Redisplacement of Distal Radius Fracture after Initial Closed Reduction: Analysis of Prognostic Factors

Clinics in Orthopedic Surgery
Ho-Wook JungIn-Ho Jeon

Abstract

To evaluate risk factors of redisplacement and remind surgeons of key factors regarding conservative treatment of distal radius fracture. A total of 132 patients who received conservative treatment for distal radius fractures between March 2008 and February 2011 were included in this study. Radial inclination, radial length, volar tilting angle, ulnar variance, fragment translation, and presence of dorsal metaphyseal comminution were measured on the X-rays taken immediately after reduction, one week after injury during the first follow-up outpatient clinic visit, and after the gain of radiological union. Secondary displacement was defined as a loss of reduction during the follow-up period, and was divided into 'early' and 'late' categories. We analyzed the influence of initial displacement radiologic variables, dorsal cortex comminution, and patient age on the development of secondary displacement. Development of secondary displacement was significantly associated only with initial displacement radiologic variables (p < 0.001), development of the late secondary displacement was significantly associated with age (p = 0.005), and initial displacement radiologic variables were associated significantly with a serial increase in uln...Continue Reading

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Citations

Apr 18, 2018·Hand : Official Journal of the American Association for Hand Surgery·Rodrigo Gutiérrez-MonclusFelipe Araya-Quintanilla
Feb 15, 2018·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Zhen HuaHeng Yin
Apr 25, 2021·Hand Clinics·Lauren Fader, Ethan Blackburn
Jun 23, 2021·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Roman WirtzFrédéric Schuind

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