A new method for classifying distal radius fracture: the IDEAL classification

To describe the new IDEAL method from classifying distal radius fractures. IDEAL classification system is based on the most important literature evidences about clinical and radiographic characteristics that influence in the treatment and prognosis for patients that suffered from a distal radius fra...

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Published inRevista brasileira de ortopedia Vol. 48; no. 1; pp. 36 - 40
Main Authors Belloti, João Carlos, Santos, João Baptista Gomes dos, Erazo, Jaime Picaro, Iani, Leonardo Jorge, Tamaoki, Marcel Jun Sugawara, Moraes, Vinícius Ynoe de, Faloppa, Flávio
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Elsevier Editora Ltda 01.01.2013
Elsevier
Sociedade Brasileira de Ortopedia e Traumatologia
Subjects
Classification Systems
Description
Distal Radius Fractures
Original
ORTHOPEDICS
Classification Systems
Distal Radius Fractures
Description
Fraturas do rádio distal
Prognóstico
Classificação
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Abstract To describe the new IDEAL method from classifying distal radius fractures. IDEAL classification system is based on the most important literature evidences about clinical and radiographic characteristics that influence in the treatment and prognosis for patients that suffered from a distal radius fractures. In this method, we classify the fracture in patients first consultation, in which we collect demographical (age and trauma energy) and radiographic characteristics (fracture deviation, articular fracture, and associated lesions). For each feature a score is attributed for grouping purposes. Group I – Stable fractures, good prognosis; Group II – potentially unstable fractures, commonly treated by surgical methods. Prognosis depends on surgeons’ success after method choice. Group III – complex and instable fractures, poor outcome is expected. IDEAL classification staging rationale was presented, which is based on the best available evidence. The evidence of its scientific plausibility will be settled with the assessment of the classification reliability and its capacity to aid in therapeutical decisions and as a tool to predict prognosis. Further studies are under development to support these properties.
AbstractList OBJECTIVES: To describe the new IDEAL method from classifying distal radius fractures. METHODS: IDEAL classification system is based on the most important literature evidences about clinical and radiographic characteristics that influence in the treatment and prognosis for patients that suffered from a distal radius fractures. In this method, we classify the fracture in patients first consultation, in which we collect demographical (age and trauma energy) and radiographic characteristics ( fracture deviation, articular fracture, and associated lesions). For each feature a score is attributed for grouping purposes. Group I - Stable fractures, good prognosis; Group II - potentially unstable fractures, commonly treated by surgical methods. Prognosis depends on surgeons' success after method choice. Group III - complex and instable fractures, poor outcome is expected. CONCLUSION: IDEAL classification staging rationale was presented, which is based on the best available evidence. The evidence of its scientific plausibility will be settled with the assessment of the classification reliability and its capacity to aid in therapeutical decisions and as a tool to predict prognosis. Further studies are under development to support these properties.
To describe the new IDEAL method from classifying distal radius fractures.OBJECTIVESTo describe the new IDEAL method from classifying distal radius fractures.IDEAL classification system is based on the most important literature evidences about clinical and radiographic characteristics that influence in the treatment and prognosis for patients that suffered from a distal radius fractures. In this method, we classify the fracture in patients first consultation, in which we collect demographical (age and trauma energy) and radiographic characteristics (fracture deviation, articular fracture, and associated lesions). For each feature a score is attributed for grouping purposes. Group I - Stable fractures, good prognosis; Group II - potentially unstable fractures, commonly treated by surgical methods. Prognosis depends on surgeons' success after method choice. Group III - complex and instable fractures, poor outcome is expected.METHODSIDEAL classification system is based on the most important literature evidences about clinical and radiographic characteristics that influence in the treatment and prognosis for patients that suffered from a distal radius fractures. In this method, we classify the fracture in patients first consultation, in which we collect demographical (age and trauma energy) and radiographic characteristics (fracture deviation, articular fracture, and associated lesions). For each feature a score is attributed for grouping purposes. Group I - Stable fractures, good prognosis; Group II - potentially unstable fractures, commonly treated by surgical methods. Prognosis depends on surgeons' success after method choice. Group III - complex and instable fractures, poor outcome is expected.IDEAL classification staging rationale was presented, which is based on the best available evidence. The evidence of its scientific plausibility will be settled with the assessment of the classification reliability and its capacity to aid in therapeutical decisions and as a tool to predict prognosis. Further studies are under development to support these properties.CONCLUSIONIDEAL classification staging rationale was presented, which is based on the best available evidence. The evidence of its scientific plausibility will be settled with the assessment of the classification reliability and its capacity to aid in therapeutical decisions and as a tool to predict prognosis. Further studies are under development to support these properties.
To describe the new IDEAL method from classifying distal radius fractures. IDEAL classification system is based on the most important literature evidences about clinical and radiographic characteristics that influence in the treatment and prognosis for patients that suffered from a distal radius fractures. In this method, we classify the fracture in patients first consultation, in which we collect demographical (age and trauma energy) and radiographic characteristics (fracture deviation, articular fracture, and associated lesions). For each feature a score is attributed for grouping purposes. Group I – Stable fractures, good prognosis; Group II – potentially unstable fractures, commonly treated by surgical methods. Prognosis depends on surgeons’ success after method choice. Group III – complex and instable fractures, poor outcome is expected. IDEAL classification staging rationale was presented, which is based on the best available evidence. The evidence of its scientific plausibility will be settled with the assessment of the classification reliability and its capacity to aid in therapeutical decisions and as a tool to predict prognosis. Further studies are under development to support these properties.
Author Faloppa, Flávio
Erazo, Jaime Picaro
Belloti, João Carlos
Moraes, Vinícius Ynoe de
Iani, Leonardo Jorge
Santos, João Baptista Gomes dos
Tamaoki, Marcel Jun Sugawara
AuthorAffiliation a PhD. Adjunct Professor in the Discipline of Hand and Arm Surgery, Universidade Federal de São Paulo Medical School (UNIFESP-EPM), São Paulo, SP, Brazil
b Student, UNIFESP-EPM, São Paulo, SP, Brazil
c Doctoral Student, Discipline of Hand and Arm Surgery, UNIFESP-EPM, São Paulo, SP, Brazil
e Titular Professor and Full Professor, Discipline of Hand and Arm Surgery, UNIFESP-EPM, São Paulo, SP, Brazil
d R5 in the Discipline of Hand and Arm Surgery, UNIFESP-EPM, São Paulo, SP, Brazil
AuthorAffiliation_xml – name: c Doctoral Student, Discipline of Hand and Arm Surgery, UNIFESP-EPM, São Paulo, SP, Brazil
– name: a PhD. Adjunct Professor in the Discipline of Hand and Arm Surgery, Universidade Federal de São Paulo Medical School (UNIFESP-EPM), São Paulo, SP, Brazil
– name: d R5 in the Discipline of Hand and Arm Surgery, UNIFESP-EPM, São Paulo, SP, Brazil
– name: e Titular Professor and Full Professor, Discipline of Hand and Arm Surgery, UNIFESP-EPM, São Paulo, SP, Brazil
– name: b Student, UNIFESP-EPM, São Paulo, SP, Brazil
– name: Universidade Federal de São Paulo
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  givenname: João Carlos
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  email: jcbelloti@gmail.com
  organization: PhD. Adjunct Professor in the Discipline of Hand and Arm Surgery, Universidade Federal de São Paulo Medical School (UNIFESP-EPM), São Paulo, SP, Brazil
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  givenname: João Baptista Gomes dos
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  organization: Titular Professor and Full Professor, Discipline of Hand and Arm Surgery, UNIFESP-EPM, São Paulo, SP, Brazil
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– notice: 2013 Sociedade Brasileira de Ortopedia e Traumatologia. Published by Elsevier Editora. 2013 Sociedade Brasileira de Ortopedia e Traumatologia
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Issue 1
Keywords Classification Systems
Distal Radius Fractures
Description
Fraturas do rádio distal
Prognóstico
Classificação
Language English
Portuguese
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Snippet To describe the new IDEAL method from classifying distal radius fractures. IDEAL classification system is based on the most important literature evidences...
To describe the new IDEAL method from classifying distal radius fractures.OBJECTIVESTo describe the new IDEAL method from classifying distal radius...
OBJECTIVES: To describe the new IDEAL method from classifying distal radius fractures. METHODS: IDEAL classification system is based on the most important...
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SubjectTerms Classification Systems
Description
Distal Radius Fractures
Original
ORTHOPEDICS
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Title A new method for classifying distal radius fracture: the IDEAL classification
URI https://dx.doi.org/10.1016/j.rboe.2012.06.002
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