Fixation of distal radius fractures in adults: A review
| Autor: | D. Lepage, Laurent Obert, P. Garbuio, N. Gasse, A. Serre, S. Rochet, J Uhring, P.-B. Rey |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Intra-Articular Fractures medicine.medical_treatment Wrist Fracture Fixation Internal Fixation (surgical) External fixation Postoperative Complications Osteosynthesis by reduction and internal fixation (ORIF) Fracture fixation medicine Humans Internal fixation Distal radius fractures Orthopedics and Sports Medicine Fractures Comminuted medicine.diagnostic_test business.industry Arthroscopy Surgery Palmar Plate medicine.anatomical_structure Orthopedic surgery Radius Fractures business |
| Zdroj: | Orthopaedics & Traumatology: Surgery & Research. 99:216-234 |
| ISSN: | 1877-0568 |
| Popis: | SummaryIn patients for whom function is a priority, anatomic reduction and stable fixation are prerequisites for good outcomes. Several therapeutic options exist, including orthopedic treatment and internal fixation with pins (intra- and extrafocal), external fixation which may or may not bridge the wrist, and different internal fixation techniques with dorsal or palmar plates using or not, locking screws. Arthroscopy may be necessary in case of articular fracture. In the presence of significant metaphyseal bone defects, filling of the comminution with phosphocalcic cements provides better graft stability. The level of evidence is too low to allow recommending one type of fixation for one type of fracture; and different fixation options to achieve stable reduction exist, each with its own specific complications. With the new generations of palmar plate, secondary displacement is becoming a thing of the past. |
| Databáze: | OpenAIRE |
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