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Possibilities of treatment of complex intraarticular fractures of distal radius


Authors: Rastislav Burda;  Miroslav Kitka
Authors‘ workplace: Department of Trauma Surgery, Faculty Hospital of Louis Pasteur, Košice ;  Klinika úrazovej chirurgie, Fakultná nemocnica Louisa Pasteura, Košice
Published in: Úraz chir. 15., 2007, č.4

Overview

Introduction:
Complex intraarticular fractures of distal radius constitute uphill therapeutic problem. In the past, importance of these fractures was often underestimated, thats why almost 40 percent of pacients achieved unacceptable outcomes.

Results and conclusion:
Complexicity of this fractures frequently does not permit prompt selection of right therapeutic solution, so mainly in the case of fractures AO C3 is tendency toward 2 step solution. Exactness of reposition of articular surface is much more appropriate by arthroscopic controll, which is more sensitive as classic fluoroscopy and simultaneously allows assessment of associated carpal lesions.

Key words:
complex intrarticular fractures of distal radius, internal fixation.


Sources

1. AKAHANE, M., ONO, H., NAKAMURA, T. et al. Static scapholunate dissociation diagnosed by scapholunate gap view in wrists with or without distal radius fractures. Hand Surg. 2002, 7, 191–195.

2. ANDERSEN, D. J., BLAIR, W. F., STEYERS, C. M. et al. Classification of distal radius fractures: an analysis of interobserver reliability and intraobserver reproducibility. J Hand Surg. 1996, 21, 574–582.

3. ARORA, R., LUTZ, M., FRITZ, D. et al. Palmar locking plate for treatment of unstable dorsal dislocated distal radius fractures. Arch Orthop Trauma Surg. 1996, 125, 399–404.

4. ARORA, R., LUTZ, M., HENNERBICHLER, A. et al. Complications following internal fixation of un-stable distal radius fracture with a palmar locking-plate. J Orthop Trauma. 2007, 21, 316–322.

5. BLYTHE, M., STOFFEL, K., JARRETT, P. et al. Volar versus dorsal locking plates with and without radial styloid locking plates for the fixation of dorsally comminuted distal radius fractures: A biomechanical study in cadavers. J Hand Surg. 2006, 31, 1587–1593.

6. BOHRINGER, G., SCHADEL-HOPFNER, M., JUNGE, A. et al. Die arthroskopische Therapie frischer Discus articularis-Verletzungen bei distalen Radius-frakturen. Operative Technik und vorläufige Ergebnisse. Handchir Mikrochir Plast Chir. 2001, 33, 245–251.

7. COGNET, J. M., BONNOMET, F., EHLINGER, M. et al. Arthroscopy-guided treatment of fractures of the distal radius: 16 wrists. Rev Chir Orthop Reparatrice Appar Mot. 2003, 89, 515–523.

8. CORSO, S. J., SAVOIE, F. H., GEISSLER, W. B. et al. Arthroscopic repair of peripheral avulsions of the triangular fibrocartilage complex of the wrist: a multicenter study. Arthroscopy. 1997, 13, 78–84.

9. DOI, K., HATTORI, Y., OTSUKA, K. et al. Intraarticular fractures of the distal aspect of the radius: arthroscopically assisted reduction compared with open reduction and internal fixation. J Bone Joint Surg. 1999, 81, 1093–1110.

10. DUMONT, C., STÜRMER, K. M. Palmare Plattenosteosynthese bei instabiler distaler Radiusextensions- fraktur. Operat Orthop Traumatol. 2003,15, 130–150.

11. FERNANDEZ, D. L., JUPITER, J. B. Fractures of the Distal Radius, A Practical Approach to Management. Berlín: Springer-Verlag, 1996. 345 s.

12. GAUSEPOHL, T., WORNER, S., PENNIG, D. et al. Extraarticular external fixation in distal radius fractures pin placement in osteoporotic bone. Injury. 2001, 32, 79–85.

13. HOFMEISTER, E. P., DAO, K. D., GLOWACKI, K. A. et al. The role of midcarpal arthroscopy in the diagnosis of disorders of the wrist. J Hand Surg. 2001, 26, 407–414.

14. CHIANG, P. P., ROACH, S., BARATZ, M. E. Failure of a retinacular flap to prevent dorsal wrist pain after titanium Pi plate fixation of distal radius fractu-res. J Hand Surg. 2002, 27, 724–728.

15. IMATANI, J., NODA, T., MORITO, Y. et al. Minimally invasive plate osteosynthesis for comminuted fractures of the metaphysis of the radius. J Hand Surg. 2005, 30, 220–225.

16. JUPITER, J. B. Complex Articular Fractures of the Distal Radius: Classification and Management. J Am Acad Orthop Surg. 1997, 5, 119–129.

17. KAMANO, M., KOSHIMUNE, M., KAZUKI, K. et al. Palmar plating for AO/ASIF C3.2 fractures of the distal radius with arthroscopically assisted reduction. Hand Surg. 2005, 10, 2005, 71–76.

18. KAMBOUROGLOU, G. K., AXELROD, T. S. Com-plications of the AO/ASIF titanium distal radius plate system (pi plate) in internal fixation of the distal radius: a brief report. J Hand Surg. 1998, 23, 737–741.

19. KARNEZIS, I. A., PANAGIOTOPOULOS, E., TYL-LIANAKIS, M. et al. Correlation between radiological parameters and patient-rated wrist dysfunction following fractures of the distal radius. Injury. 2005, 36, 1435–1439.

20. KNIRK, J. L., JUPITER, J. B. Intraarticular fractures of the distal end of the radius in young adults. J Bone Joint Surg. 1986, 68, 647–659.

21. KRUKHAUG, Y., HOVE, L. M. Experience with the AO Pi-plate for displaced intraarticular fractures of the distal radius. Scand J Plast Reconstr Surg Hand Surg. 2004, 38, 293–296.

22. LEE, H. C., WONG, Y. S., CHAN, B. K. et al. Fixation of distal radius fractures using AO titanium volar distal radius plate. Hand Surg. 2003, 8, 7–15.

23. LEUNG, F., ZHU, L., HO, H. et al. Palmar plate fixation of AO type C2 fracture of distal radius using a locking compression plate -a biomechanical study in a cadaveric model. J Hand Surg. 2003, 28, 263–266.

24. LINDAU, T., ADLERCREUTZ, C., ASPENBERG, P. Cartilage injuries in distal radial fractures. Acta Orthop Scand. 2003, 74, 327–331.

25. LOW, C. K., LIAU, K. H., CHEW, W. Y. Results of distal radial fractures treated by intrafocal pin fixation. Ann Acad Med Singapore. 2001, 30, 573–576.

26. LUTZ M., G. M., PECHLANER M. Plattenosteo-synthese und Defektauffüllung bei dorsalen metaphysär-artikulären Radiusfrakturen. Operat Orthop Traumatol. 2003, 428–444

27. NIEMEYER, P., HAUSCHILD, O., STROHM, P. C. et al. Fracture treatment in the elderly. Acta Chir Orthop Traumatol Cech. 2004, 71, 329–338.

28. PACOVSKÝ, V. Zlomeniny distálního radia. 1. část: Statistické zhodnocení souboru. Acta Chir Orthop Traumatol Cech. 2003, 70, 108–111.

29. RICHARDS, R. S., BENNETT, J. D., ROTH, J. H. et al. Arthroscopic diagnosis of intra-articular soft tissue injuries associated with distal radial fractures. J Hand Surg. 1997, 22, 772–776.

30. RIKLI, D. A., REGAZZONI, P. Fractures of the distal end of the radius treated by internal fixation and early function. A preliminary report of 20 cases. J Bone Joint Surg. 1996, 78, 588–592.

31. RING, D. Treatment of the neglected distal radius fracture. Clin Orthop Relat Res. 2005, 431, 85–92.

32. ROZENTAL, T. D., BEREDJIKLIAN, P. K., BOZENTKA, D. J. Functional outcome and complications following two types of dorsal plating for unstable fractures of the distal part of the radius. J Bone Joint Surg. 2003, 85-A, 1956–1960.

33. RUCH, D. S., VALLEE, J., POEHLING, G. G. et al. Arthroscopic reduction versus fluoroscopic reduction in the management of intraarticular distal radius fractures. Arthroscopy. 2004, 20, 225–230.

34. RUCH, D. S., YANG, C. C., SMITH, B. P. Results of acute arthroscopically repaired triangular fibrocartilage complex injuries associated with intraarticular distal radius fractures. Arthroscopy. 2003, 19, s.511–516.

35. SANCHEZ, T., JAKUBIETZ, M., JAKUBIETZ, R. et al. Complications after Pi Plate osteosynthesis. Plast Reconstr Surg. 2005, 116, 153–158.

36. SEITZ, W. H., JR., FROIMSON, A. I., LEB, R. et al. Augmented external fixation of unstable distal radius fractures. J Hand Surg. 1991, 16, 1010–1016.

37. SCHNEIDERS, W., AMLANG, M., RAMMELT, S., ZWIPP, H. Häufigkeit der traumatischen und chronischen skapholunären Bandläsion bei distaler Radius-fraktur. Unfallchirurg. 2005, 108, 715–720.

38. SCHNUR, D. P., CHANG, B. Extensor tendon ruptu-re after internal fixation of a distal radius fracture using a dorsally placed AO/ASIF titanium pi plate. Arbeitsgemeinschaft fűr Osteosynthesefragen/Association for the Study of Internal Fixation. Ann Plast Surg. 2000, 44, 564–566.

39. SCHUTZ, M., KOLBECK, S., SPRANGER, A. et al. Die winkelstabile palmare Plattenosteosynthese bei der dorsal dislozierten distalen Radiusfraktur – Anwendung und erste klinische Erfahrungen. Zentralbl Chir. 2003, 128, 997–1002.

40. SCHWAB, A., BINDL, G., HOLZ, U. The treatment of distal radius fractures using the external fixator. Aktuelle Traumatol. 1992, 22, 25–31.

41. SCHWENDENWEIN, E., WOZASEK, G. E., HAJDU, S. et al. Occult scaphoid-lunate dissociation in distal radius fractures. Wien Klin Wochenschr. 115, 2003, 580–583.

42. SIEBERT, H. R., KLONZ, A. Distale Radiusfraktur. Unfallchirurg. 2005, 108, 135–152.

43. SINICROPI, S. M., SU, B. W., RAIA, F. J. et al. The effects of implant composition on extensor tenosynovitis in a canine distal radius fracture model. J Hand Surg. 2005, 30, 300–307.

44. STROHM, P. C., MULLER, C. A., BOLL, T. et al. Two procedures for Kirschner wire osteosynthesis of distal radial fractures. A randomized trial. J Bone Joint Surg. 2004, 86-A, 2621–2628.

45. TREASE, C., MCIFF, T., TOBY, E. B. Locking versus nonlocking T-plates for dorsal and volar fixation of dorsally comminuted distal radius fractures: a biomechanical study. J Hand Surg. 2005, 30, 756–763.

46. TYLLIANAKIS, M., GIANNIKAS, D., PANAGO-POULOS et al. Use of injectable calcium phosphate in the treatment of intra-articular distal radius frac-tures. Orthopedics. 25, 2002, 311–315.

47. UR RASHID, H., LEUNG, F., LU, W., FUNG et al. Biomechanical evaluation of plate osteosynthesis for AO type C2 fracture of the distal radius-a cadaver study. Hand Surg. 2003, 8, 151–156.

48. WESTPHAL, T., PIATEK, S., SCHUBERT, S. et al. Outcome after surgery of distal radius fractures: no differences between external fixation and ORIF. Arch Orthop Trauma Surg. 2005, 125, 507–514.

49. WIDMAN, J., ISACSON, J. Primary bone grafting does not improve the results in severely displaced distal radius fractures. Int Orthop. 2002, 26, 20–22.

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Surgery Traumatology Trauma surgery
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