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Article: Treatment of displaced intra-articular fractures of the distal end of the radius with plates

TitleTreatment of displaced intra-articular fractures of the distal end of the radius with plates
Authors
Issue Date1997
PublisherJournal of Bone and Joint Surgery. The Journal's web site is located at http://www.jbjs.org
Citation
Journal Of Bone And Joint Surgery - Series A, 1997, v. 79 n. 9, p. 1303-1312 How to Cite?
AbstractThirty-four displaced intra-articular fractures of the distal aspect of the radius in thirty-four patients were treated with open reduction and internal fixation with plates and screws. Although there was a high rate of complications (nine [26 per cent] of thirty-four fractures), twenty-eight patients (82 per cent) had a good or excellent result according to the system of Gartland and Werley and twenty patients (59 per cent) had a good or excellent result according to the modified system of Green and O'Brien at the most recent evaluation. Immediately postoperatively, the articular surface of the distal aspect of the radius was restored to a mean of 2 degrees of volar tilt and 20 degrees of radial angulation and radial length was improved by a mean of ten millimeters compared with the preoperative length. The articular surface was restored to congruity or to at most one millimeter of step-off in twenty-six patients (76 per cent). By the time of the most recent evaluation, the initial postoperative alignment had changed markedly in three patients (9 per cent) and degenerative osteoarthrosis (grade II or III) had developed in six patients (18 percent). We considered that the initial postoperative alignment had changed markedly when the articular surface was displaced by two millimeters or more, when the extra-articular alignment had changed by more than 10 degrees of radial tilt, or when there was more than five millimeters of radial shortening. The potential for restoration of normal alignment and the stability of the fixation are the main advantages of internal fixation with plates. Restoration of congruity to the joint was the major difficulty in this group of patients.
Persistent Identifierhttp://hdl.handle.net/10722/79485
ISSN
2015 Impact Factor: 5.163
2015 SCImago Journal Rankings: 2.938
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorFitoussi, Fen_HK
dc.contributor.authorIp, WYen_HK
dc.contributor.authorChow, SPen_HK
dc.date.accessioned2010-09-06T07:55:12Z-
dc.date.available2010-09-06T07:55:12Z-
dc.date.issued1997en_HK
dc.identifier.citationJournal Of Bone And Joint Surgery - Series A, 1997, v. 79 n. 9, p. 1303-1312en_HK
dc.identifier.issn0021-9355en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79485-
dc.description.abstractThirty-four displaced intra-articular fractures of the distal aspect of the radius in thirty-four patients were treated with open reduction and internal fixation with plates and screws. Although there was a high rate of complications (nine [26 per cent] of thirty-four fractures), twenty-eight patients (82 per cent) had a good or excellent result according to the system of Gartland and Werley and twenty patients (59 per cent) had a good or excellent result according to the modified system of Green and O'Brien at the most recent evaluation. Immediately postoperatively, the articular surface of the distal aspect of the radius was restored to a mean of 2 degrees of volar tilt and 20 degrees of radial angulation and radial length was improved by a mean of ten millimeters compared with the preoperative length. The articular surface was restored to congruity or to at most one millimeter of step-off in twenty-six patients (76 per cent). By the time of the most recent evaluation, the initial postoperative alignment had changed markedly in three patients (9 per cent) and degenerative osteoarthrosis (grade II or III) had developed in six patients (18 percent). We considered that the initial postoperative alignment had changed markedly when the articular surface was displaced by two millimeters or more, when the extra-articular alignment had changed by more than 10 degrees of radial tilt, or when there was more than five millimeters of radial shortening. The potential for restoration of normal alignment and the stability of the fixation are the main advantages of internal fixation with plates. Restoration of congruity to the joint was the major difficulty in this group of patients.en_HK
dc.languageengen_HK
dc.publisherJournal of Bone and Joint Surgery. The Journal's web site is located at http://www.jbjs.orgen_HK
dc.relation.ispartofJournal of Bone and Joint Surgery - Series Aen_HK
dc.titleTreatment of displaced intra-articular fractures of the distal end of the radius with platesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0301-620X&volume=79-A No 9&spage=1303&epage=1312&date=1997&atitle=Treatment+of+displaced+intra-articular+fractures+of+the+distal+end+of+the+radius+with+platesen_HK
dc.identifier.emailIp, WY: wyip@hku.hken_HK
dc.identifier.emailChow, SP: spchow@hku.hken_HK
dc.identifier.authorityIp, WY=rp00401en_HK
dc.identifier.authorityChow, SP=rp00064en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid9314392-
dc.identifier.scopuseid_2-s2.0-1842295718en_HK
dc.identifier.hkuros30045en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-1842295718&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume79en_HK
dc.identifier.issue9en_HK
dc.identifier.spage1303en_HK
dc.identifier.epage1312en_HK
dc.identifier.isiWOS:A1997XX05300004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridFitoussi, F=21734031600en_HK
dc.identifier.scopusauthoridIp, WY=35549641700en_HK
dc.identifier.scopusauthoridChow, SP=7201828376en_HK

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