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Journals / Göztepe Tıp Dergisi / 2014 / Cilt: 29 - Sayı: 1

Clinical results of intraarticular distal radius fractures treated by us with external fixators

Eksternal fiksatör ile tedavi ettiğimiz eklem içi distal radius kırıklarının sonuçları

Esat UYGUR
Olcay GÜLER
Harun MUTLU
Burcu MUTLU
Serhat MUTLU
Pages
27–31
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Four patients (23 %) sufferedfrom reflex sympathetic dystrophy, and eight (47 %) cases hadsuperficial pin tract infection.External fixator is a good treatment option in terms of clinicaland radiological results in selected cases with distal radiusfractures.

📌 3 Key Takeaways

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Objective & Hypothesis:Evaluation of clinical and radiological results of distal radiusfractures treated with closed reduction and external fixationwas aimed in this study.
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Key Findings & Data:Seventeen cases of distal radius fracturesmanaged between February 2008 and October 2011 wereevaluated .
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Conclusion & Impact:Four patients (23 %) sufferedfrom reflex sympathetic dystrophy, and eight (47 %) cases hadsuperficial pin tract infection.External fixator is a good treatment option in terms of clinicaland radiological results in selected cases with distal radiusfractures.
🔬Design:Research Article
📍Scope:2008 Verileri
⚙️Variables:Domain Parameters

Abstract

Evaluation of clinical and radiological results of distal radiusfractures treated with closed reduction and external fixationwas aimed in this study. Seventeen cases of distal radius fracturesmanaged between February 2008 and October 2011 wereevaluated . According to AO classification, six of these fractureswere type C and eleven of them were type B fractures. All ofthe cases were treated with closed reduction and external fixation.The average length of follow up was 25 (12-46) months.Sarmiento modification of Gartland and Werley scoring systemwas used for functional evaluation, and DASH scoring systemfor the evaluation of daily life activities.In anatomical evaluation based on the results of radiologicalmeasurements, 11 cases (64 %) had perfect, 4 (24 %) had good,2 (12 %) had moderate- poor results. These two bad resultswere obtained in the treatment of AO-C1 and C2 fractures. Accordingto Sarmiento modification of Gartland and Werley scoringsystem, 9 cases had perfect, 5 had good, 2 had moderateand one had bad results. According to DASH scoring system ,the mean score was 8.57 points. Four patients (23 %) sufferedfrom reflex sympathetic dystrophy, and eight (47 %) cases hadsuperficial pin tract infection.External fixator is a good treatment option in terms of clinicaland radiological results in selected cases with distal radiusfractures.

Özet

Radius distal kırıklarının kapalı redüksiyon eksternal fiksasyonyöntemi ile tedavi sonuçlarının klinik ve radyolojik olarakdeğerlendirilmesini amaçladığımız bu çalışmada Şubat 2008-Ekim 2011 tarihleri arasında tedavi edilen 17 radius distalkırığı değerlendirildi. AO sınıflamasına göre 6 kırık tip C, 11kırık ise tip B idi. Tüm kırıklar kapalı redüksiyon eksternal fiksatörile tedavi edildi ve ortalama 25 ay (12-46 ay) takip edildi.Fonksiyonel değerlendirmede Gartland ve Werley skorlamasınınSarmiento modifikasyonu, radyolojik değerlendirmelerdeise Modifiye Sarmiento skorlaması kullanıldı. Güncelyaşam aktivite değerlendirilmesinde DASH skorlama sistemikullanıldı.Radyolojik ölçümlerin sonucuna göre yapılan anatomik değerlendirmede11 kırık (% 64) kusursuz, 4 kırık (% 24) iyi, 2 kırık(% 12) orta-kötü olarak tespit edildi. Radyolojik değerlendirmedeorta-kötü sonuçları olan 2 olgunun biri C1 diğeri de C2tipi kırıklar idi. Gartland ve Wesley skorlaması Sarmientomodifikasyonuna göre 9 olgu çok iyi, 5 olgu iyi, 2 olgu orta, 1olgu kötü olarak değerlendirildi. Güncel yaşam aktivite değerlendirmelerindeDASH skorlama sistemine göre ortalamadeğer 8.57 idi. Toplam 4 (% 23) olguda Refleks SempatikDistrofi ve 8 (% 47) olguda yüzeyel çivi dibi infeksiyonu gelişti.Radius distal uç kırıklarının tedavisinde eksternal fiksatöryöntemi, klinik ve radyolojik sonuçları açısından uygun olgulardaiyi bir tedavi seçeneğidir.

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Cite This Article

UYGUR, E., GÜLER, O., MUTLU, H., MUTLU, B., MUTLU, S. (2022). Clinical results of intraarticular distal radius fractures treated by us with external fixators. Göztepe Tıp Dergisi, Cilt: 29 - Sayı: 1, 27–31. https://ajindex.com/articles/526030

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