Öz
Distal radius fractures are the most common type of fracture among all body fractures. Although various surgical methods have been described for the treatment of these fractures, the standard treatment method is controversial. Despite the recommendation of closed reduction and percutaneous pinning for the treatment of unstable distal radius fractures, the role of this method in treatment is uncertain. The aim of this study is to evaluate the results of closed reduction and percutaneous pinning method prospectively. Unstable distal radius fractures were included in this prospective study, involving 30 wrists. Sixteen patients were female and 14 were male. The mean follow-up time was 13.1 ± 3.2 months (range: 6-24 months). The mean patient age was 49.63 ± 18.66 years (range: 20-85 years). The fractures were evaluated according to Frykman classification. Patients follow-up X-rays were evaluated according to Steward criteria. According to Steward radiological criteria; in our cases, 6 were excellent, 17 were good, 6 were fair, and 1 was poor. According to Gartland-Werley clinical evaluation criteria; 6 of the 30 patients were excellent, 17 were good, 6 were fair, and 1 was poor.
Anahtar Kelimeler
Kaynakça
- Ekin A, Yaldiz K, Boya H, et al. Distal radius kırıklarında açık redüksiyon, plak ve / veya eksternal fiksatör uygulamaları. XV Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı. 1997;117-21.
- Seitz WH, Froimson Al, Brooks DB, et al. External fixator pin insertion techniques: Biomechanical analysis and clinical relevance. J Hand Surg Am. 1991;16(3):560-3.
- Cooney WP, Linsheid RL, Dobyns JH. External pin fixation for unstable Colles fractures. J Bone Joint Surg. 1979;61-A:840-5.
- Y, Doi K, Kuwata N, et al. Surgical options for distal radius fractures: indications and limitations. Arch Orthop Traum Surg. 1998;117: 188-92.
- Frykman G. Fracture of the distal radius including sequelae- Shoulder-handfinger syndrome, disturbance in the distal radioulnar joint and impairment of nerve function. Acta Orthop Scand(Suppl). 1967;108:1-153.
- Steward H.D, Innes A.R, Burke F.D. The hand complications of Colles fractures. J Hand Surg. 1985;10B:103-6.
- Gardland JJ Jr, Werley WC. Evaluation of healed Colles fractures. J Bone Joint Surg. 1951;33-A:895-907.
- Ark J, Jupiter JB. The rationale for precise management of distal radius fractures. Clin. Orthop North Am. 1993;24(2):205-10.
- Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg. 1986;68-A (5):647-59.
- Cooney WP. External fixation of the distal radius fractures. Clin.Orthop. 1983;180:44-9.
- Jones KG. Colles fracture. J. Arkansas Med Soc. 1976;3:244-7.
- De Palma A.F. Comminuted fractures of the distal radius treated by ulnar pinning. J. Bone Joint Surg. 1952;34A: 651-62.
- Palmer A, Werner F. The triangular fibrocartilage complex of the wrist. Anatomy and function. J. Hand Surg 1981;6:153-61.
- Aro H, Koivunen T. Minor axiel shortening of the radius affects outcome of the Colles fractures treatment. J. Hand Surg. 1991;16:392-8.
- Pague DJ, Viegas SF, Patterson RM. Effects of distal radius fracture malunion on wrist mechanism. J. Hand Surg 1990;15(A):721.
- Lafontaine M, Hardy D, Delience P.H. Stability assesment of distal radius fractures. Injury 1989;20:208-10.
- Jenkins NH, Jones DG. External fixation of colles fractures an anatomical study. J. Bone Joint Surg. 1987;69(B):207-11.
- Clancey G.J. Percutaneous kirschner-wire fixation of colles fractures. J. Bone Joint Surg. 1984;66A:1008-14.
Öz
Distal radius kırıkları tüm vücut kırıkları arasında en sık görülen kırık tipidir. Bu kırıkların tedavisinde çeşitli cerrahi yöntemler tanımlanmış olmasına rağmen standart tedavi yöntemi tartışmalıdır. Stabil olmayan distal radius kırık tedavisinde kapalı redüksiyon ve perkütan çivileme yöntemi önerilmesine rağmen bu yöntemin tedavideki rolü belirsizdir. Bu çalışmanın amacı; kapalı redüksiyon ve perkütan çivileme yönteminin sonuçlarını prospektif olarak değerlendirmektir. Bu prospektif çalışmaya stabil olmayan distal radius kırığı bulunan 30 hastanın 30 el bileği dahil edildi. Hastaların 16’sı kadın, 14’ü erkekti. Ortalama takip süresi 13,1 ± 3,2 ay (aralık: 6-24 ay) dı . Ortalama hasta yaşı 49,63 ± 18,66 yıl (aralık: 20-85 yıl) idi. Kırıklar Frykman sınıflamasına göre değerlendirildi. Hastaların kontrol grafileri Steward kriterlerine göre değerlendirildi. Steward radyolojik kriterlerine göre; olgularımızın 6’sında mükemmel, 17’sinde iyi, 6’sında orta, 1’inde kötü sonuç alınmıştır. Gartland-Werley klinik değerlendirme kriterlerine göre; 30 hastanın 6’sında mükemmel, 17’sinde iyi, 6’sında orta, 1’inde kötü sonuç alınmıştır. Distal Radius kırıklarında kapalı redüksiyon ve perkütan çivileme yönteminin uygun redüksiyon sağlanabilen her hastaya uygulanabileceği, klinik ve radyolojik sonuçların diğer yöntemlere göre kabul edilebilir olduğu düşünülebilir.
Anahtar Kelimeler
Kaynakça
- Ekin A, Yaldiz K, Boya H, et al. Distal radius kırıklarında açık redüksiyon, plak ve / veya eksternal fiksatör uygulamaları. XV Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı. 1997;117-21.
- Seitz WH, Froimson Al, Brooks DB, et al. External fixator pin insertion techniques: Biomechanical analysis and clinical relevance. J Hand Surg Am. 1991;16(3):560-3.
- Cooney WP, Linsheid RL, Dobyns JH. External pin fixation for unstable Colles fractures. J Bone Joint Surg. 1979;61-A:840-5.
- Y, Doi K, Kuwata N, et al. Surgical options for distal radius fractures: indications and limitations. Arch Orthop Traum Surg. 1998;117: 188-92.
- Frykman G. Fracture of the distal radius including sequelae- Shoulder-handfinger syndrome, disturbance in the distal radioulnar joint and impairment of nerve function. Acta Orthop Scand(Suppl). 1967;108:1-153.
- Steward H.D, Innes A.R, Burke F.D. The hand complications of Colles fractures. J Hand Surg. 1985;10B:103-6.
- Gardland JJ Jr, Werley WC. Evaluation of healed Colles fractures. J Bone Joint Surg. 1951;33-A:895-907.
- Ark J, Jupiter JB. The rationale for precise management of distal radius fractures. Clin. Orthop North Am. 1993;24(2):205-10.
- Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg. 1986;68-A (5):647-59.
- Cooney WP. External fixation of the distal radius fractures. Clin.Orthop. 1983;180:44-9.
- Jones KG. Colles fracture. J. Arkansas Med Soc. 1976;3:244-7.
- De Palma A.F. Comminuted fractures of the distal radius treated by ulnar pinning. J. Bone Joint Surg. 1952;34A: 651-62.
- Palmer A, Werner F. The triangular fibrocartilage complex of the wrist. Anatomy and function. J. Hand Surg 1981;6:153-61.
- Aro H, Koivunen T. Minor axiel shortening of the radius affects outcome of the Colles fractures treatment. J. Hand Surg. 1991;16:392-8.
- Pague DJ, Viegas SF, Patterson RM. Effects of distal radius fracture malunion on wrist mechanism. J. Hand Surg 1990;15(A):721.
- Lafontaine M, Hardy D, Delience P.H. Stability assesment of distal radius fractures. Injury 1989;20:208-10.
- Jenkins NH, Jones DG. External fixation of colles fractures an anatomical study. J. Bone Joint Surg. 1987;69(B):207-11.
- Clancey G.J. Percutaneous kirschner-wire fixation of colles fractures. J. Bone Joint Surg. 1984;66A:1008-14.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri (Diğer) |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Nisan 2025 |
| Gönderilme Tarihi | 11 Haziran 2024 |
| Kabul Tarihi | 8 Ocak 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 12 Sayı: 1 |
