- 期刊
- OpenAccess
- Ahead-of-Print
Early surgical interventions using the distal radius fracture stability score for post-reduction distal radius fractures with acceptable alignments: A new concept
摘要
Background: Current surgical indicators for distal radius fractures depend on the post-reduction alignment. However, the acceptable alignments are easily achieved after close reduction without requiring surgery, but these alignments are hard to be maintained during subsequent plane films follow-up. Under our observation, 43% of initially well-reduction distal radius fractures in our hospital will lose their acceptable alignments later. Purpose: The aim is to sharpen the decision-making when treating distal radius fractures. Methods: From July 2014 to July 2016, we retrospectively collected a total of 254 distal radius fractures with well-reduction alignments, and we tried to find out all the possible factors that would influence the structure stability of these patients. Results: We found out that age, tangent angle, lateral cortex congruity, dorsal cortex congruity, and volar cortex congruity have significant influences on the stability. Furthermore, we developed a web application of distal radius fracture stability score to predict the post-reduction structure stability: The Distal Radius Fracture Stability Score (DRFSS) (https://chinlin.shinyapps.io/DRFSS). Conclusion: We believe this new concept will sharpen decision-making when treating distal radius fractures and that the nonsurgical indications will be stricter.
延伸閱讀
- Clement, N. D., Duckworth, A. D., Brown, C. M. C., & McQueen, M. M. (2014). Manipulation of Displaced Distal Radial Fractures in the Superelderly: Prediction of Malunion and the Degree of Radiographic Improvement. Advances in Orthopedics, (2014), 150-155. https://doi.org/10.1155/2014/785473
- Hwang, C. Y., Yen, S. T., & Hwang, M. H. (1989). For Articular Fractures of the Distal Radius - A "Semi-INV Asive" Method with Dynamic External Fixation - A Preliminary Report. Journal of Orthopaedic Surgery Taiwan, 6(1), 10-23. https://www.airitilibrary.com/Article/Detail?DocID=10116923-198903-6-1-10-23-a
- Chen, C. P., Lee, C. H., & Lee, T. S. (2001). The Use of a Strut Allograft to Augment Internal Fixation of Nonunion Fractures in Osteoporotic Patients - a Report of Two Cases. Journal of Orthopaedic Surgery Taiwan, 18(4), 214-219. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200112-18-4-214-219-a
- Chen, Y. C., Chen, K. J., Wu, I. F., Lo, W. F., Chang, P. Y., Surianti, H., & Chen, M. Y. (2019). A Retrospective Analysis of Unfavorable Fracture During Sagittal Split Ramus Osteotomy and the Proposal of a Risk Reduction Protocol. 臺灣口腔顎面外科學會雜誌, 30(2), 73-86. https://www.airitilibrary.com/Article/Detail?DocID=a0000494-201906-201907190009-201907190009-73-86
- 陳澍群（2012）。Trends and Risk Factors Analysis of Prevalence and Hospital Resource Utilization in the patients with proximal femur fracture undergoing surgical treatment〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-2308201216095800