Minimally Invasive Closed Reduction and Internal Fixation With Screws for Distal Radius Fracture

Launched by SHENYANG MEDICAL COLLEGE · May 24, 2016

Keywords

ClinConnect Summary

Distal radius fracture is defined as a fracture within 3 cm of the distal articular surface. When radius fracture and ulnar styloid process fracture occur together, internal fixation is generally not pursued; however, adverse events may occur after reduction with external fixation, including unstable fracture fragments, malalignment, and loss of radial inclination and ulnar deviation, leading to wrist function impairment.

The commonly used treatment methods for distal radius fracture include internal fixation with steel plate, internal fixation with Kirschner wire, and external fixation. O...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age 55 years or older, either sex
• • A history of known trauma
• • Presence of wrist joint pain and limitation of motion after trauma
• • Fracture occurring 2.0-3.0 cm proximal to the articular surface, confirmed with imaging findings
• • Unstable distal radius fracture
• • Dorsal displacement of fracture fragment
• • Fracture involving the wrist joint, but no more than two fracture fragments involving the wrist joint
• Exclusion Criteria:
• • Acute fracture of several other regions, including the ulnar styloid process
• • Open fracture
• • Mental disorder
• • Occurrence of fracture more than 21 days before presentation
• • Severe heart, lung, liver, or kidney function disorder
• • Severe local infection after fracture
• • Refusal to sign informed consent form
• • Poor compliance, or upon the request of the sponsor for safety reasons
• • If participation in the trial would be a potential hazard to patient's health