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At least 1,045 records · Page 58Linked to original sources
PubMed1996

Fractures of the distal radius and scaphoid.

Simultaneous fractures of the distal radius and scaphoid is an uncommon wrist injury. During the period 1980 to 1993, 23 patients with a median age of 39 years were treated for this injury. The median follow-up period was 7 years. All scaphoid fractures were undisplaced and located in the waist or distal third. An extraarticular distal radial fracture was observed in 15 wrists. A below elbow cast including the thumb was applied in 18 wrists for a mean duration of 9 weeks, and operative treatment was used in only 5 patients. All scaphoid fractures healed without complications. During conservative treatment there were three redisplacements of distal radial fractures. The final functional results were good in 18, fair in four, and poor in one patient. Because complications occurred at the distal radius we have changed our conservative treatment policy from a below elbow cast including the thumb to a dorsal splint for 6 weeks.

Adolescent↗
PubMed2003

A comparative study between longitudinal and "T" incisions for dorsal plating of the distal radius.

A retrospective review of 24 patients with dorsal incisions for open reduction and internal fixation of Frykman VII/VIII distal radius fractures using a dorsal plate was performed. Half of them had a longitudinal incision while the other half had a T-shaped incision. No difference in the healing properties or wound morbidity could be demonstrated between the two groups. However, the T incision provided improved exposure of the distal radius and patient satisfaction with its cosmetic result was superior. The horizontal limb was well camouflaged within the transverse skin crease on the dorsal aspect of the wrist. The vertical limb did not extend into the dorsum of the hand and could, therefore, be hidden by appropriate clothing.

Absorbable Implants↗
PubMed1997

Intraarticular lesions in distal fractures of the radius in young adults. A descriptive arthroscopic study in 50 patients.

We examined the frequency of associated chondral and ligament lesions in distal fractures of the radius in young adults (men 20-60 years, women 20-50 years). Fifty initially displaced fractures were examined arthroscopically. Chondral lesions were found in 16 patients (32%). All patients but one were found to have a ligamentous injury in the wrist. No major instability was found. The most frequent ligament tear was the triangular fibrocartilage complex in 39 cases (78%), with a statistical correlation to ulnar styloid fractures. The scapholunate ligament was partially or totally torn in 27 cases (54%). No correlation was found between specific fracture type and pattern of ligament injury. Chondral and ligamentous lesions were frequent and may explain poor outcomes after seemingly well-healed distal fractures of the radius. The ligament lesions should also be kept in mind when early mobilization of the distal fracture of the radius is considered.

Adult↗
PubMed1999

[Postero-medial elastic stable intramedullary nailing for anteriorly displaced distal diaphyso-metaphyseal fractures of the radius in children].

PURPOSE: To suggest a mechanically satisfying method to stabilize the unfrequent distal diaphyso-metaphyseal fractures of the radius, when they are anteriorly displaced, avoiding the classical use of an anterior osteosynthesis by plate and screws. MATERIAL AND METHODS: Ten cases of postero medial Elastic Stable Intramedullary Nailing are presented. Technically, a small postero medial approach with gentle retraction of extensors tendons is used. Then a hole is drilled through the postero medial metaphysis of the distal radius. A present wire is introduced intramedullary, directing its elastic forces in a postero lateral way, fighting against the displacement. DISCUSSION: The instability of this fracture often requires an osteosynthesis. Plating needs a larger incision and a direct control of the fracture (danger of injure of the growth plate, scar). Retrograd nailing through the proximal end of the bone can injure nerves. Then, postero medial Elastic Stable Intramedullary Nailing can be useful for stabilization of the diaphysometaphyseal fractures of the radius.

Adolescent↗
PubMed2005

Assessment of the cytocompatibility of different coated titanium surfaces to fibroblasts and osteoblasts.

Over the years, many metal and polymer implants have been developed for internal fracture fixation. However, there are always some problems associated with their application, such as implant loosening or infection. This study describes how the morphology and adhesion of both fibroblasts and osteoblasts to two manufactured commercially pure, medical implant-quality anodized titanium surfaces (TS and TSS), and five modified titanium surfaces (TLF, low friction gray anodized titanium; TIG, nitrogen ion implanted TSS; THY, TSS grafted with sodium hyaluronate; TAST, TSS coated with hydrophilic hydrogel; and TT, tiodized TS) were used to obtain an indication of their relative cytocompatibility and to assess which modified surface could potentially be used in vivo. Small variations were observed both qualitatively and quantitatively in the spreading and adhesion of fibroblasts and osteoblasts to the studied surfaces. Overall, fibroblast spreading and adhesion were greatest on the TIG and TLF surfaces. Osteoblast spreading and adhesion were greatest on TS, TIG, and TAST surfaces. No fibroblasts or osteoblasts were found attached to the THY-coated surfaces. Coating medical implant-quality anodized titanium surfaces (TS and TSS) with a TLF, TAST, or more specifically TIG could probably improve soft tissue adhesion and/or osseointegration of bone in vivo. However, it seemed that a hyaluronic acid coating (THY) has potential as a coating in areas where cell adhesion is undesirable, such as orbital fractures, where muscles should avoid adhesion to the implant, and distal radius fractures, where tendons should freely glide over the implant.

Animals↗
PubMed1999

[Prevention and prophylaxis of osteoporosis: options and limitations].

Osteoporosis is considered a systemic disease involving decreased bone mineral content and increased fracture risk. Therefore, for young people, adults and also the elderly, any measures have to taken which could prevent fractures. In this respect, clinically, femoral neck fractures are most important, however, in vertebral fractures a rise in morbidity and mortality can also be demonstrated. Radius fractures occurring in advanced age lead to increasing care being required and loss of independence. From today's point of view, it is tried to divide preventive measurements into primary and secondary steps, depending on whether healthy subjects or patients suffering from chronic diseases are affected. To evaluate the fracture risk, apart from anamnesis, bone density measurement and, in recent times, biomarker are suitable for the assessment of bone turnover. As primary prevention, basic lifestyle measures are recommended, in case of a concomitant relevant basic disease secondary prophylaxis is instituted to contain bone mineral loss. The following survey is to show the importance of prevention and of prophylaxis in osteoporosis both for healthy people and for patients with various accompanying diseases, and to list present possible preventive measures.

Adult↗
PubMed1996

[Is the static external fixator a suitable method in the treatment of multi-fragmented fractures of the distal radius?].

We present a retrospective study of 21 patients treated with an external fixator for comminuted fractures of the distal radius from May 1993 until May 1994. Mean follow-up was 14.5 months after operation. The 21 patients were on average 59 years old. The distal radius fractures were classified according to the AO: Type A2 (four times), Type A3 (two times), Type C1 (one time), C2 (nine times), C3 (five times). We mounted the external fixator generally in a static way. After two weeks it was dynamized. The fixator was removed after four to at least six weeks. An additional osteosynthesis with Kirschner wires was performed in twenty cases. Three times we added a primary cancellous bone graft, in one case an implantation of Endobone was used.

Aged↗
PubMed1996

Greenstick fractures of the radius in adults: a report of two cases.

To our knowledge, greenstick fractures, which are common in children, have not been found to occur in adults. We report on two cases of greenstick fracture of the radial shaft in an adult. Treatment principles, which differ from those for children's fractures, are discussed.

Adult↗
PubMed2004

Fractures of the distal radius: a contemporary approach.

The fracture of the distal radius is the most common fracture we treat. Although sometimes stated otherwise, the outcome of these fractures is not uniformly good regardless the treatment instituted. A thorough understanding of the anatomy and biomechanics of the wrist is a prerequisite when treating these lesions. The literature proves that there is a strict relationship between the quality of anatomical reconstruction and the long-term functional outcome. We try to clarify the complex functional anatomy of this region. No single treatment is the solution for every type of fracture in every kind of patient. Based on the functional anatomy, we analyze the actual treatment possibilities and try to develop strategies in the choice of treatment for different fracture types in different patient groups. Treatment aims should be to reconstruct the anatomy as good as possible, to guarantee that there is no loss of reduction and to allow for a functional after treatment as soon as possible.

Arthroscopy↗