Predicting alignment after closed reduction and casting of distal radius fractures

The Journal of Hand Surgery
Joey LaMartinaPaul Tornetta

Abstract

We sought to independently validate the McQueen equation and LaFontaine's criteria as predictors of instability in a large series of distal radius fractures treated nonsurgically. In addition, we hypothesized that restoring the volar cortical integrity (ie, volar hook) would be another factor that would independently predict the maintenance of a closed reduction in a cast. We screened 546 consecutive distal radius fractures with 168 meeting all inclusion criteria. Dorsal tilt, radial height, radial inclination, ulnar variance, and carpal malalignment were measured on initial postreduction and final radiographs. A univariate analysis evaluated the predictability of the McQueen equation, Lafontaine's criteria, and volar hook on each radiographic parameter. A multivariate analysis was performed using the significant results from the univariate analysis. In the univariate analysis, the McQueen formula, the number of Lafontaine criteria, and age all correlated with radial height, radial inclination, and ulnar variance. In the multivariate analysis, age correlated with the most radiographic factors including radial height, radial inclination, ulnar variance, and carpal alignment at healing. Volar hook correlated with dorsal tilt and ...Continue Reading

References

Jul 1, 1989·Injury·M LafontaineP Delince
Sep 5, 2006·The Journal of Bone and Joint Surgery. American Volume·P J MackenneyR Elton
Aug 6, 2010·The Journal of Bone and Joint Surgery. American Volume·K A EgolN Paksima

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Citations

Jun 28, 2016·The Journal of Hand Surgery·Ram K AlluriAlidad Ghiassi
Jan 28, 2017·Current Reviews in Musculoskeletal Medicine·Casey Beleckas, Ryan Calfee
Oct 1, 2015·The Journal of Hand Surgery, European Volume·M M J WalenkampN W L Schep
Jan 10, 2018·Journal of Orthopaedic Trauma·Monique M J WalenkampNiels W L Schep
Feb 18, 2018·Archives of Orthopaedic and Trauma Surgery·Haggai SchermannTamir Pritsch
Aug 30, 2019·Journal of Orthopaedic Trauma·Direk TantigateMelvin P Rosenwasser
Apr 22, 2020·The Journal of Hand Surgery Asian-Pacific Volume·John EricksonJames Monica
Nov 1, 2020·Archives of Orthopaedic and Trauma Surgery·A M DanielsJ P Van den Bergh
Feb 7, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Ming Fai ChengChien-Shun Wang
Feb 26, 2021·Revista Brasileira De Ortopedia·Beatriz Canhoto CarulaTiago Salati Stangarlin
Apr 25, 2021·Hand Clinics·Michael B Gottschalk, Eric R Wagner
Jul 7, 2021·Journal of Orthopaedic Trauma·Steven MennonaJames Monica

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