Ταξινόμηση και αντιμετώπιση των μικτών μυοσκελετικών κακώσεων της πηχεοκαρπικής
Προβολή/ Άνοιγμα
Συγγραφέας
Μπασδέκης, Γεώργιος Κ.Όνομα μέλους επιτροπής
Τυλλιανάκης, Μίνως
Καραχάλιος, Θεόφιλος Σ.
Όνομα Επιβλέποντος
Μαλίζος, Κωνσταντίνος Ν.
Ημερομηνία
2008Γλώσσα
el
Λέξη-κλειδί
Σημειώσεις
Παρατηρήσεις έκδοσης: οι σελίδες 79 - 86 επαναλαμβάνονται στο φυσικό τεκμήριο.
Πρόσβαση
ελεύθερη
Επιτομή
In a randomised prospective study, 20 patients with intra-articular
fractures of the distal radius underwent arthroscopically- and fluoroscopicallyassisted
reduction and external fixation plus percutaneous pinning. Another
group of 20 patients with the same fracture characteristics underwent
fluoroscopically-assisted reduction alone and external fixation plus
percutaneous pinning. The patients were evaluated clinically and
radiologically at follow-up of 24 months. The Disabilities of the Arm,
Shoulder, and Hand (DASH) questionnaire and modified Mayo wrist score
were used at 3, 9, 12 and 24 months postoperatively. In the arthroscopicallyand
fluoroscopically-assisted group, triangular fibrocartilage complex tears
were found in 12 patients (60%), complete or incomplete scapholunate
ligament tears in nine (45%), and lunotriquetral ligament tears in four (20%).
They were treated either arthroscopically or by open operation. Patients who
underwent arthroscopically- and fluoroscopically-assisted treatment had
significantly better supination, extension and flexion at all time points than
those who had fluoroscopically-assisted surgery. The mean DASH scores
were similar for both groups at 24 months, whereas the difference in the mean
modified Mayo wrist scores remained statistically significant. Although the
groups are small, it is clear that the addition of arthroscopy to the
fluoroscopically-assisted treatment of intra-articular distal radius fractures
improves the outcome. Better treatment of associated intra-articular injuries
might also have been a reason for the improved outcome.
Ακαδημαϊκός Εκδότης
Πανεπιστήμιο Θεσσαλίας. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής.
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