- 期刊
- OpenAccess
Early surgical interventions using Distal Radial 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 Radial Fracture Stability Score (DRFSS) to predict the post-reduction structure stability: DRFSS (available at 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
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