Trigonometry-Integrated 'Lift' Technique (TILT) for Restoring Volar Tilt in Distal Radius Fractures: Description of Technique and Preliminary Results.

Autor: Sechachalam S; Hand and Microsurgery Section, Tan Tock Seng Hospital, Singapore., Satku M; Hand and Microsurgery Section, Tan Tock Seng Hospital, Singapore., Wong JH; Hand and Microsurgery Section, Tan Tock Seng Hospital, Singapore., Tan LT; † Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore., Yong FC; Hand and Microsurgery Section, Tan Tock Seng Hospital, Singapore.
Jazyk: angličtina
Zdroj: The journal of hand surgery Asian-Pacific volume [J Hand Surg Asian Pac Vol] 2017 Mar; Vol. 22 (1), pp. 53-58.
DOI: 10.1142/S0218810417500095
Abstrakt: Background: Restoration of extra-articular and intra-articular parameters are important considerations during operative fixation of distal radius fractures. Restoration of volar tilt by using visual estimation and the 'lift' technique has previously been described. The aim of our study was to describe a mathematical technique for accurately restoring the volar tilt of the distal radius to acceptable anatomic values.
Methods: A retrospective review of cases performed using the trigonometry-integrated ' lift' technique (TILT) was performed. This technique uses the pre-operative volar tilt angle as well as the dimensions of the implant to calculate the 'lift' required to restore volar tilt. Intra-operative angles were measured using a marked transparency overlay on fluoroscopic images. Pre-operative and post-operative volar tilt were measured and analysed.
Results: Twenty-seven fractures were included in the study, with 20 being classified as Arbeitsgemeinschaft für Osteosynthesefragen (AO) C-type. Pre-'lift' volar tilt ranged from 0° to -20°. Post-'lift' volar tilt ranged from 2° to 16°, with all but three cases ranging from 5° to 15°. The mean volar tilt achieved was 10.2°.
Conclusions: The trigonometry-integrated 'lift' technique resulted in reliable intra-operative restoration of anatomic volar tilt in distal radius fractures.
Databáze: MEDLINE
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