Treatment of severely comminuted intra-articular fractures of the distal end of the radius by open reduction and combined internal and external fixation

The Journal of Bone and Joint Surgery. American Volume
R A RogachefskyJ A McAuliffe

Abstract

Severely comminuted AO type-C3 intra-articular fractures of the distal end of the radius are difficult to treat. Failure to achieve and maintain nearly anatomic restoration can result in pain, instability, and poor function. We report the results of a retrospective study of the use of a standard protocol of open reduction and combined internal and external fixation of these fractures. Seventeen of twenty-five patients treated with the protocol were available for follow-up evaluation. Six had an AO type-C3.1 fracture; eight, type-C3.2; and three, type-C3.3. Eleven fractures required a dorsal buttress plate and/or a volar buttress plate, and eleven required bone-grafting. The mean time until the external fixator was removed was seven weeks. At a mean of thirty months postoperatively, the mean arc of flexion-extension was 72% of that on the uninjured side and the mean grip strength was 73% of that on the uninjured side. The mean articular step-off was 1 mm, the total articular incongruity (the gap plus the step-off) averaged 2 mm, and the radial length was restored to a mean of 11 mm. Thirteen patients had less than 3 mm of total articular incongruity. Arthritis was graded as none in three patients, mild in ten, moderate in three,...Continue Reading

References

May 1, 1978·The Journal of Hand Surgery·D P Green, E T O'Brien
Jul 1, 1992·The Journal of Hand Surgery·M L MissakianH L Glidewell
Nov 11, 1991·The Journal of Hand Surgery·W H SeitzJ D Shapiro
May 1, 1991·The Journal of Hand Surgery·D L Fernandez, W B Geissler
May 1, 1991·The Journal of Hand Surgery·R A SandersJ I Waldrop
Nov 1, 1985·The Journal of Hand Surgery·R Y NakataV E Wood
May 1, 1984·The Journal of Hand Surgery·J Taleisnik, H K Watson
Jan 1, 1994·The Journal of Bone and Joint Surgery. American Volume·G R NattrassR F Brant

❮ Previous
Next ❯

Citations

Nov 14, 2002·The Journal of Bone and Joint Surgery. American Volume·Donald A Wiss
Aug 5, 2004·The Journal of Bone and Joint Surgery. American Volume·David RingJesse B Jupiter
Dec 13, 2005·Techniques in Hand & Upper Extremity Surgery·Virak TanMark Warburton
Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Charles S DayDavid Zurakowski
Jul 8, 2011·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Michele RampoldiDonatella Tagliente
Oct 1, 2014·JBJS Case Connector·Derek L Masden, Kenneth R Means
Jun 18, 2020·Journal of Orthopaedic Surgery and Research·Shuang LiMing Ni
Sep 28, 2002·Journal of Orthopaedic Trauma·Gregory A Konrath, Sherice Bahler
Apr 6, 2005·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·D OsadaK Saotome
Jan 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Frankie LeungShew-Ping Chow
Sep 2, 2005·Archives of Orthopaedic and Trauma Surgery·J Arora, A C Malik
Apr 30, 2015·Journal of Orthopaedic Surgery·M F M FarhanL C Teoh
Oct 31, 2017·Acta ortopedica brasileira·Joel Ortiz-RomeroJosé Manuel Perez-Atanasio
Apr 3, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Annika MüllerFlorian Hess
Dec 29, 2004·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·E HoriiR Nakamura
Sep 9, 2008·Journal of Orthopaedic Trauma·Chaitanya S Mudgal, Jesse B Jupiter
Feb 13, 2009·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·F del Pińal
Jul 26, 2005·Hand Clinics·John A McAuliffe
Apr 25, 2006·The Journal of Hand Surgery·Richard A RogachefskyBrooks Applegate
Nov 13, 2007·The Journal of Hand Surgery·Zoltan FöldhazyLeif Ahrengart

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.