Treatment of intra-articular fracture of distal radius fractures with fluoroscopic only or combined with arthroscopic control: A prospective tomodensitometric comparative study of 40 patients
Considering articular distal radius fractures treated with volar plate, we hypothesized that articular radio-carpal displacement was better reduced with arthroscopic control than with only fluoroscopic control. Forty patients with similar articular radius fracture (type C according to AO classificat...
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Published in | Orthopaedics & traumatology, surgery & research Vol. 104; no. 1; pp. 89 - 93 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
France
Elsevier Masson SAS
01.02.2018
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Subjects | |
Online Access | Get full text |
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Summary: | Considering articular distal radius fractures treated with volar plate, we hypothesized that articular radio-carpal displacement was better reduced with arthroscopic control than with only fluoroscopic control.
Forty patients with similar articular radius fracture (type C according to AO classification) and high functional needs were treated with volar plate fixation. They were divided in two comparative groups: 20 patients in Fluoroscopic group and 20 patients in Arthroscopic group. Pre and postoperative radiographs and tomodensitometric images were analysed by an independent observer. We evaluate extra and intra-articular displacements according to “Patient Accident Fracture” classification.
We observed a better reduction of the radio-carpal step-off and gap in the arthroscopic group, with a statistically significant difference (p<0.05). The index of postoperative intra-articular reduction was better in the fluoroscopic group (5.5) than in the arthroscopic group (2.2) with a significant difference (p<0.05).
According to these results, arthroscopy is useful to perform a better articular radio-carpal reduction in distal radius fracture.
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1877-0568 1877-0568 |
DOI: | 10.1016/j.otsr.2017.08.021 |