Reduction loss after Treatment of Distal Radius Fracture

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Journal of the Korean Society for Surgery of the Hand 2003;8(3):99-104.
Published online September 1, 2003.

Byung-Sung Kim, Whoan-Jeang Kim, Kwang-Won Lee, Ha-Yong Kim, Won-Sik Choy, Jae-Hoon Ahn, Jin-Sup Yeom, Jae-Guk Park

원위 요골 골절 치료 후 정복소실

김병성, 김환정, 이광원, 김하용, 최원식, 안재훈, 염진섭, 박재국

Abstract

Purpose
To analyze the reduction loss after treatment of distal radius fracture Materials and Methods: Forty six cases were analyzed clinically and radiographically. Twenty four cases were treated by closed reduction and percutaneous kwire fixation, twelve cases by closed reduction, k-wire and external fixator application, ten cases by open reduction and plate fixation. For radiological evaluation, we analyzed radiolunate angle, volar tilting, radial inclination and radial height at the time of preoperative, immediate postoperative, fracture union and last follow-up. Results: Regarding radial inclination and radial height, no statitical difference was noted between immediate postop and fracture union. Fractures involving radiocarpal joint have a significant loss of volar tilting (Immediate po: 5.7¡Æ, After bone union: 1.6¡Æ) (p=0.01). The risk factor was percutaneous k-wire fixation only group and intraarticular fracture involving radiocarpal joint. DISI (dorsal intercalated segment instability) had a relation with volar tilting loss. Conclusion: Volar tilting is the most significant angle in the reduction loss, which is related with fracture pattern and treatment method.

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