of wire fixation. © Springer-Verlag 2008.

引用

页码：69 / 72

页数：3

共 15 条

[1]

Simic P.M., Weiland A.J., Fractures of the distal aspect of the radius: Changes in treatment over the past two decades, Instr Course Lect, 52, pp. 185-195, (2003)

[2]

Miyake T., Hashizume H., Inoue H., Shi Q., Nagayama N., Malunited colles' fracture. Analysis of stress distribution, J Hand Surg [Br], 19, 6, pp. 737-742, (1994)

[3]

Fujii K., Henmi T., Kanematsu Y., Mishiro T., Sakai T., Terai T., Fractures of the distal end of radius in elderly patients: A comparative study of anatomical and functional results, J Orthop Surg (Hong Kong), 10, 1, pp. 9-15, (2002)

[4]

Brady O., Rice J., Nicholson P., Kelly E., O'Rourke S.K., The unstable distal radial fracture one year post Kapandji intrafocal pinning, Injury, 30, 4, pp. 251-255, (1999)

[5]

Hollevoet N., Verdonk R., The functional importance of malunion in distal radius fractures, Acta Orthop Belg, 69, 3, pp. 239-245, (2003)

[6]

The classic. On the fracture of the carpal extremity of the radius, Edinburgh Med Surg J Clin Orthop, 83, pp. 3-5, (1972)

[7]

Handoll H.H., Madhok R., Surgical interventions for treating distal radial fractures in adults, Cochrane Database Syst Rev, (2003)

[8]

Stein Jr. A.H., Katz S.F., Stabilization of comminuted fractures of the distal inch of the radius: Percutaneous pinning, Clin Orthop, 108, pp. 174-181, (1975)

[9]

Clancey G.J., Percutaneous Kirschner-wire fixation of Colles fractures. A prospective study of thirty cases, J Bone Joint Surg Am, 66, 7, pp. 1008-1014, (1984)

[10]

Kapandji A., Intra-focal pinning of fractures of the distal end of the radius 10 years later, Ann Chir Main, 6, 1, pp. 57-63, (1987)

← 1 2 →