Download e-book for kindle: Arthroscopic Management of Distal Radius Fractures by Gregory I. Bain (auth.), Francisco Piñal, Riccardo Luchetti,

By Gregory I. Bain (auth.), Francisco Piñal, Riccardo Luchetti, Christophe Mathoulin (eds.)

ISBN-10: 364205353X

ISBN-13: 9783642053535

ISBN-10: 3642053548

ISBN-13: 9783642053542

Seeing is believing. this can be the identify of a brand new crusade promoted by way of the foreign corporation for Prevention of Blindness to elevate cash to aid take on avoidable lack of sight in poorly built nations, really an admirable initiative. This publication may have used the same leitmotiv: for those who see what occurs inside a joint, it is possible for you to to think on your patient’s indicators. however it wouldn't be correct. Arthroscopy isn't really available in the market simply to make a analysis; it was once no longer built simply to certify that the patient’s court cases are in accordance with anything actual. Arthroscopy used to be brought to aid sufferers, to make our remedies extra trustworthy, to have larger keep an eye on of our p- cedures. it's in basic terms a device, certainly, yet a wonderful one that not anyone may still und- rating between all surgical recommendations we have now by way of fixing wrist trauma. Seeing is knowing. this is able to be one other leitmotiv for those authors’ c- paign to get extra hand surgeons to include arthroscopy of their practices. definitely, getting to know those newly constructed ideas aid realizing the patient’s difficulties. yet back, that assertion could even be deceptive for no longer consistently what we see in the course of the scope is the true reason behind disorder. The enemy should be open air of the capsular enclosure. certainly, arthroscopy presents plenty of beneficial inf- mation, however the doctor needn't settle for biased interpretations of the patient’s pr- lem established merely on what looks at the screen.

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Extra info for Arthroscopic Management of Distal Radius Fractures

Example text

4). at the time of fracture, involving not only the surrounding fractured radius but also the intercarpal joints. 16a) or a trauma force that is “used” to break the distal radius due to carpal supination (Fig. 16b). For management of associated injuries see Chap. 8. Associated Injuries Articular distal radial fractures exhibit a high incidence of associated injuries: chondral and soft tissue injuries, interosseous ligament injuries, and TFCC lesions [8]. The most commonly associated injury of a 2-part type fracture is SL ligament injury (average 31%), [11] because of the great transmission of energy to the joint Complications Complications of arthroscopic-assisted treatment secondary to the arthroscopy itself are minimal in reported cases.

Then the K-wire that temporarily fixed the radial styloid is pushed on and fixed to the radial cortex; and (f) the dorsal lunate fragment is reduced and fixed with K-wire final plate positioning. The manual reduction of the fracture is performed using a progressive traction and volar flexion using the traction system, and then, the wrist is positioned in 5–7 kg of traction and light (10°) flexion. The articular fracture fragments are preliminary fixed with two K-wires to the plate under fluoroscopic control through the auxiliary holes.

The volarmedial fragment must usually be reduced through an open incision since wrist traction rotates this fragment and prevents reduction by closed means (Fig. 9). The radial styloid fragment is reduced with ligamentotaxis and temporarily held with K-wires. A standard volar approach or a limited volar ulnar incision can be made. The volarmedial fragment is reduced under direct observation by pinning it back to the shaft and the radial styloid fragment. 4 mm volar locking plate is provisionally applied to hold the reduction.

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Arthroscopic Management of Distal Radius Fractures by Gregory I. Bain (auth.), Francisco Piñal, Riccardo Luchetti, Christophe Mathoulin (eds.)


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