کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8799975 1604318 2018 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Radial Distraction to Stabilize Distal Radioulnar Joint in Distal Radius Fixation
ترجمه فارسی عنوان
خنثی کردن شعاع برای تثبیت جراحی رادیولنار دیستال در رفع اشکال دیستال
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی
Persistent distal radioulnar joint (DRUJ) instability after internal fixation of distal radius fractures can be managed with soft tissue or bony stabilization and prolonged immobilization. However, these strategies limit postoperative motion. To address this limitation, we report our technique of indirect ulna shortening by radial distraction followed by early mobilization and provide a case example. We use this technique in cases of persistent DRUJ instability during standard volar plating of distal radius fractures. Radial lengthening is achieved by distraction through the fracture site using the oblong hole of the plate until DRUJ stability is obtained. No immobilization of forearm rotation and a standard, early mobilization rehabilitation program are used. Indirect ulnar shortening by distraction through the distal radius fracture site provides a simple and novel strategy for the management of persistent DRUJ instability during volar plating, obviating the need for prolonged immobilization or to alter standard postoperative protocols.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Hand Surgery - Volume 43, Issue 5, May 2018, Pages 493.e1-493.e4
نویسندگان
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