Document Detail


Intramedullary fixation of distal radius fractures.
MedLine Citation:
PMID:  19181236     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intramedullary fixation has recently received increased enthusiasm as an option for distal radius fracture fixation. Indications for this fracture fixation technique should be limited to predominately displaced extra-articular or simple intra-articular distal radius fractures. Intramedullary fixation permits limited soft tissue dissection and insertion of a low-profile implant that acts as an internal splint. Purported benefits include a familiar fracture fixation technique, less soft tissue irritation, and locked fixed-angle technology. Thorough understanding of the radial and dorsal approaches to the distal radius is a prerequisite. Important aspects of intramedullary fixation of distal radius fractures include proper fracture selection, good fracture reduction, protection of sensory nerves, and avoidance of inadvertent intra-articular screw placement. Relevant surgical anatomy, technique, postoperative care, and a review of complications are presented.
Authors:
Asif M Ilyas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  34     ISSN:  1531-6564     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-05-22     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  341-6     Citation Subset:  IM    
Affiliation:
Temple Hand Center, Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital, Philadelphia, PA 19140, USA. asif.ilyas@temple.edu
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MeSH Terms
Descriptor/Qualifier:
Fluoroscopy
Fracture Fixation, Intramedullary / methods*
Humans
Physical Therapy Modalities
Postoperative Care
Radial Nerve / anatomy & histology
Radius Fractures / surgery*
Wrist / anatomy & histology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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