| Initial shortening and internal fixation in combination with a Sauvé-Kapandji procedure for severely comminuted fractures of the distal radius in elderly patients. | |
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MedLine Citation:
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PMID: 21037352 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We identified 11 women with a mean age of 74 years (65 to 81) who sustained comminuted distal radial and ulnar fractures and were treated by volar plating and slight shortening of the radius combined with a primary Sauvé-Kapandji procedure. At a mean of 46 months (16 to 58), union of distal radial fractures and arthrodesis of the distal radioulnar joint was seen in all patients. The mean shortening of the radius was 12 mm (5 to 18) compared to the contralateral side. Flexion and extension of the wrist was a mean of 54° and 50°, respectively, and the mean pronation and supination of the forearm was 82° and 86°, respectively. The final mean disabilities of the arm, shoulder and hand score was 26 points. According to the Green and O'Brien rating system, eight patients had an excellent, two a good and one a fair result. The good clinical and radiological results, and the minor complications without the need for further operations related to late ulnar-sided wrist pain, justify this procedure in the elderly patient. |
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Authors:
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R Arora; M Gabl; S Pechlaner; M Lutz |
Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 92 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-01 Completed Date: 2010-12-07 Revised Date: 2011-03-22 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 1558-62 Citation Subset: AIM; IM |
Affiliation:
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Department of Trauma Surgery, Medical University Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria. rohit.arora@uki.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Arthrodesis / methods Bone Plates Disability Evaluation Female Follow-Up Studies Fracture Fixation, Internal / methods* Fracture Healing Fractures, Comminuted / radiography, surgery* Humans Pronation Radius Fractures / radiography, surgery* Retrospective Studies Supination Treatment Outcome Ulna Fractures / radiography, surgery |
| Comments/Corrections | |
Comment In:
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Z Orthop Unfall. 2011 Jan;149(1):6
[PMID:
21332043
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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