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 in | Revista brasileira de ortopedia Vol. 48; no. 1; pp. 36 - 40 |
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Language | English Portuguese |
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Elsevier Editora Ltda
01.01.2013
Elsevier Sociedade Brasileira de Ortopedia e Traumatologia |
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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. |
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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 |
Author_xml | – sequence: 1 givenname: João Carlos surname: Belloti fullname: Belloti, João Carlos 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 – sequence: 2 givenname: João Baptista Gomes dos surname: Santos fullname: Santos, João Baptista Gomes dos 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 – sequence: 3 givenname: Jaime Picaro surname: Erazo fullname: Erazo, Jaime Picaro organization: Student, UNIFESP-EPM, São Paulo, SP, Brazil – sequence: 4 givenname: Leonardo Jorge surname: Iani fullname: Iani, Leonardo Jorge organization: Student, UNIFESP-EPM, São Paulo, SP, Brazil – sequence: 5 givenname: Marcel Jun Sugawara surname: Tamaoki fullname: Tamaoki, Marcel Jun Sugawara organization: Doctoral Student, Discipline of Hand and Arm Surgery, UNIFESP-EPM, São Paulo, SP, Brazil – sequence: 6 givenname: Vinícius Ynoe de surname: Moraes fullname: Moraes, Vinícius Ynoe de organization: R5 in the Discipline of Hand and Arm Surgery, UNIFESP-EPM, São Paulo, SP, Brazil – sequence: 7 givenname: Flávio surname: Faloppa fullname: Faloppa, Flávio organization: Titular Professor and Full Professor, Discipline of Hand and Arm Surgery, UNIFESP-EPM, São Paulo, SP, Brazil |
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Cites_doi | 10.1016/S0033-8389(22)00591-7 10.2106/00004623-195133040-00009 10.1016/S0363-5023(96)80006-2 10.1016/S0030-5898(20)31312-2 10.1302/0301-620X.78B5.0780726 10.1097/00005131-200711101-00001 10.3109/ort.1959.30.suppl-41.01 10.3109/ort.1967.38.suppl-108.01 10.1590/S1516-31802008000300008 10.3109/17453678308996572 |
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Keywords | Classification Systems Distal Radius Fractures Description Fraturas do rádio distal Prognóstico Classificação |
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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 |
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