The Effect of Changes in the Radio-Ulnar Angle on Wrist Scores on the Treatment of Intra-Articular Fractures of the Distal Radius with Wrist Fixator

Authors : Bedrettin AKAR, Mücahid Osman YÜCEL

Pages : 73-77

Doi:10.18678/dtfd.1233857

View : 17 | Download : 13

Publication Date : 2023-04-30

Article Type : Research Paper

Abstract :Aim: This study was aimed to evaluate the effect of radial inclination insert ignore into journalissuearticles values(RI); angle, assessed with radiological measurement, on the clinical outcomes of intra-articular fractures of the distal radius insert ignore into journalissuearticles values(IFDR); treated with closed reduction and penning type dynamic wrist fixator. Material and Methods: A total of 120 patients who underwent closed reduction and dynamic wrist fixation due to IFDR between 2012 and 2020 were retrospectively reviewed. The effects of the changes in RI on clinical outcomes according to Mayo wrist scoring insert ignore into journalissuearticles values(MWS); criteria were investigated by measuring the RI angles in anteroposterior wrist radiographs of the patients at postoperative 2nd, 6th, and 10th weeks. Results: According to the AO fracture classification, 77 insert ignore into journalissuearticles values(64.2%); of the patients had type C1 and 43 insert ignore into journalissuearticles values(35.8%); of the patients had type C2 fracture. The patients comprised 69 insert ignore into journalissuearticles values(57.7%); females and 51 insert ignore into journalissuearticles values(42.3%); males, and the mean age was 50.08±15.36 years. Fixators were removed at six weeks. RI angles measured at post-op week 10 were 20°-30° in 83 insert ignore into journalissuearticles values(69.1%); patients, 10°-19° in 32 insert ignore into journalissuearticles values(26.6%); patients, and 0°-9° in 5 insert ignore into journalissuearticles values(4.3%); patients. According to MWS, 39 insert ignore into journalissuearticles values(32.5%); patients were evaluated as excellent, 76 insert ignore into journalissuearticles values(63.3%); patients as good, and 5 insert ignore into journalissuearticles values(4.2%); patients as moderate. A statistically significant positive correlation was observed between RI values and MWS insert ignore into journalissuearticles values(r=0.369, p<0.001);. Conclusion: Dynamic wrist fixation with closed reduction is a simple and minimally invasive method, and provides successful clinical and functional results in the treatment of IFDR. We consider that optimal RI angles are effective in clinical and functional outcomes.
Keywords : Radius, eksternal fiksatör, eklem içi kırıklar, ortopedik cerrahi