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 - 23/02/18
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Abstract |
Background |
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.
Methods |
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.
Results |
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).
Conclusions |
According to these results, arthroscopy is useful to perform a better articular radio-carpal reduction in distal radius fracture.
Level of evidence |
Level 3.
Le texte complet de cet article est disponible en PDF.Keywords : Distal radius fracture, Wrist arthroscopy, Tomodensitometry, Fluoroscopy
Plan
Vol 104 - N° 1
P. 89-93 - février 2018 Retour au numéro
Article précédent
- Application of 3D-printing technology in the treatment of humeral intercondylar fractures
- W. Zheng, J. Su, L. Cai, Y. Lou, J. Wang, X. Guo, J. Tang, H. Chen
- Complications following open reduction and internal fixation versus external fixation in treating unstable distal radius fractures: Grading the evidence through a meta-analysis
- Z.Z. Yuan, Z. Yang, Q. Liu, Y.M. Liu
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