Universität zu Köln

Lechler, P., Boersch, M., Timmesfeld, N., Schwarting, T., Boese, C. K. and Frink, M. (2016). The relationship between initial closed reduction and the surgical reconstruction of the radiocarpal joint line in distal radial fractures. Injury-Int. J. Care Inj., 47 (4). S. 925 - 930. OXFORD: ELSEVIER SCI LTD. ISSN 1879-0267

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Abstract

Introduction: Whilst initial closed reduction followed by definitive open fixation is widely applied in the treatment of distal radial fractures, the effect of the closed reduction on the reconstruction of the articular surface remains unclear. Our research questions were: (1) Does closed reduction followed by surgical fixation reconstruct palmar tilt and radial inclination? (2) Does closed reduction influence the surgically reconstructed palmar tilt and radial inclination? Methods: Palmar tilt and radiocarpal inclination of 425 patients were measured at admission, following initial closed reduction and after surgical reconstruction. Results: Closed reduction increased palmar tilt by 12.18 and radial inclination by 2.78. Open surgical reduction further corrected palmar tilt by 17.888 and radial inclination by 3.58. Whilst there was no association between postoperative palmar tilt and initially achieved closed reduction, a significant association between radial inclination following closed reduction and surgical fixation was found. Conclusion: Our retrospective study challenges the existence of a relationship between the initial closed reduction and the reconstruction of the anatomic joint line in surgically treated distal radial fractures. (C) 2015 Elsevier Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lechler, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Boersch, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Timmesfeld, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwarting, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Boese, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Frink, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-279557
DOI:	10.1016/j.injury.2015.11.031
Journal or Publication Title:	Injury-Int. J. Care Inj.
Volume:	47
Number:	4
Page Range:	S. 925 - 930
Date:	2016
Publisher:	ELSEVIER SCI LTD
Place of Publication:	OXFORD
ISSN:	1879-0267
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DISPLACED INTRAARTICULAR FRACTURES; RANDOMIZED CONTROLLED-TRIAL; VOLAR LOCKING PLATE; INTERNAL-FIXATION; OUTCOMES; RADIOGRAPHS; PARAMETERS; PREDICTORS; NATIONWIDE; DORSAL Multiple languages Critical Care Medicine; Emergency Medicine; Orthopedics; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27955