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Anterior Plate Osteosynthesis of Fractures of the Lower Extremity of the Radius: Does the Systematic Use of Short Epiphysic Screws Limit the Posterior Protrusion of the Screws Without Compromising Stability

2019-09-24 05:27:31 | BioPortfolio

Summary

Anterior plate osteosynthesis of fractures of the lower extremity of the radius may be accompanied by tendinous complications : tenosynovitis of extensors or even tendon ruptures caused by the end of the epiphyseai screws.

The intraoperative measurements as well as the realization of the scopic pictures make it possible to estimate the length of the screws but the tendinous lesions remain frequent (5 to 15% according to the various series)

Description

- Preoperative consultation

- Oral information of the patient of the protocol and delivery of the written information note

- Seeking patient's non-opposition to participating in the study

- Inclusion of the patient

- Surgical procedure for distal radius fracture + immediate post-operative radiography

- Intervention performed according to the usual practices of the service by the surgeon of the day without randomization

- Radiography: 2 shots: face and wrist profile

- Control X-ray + consultation

- Achieved at 3 weeks, 6 weeks and 3 months after the intervention

- X-rays: 2 shots: face and wrist profile

- Control ultrasound o Realized at 3 months after the intervention

End of participation in the study after consultation of 3 months.

Study Design

Conditions

Fracture; Radius, Lower or Distal End

Location

St Antoine hospital - orthopaedic and traumatic surgery
Paris
France
75010

Status

Not yet recruiting

Source

Assistance Publique - Hôpitaux de Paris

Results (where available)

View Results

Links

Published on BioPortfolio: 2019-09-24T05:27:31-0400

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Medical and Biotech [MESH] Definitions

Fracture of the lower end of the radius in which the lower fragment is displaced posteriorly.

Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.

The joint that is formed by the distal end of the RADIUS, the articular disc of the distal radioulnar joint, and the proximal row of CARPAL BONES; (SCAPHOID BONE; LUNATE BONE; triquetral bone).

Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)

A number of ligaments on either side of, and serving as a radius of movement of, a joint having a hingelike movement. They occur at the elbow, knee, wrist, metacarpo- and metatarsophalangeal, proximal interphalangeal, and distal interphalangeal joints of the hands and feet. (Stedman, 25th ed)

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