Radiological Assessment of Surgical Treatment of Distal Radius Fractures among Patients at an Academic Center in Jeddah

Document Type : Original Article

Authors

College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

Abstract

Background: Distal radius fractures (DRFs) are mainly treated by surgery; however, there is no strong evidence to establish the superiority of one modality over another.
Aim: To determine the most efficient surgical procedure in terms of restoring anatomical angles in DRFs.
Methods: This retrospective study was conducted at King Abdulaziz University Hospital, Jeddah between 2010 and 2016. It involved 31 patients with DRF treated surgically. All patients were assessed pre-and post-operatively to measure radial height (RH), radial inclination (RI),ulnar variance (UV) and volar tilt (VT) on posteroanterior and lateral radiographs. The Shapiro-Wilk test was performed to determine the normality of measurements.
Results: Pre-operative variables, including (RH), (RI), (VT), and (UV), were not significantly different among patients in all treatment groups. In group 1 (closed reduction with K-wire, external fixation, or both), all the pre- and post-treatment variables were significantly different (p < 0.05), except (UV) (p = 0.867). Conversely, the difference between pre- and post-measurement variables in group 2 (open reduction with plate and screw) was significantly high (p < 0.05). Further, group 3 (open reduction with K-wire plus plate and screws) and group 4 (open reduction with K-wire plus plate and screws in combination with external fixation) showed no significant difference (p > 0.05).
Conclusion: Open reduction with plate and screws was highly effective in the management of DRFs. However, additional studies are needed to establish an effective management for these fractures.

Keywords

The Egyptian Journal of Hospital Medicine
Volume 72, Issue 4
July 2018
Pages 4343-4348

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