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
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.
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页码:69 / 72
页数:3
相关论文
共 15 条
[11]  
Naidu S.H., Capo J.T., Moulton M., Ciccone II W., Radin A., Percutaneous pinning of distal radius fractures: A biomechanical study, J Hand Surg [Am], 22, 2, pp. 252-257, (1997)
[12]  
Short W.H., Palmer A.K., Werner F.W., Murphy D.J., A biomechanical study of distal radial fractures, J Hand Surg [Am], 12, 4, pp. 529-534, (1987)
[13]  
Kreder H.J., Hanel D.P., McKee M., Jupiter J., McGillivary G., Swiontkowski M.F., Consistency of AO fracture classification for the distal radius, J Bone Joint Surg Br, 78, 5, pp. 726-731, (1996)
[14]  
Andersen D.J., Blair W.F., Steyers Jr. C.M., Adams B.D., el-Khouri G.Y., Brandser E.A., Classification of distal radius fractures: An analysis of interobserver reliability and intraobserver reproducibility, J Hand Surg [Am], 21, 4, pp. 574-582, (1996)
[15]  
Kurup H.V., Mandalia V., Singh B., Shaju K.A., Mehta R.L., Beaumont A.R., Variables affecting stability of distal radial fractures fixed with K wires: A radiological study, Eur J Orthop Surg Traumatol, 15, 2, pp. 135-139, (2005)