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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(05): 605-611
DOI: 10.1055/s-0040-1702952
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Radiographic Evaluation of Patients Submitted to Percutaneous Fixation With Solid Screw for Distal Radius Fracture Treatment[*]

Article in several languages: português | English
Gonzalo Guamán Gaibor 
1   Serviço de Ortopedia e Traumatologia, Santa Casa de Porto Alegre, Porto Alegre, RS, Brasil
,
Leonardo Dalla Giacomassa Rocha Thomaz 
1   Serviço de Ortopedia e Traumatologia, Santa Casa de Porto Alegre, Porto Alegre, RS, Brasil
,
Cristian Stein Borges 
1   Serviço de Ortopedia e Traumatologia, Santa Casa de Porto Alegre, Porto Alegre, RS, Brasil
,
Paulo Henrique Ruschel 
1   Serviço de Ortopedia e Traumatologia, Santa Casa de Porto Alegre, Porto Alegre, RS, Brasil
,
Milton Bernardes Pignataro 
1   Serviço de Ortopedia e Traumatologia, Santa Casa de Porto Alegre, Porto Alegre, RS, Brasil
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Abstract

Objective The present paper aims to present results from radiographic evaluations of patients with extra-articular distal radius fractures submitted to percutaneous fixation with a 3.5 mm solid screw.

Methods Analytical, descriptive and retrospective case series of 16 patients with evaluation of the radiographic parameters.

Results The average age of the study population was 46.5 years old (25–60 years old); 81.25% of the sample was female. The average time until surgery was 8.8 days (4–14 days). The mean preprocedural volar tilt was - 7.41° (−23.48°–5.29°, standard deviation [SD] ± 6.59°). The mean volar tilt immediately after surgery was 5.93° (SD ± 6.23°, p < 0.001). There was no statistical difference in volar tilt values after 6 months of follow-up. The mean preprocedural radial height was 4.13 mm (−7.8 mm–9.5 mm, SD ± 5.06 mm). There was a statistically significant increase at the immediate postoperative period to 10.04 mm (p = 0.002), and a significant reduction at 6 months to 9.55 mm (p = 0.012). The consolidation rate was 100% with the technique used, with a minimal complication rate. No patient had infection or required a reoperation.

Conclusion The technique was effective for the treatment of distal radial extra-articular fractures at 6 months, with a low complication rate; radiographic parameters values were acceptable and close to the anatomical ones.

Keywords

radial fractures - minimally invasive surgical procedures - radiology

* Study developed at the Orthopedics and Traumatology Service, Santa Casa de Porto Alegre, Porto Alegre, RS, Brazil.




Publication History

Received: 30 July 2019

Accepted: 12 November 2019

Article published online:
22 April 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil

 

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