Publicação
Fraturas do rádio distal : revisão bibliográfica
| Resumo: | A distal radius fracture is one of the most common types of fracture and has a bimodal distribution, with a peak incidence at 18-25 years and another after 65 years.The diagnosis of this type of fracture is clinical and radiological. It can be classified according to various classifications such as the AO-ASIF classification or Frykman. A thorough understanding of the anatomy and biomechanics of the wrist is a prerequisite when treating these lesions; the literature proves that there is a relationship between the quality of anatomical reduction and the long-term functional outcome. One problem that immediately arises in this field, and that the literature does not clarify is the definition of anatomical. The choice of treatment technique, conservative or surgical, will depend on fracture displacement, joint surface involvement, patient age, bone quality,handeness, job and leisure activities as well as on the experience and preference of the orthopedic surgeon, always taking account that the ultimate goal is to restore the patient to his previous state of function.The overall complication rate of distal radius fractures ranges from 6% to 80% and has been associated with poor functional outcomes. A perceived difficulty with commonly used modalities by the orthopedic community has been enough to drive an entire new set of options for distal radius fixation. This article outlines some of these options with a literature opinion and a clarification from the author. |
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| Autores principais: | Monteiro, Eunice Vieira e |
| Assunto: | Orthopedics Radius fractures |
| Ano: | 2014 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| Resumo: | A distal radius fracture is one of the most common types of fracture and has a bimodal distribution, with a peak incidence at 18-25 years and another after 65 years.The diagnosis of this type of fracture is clinical and radiological. It can be classified according to various classifications such as the AO-ASIF classification or Frykman. A thorough understanding of the anatomy and biomechanics of the wrist is a prerequisite when treating these lesions; the literature proves that there is a relationship between the quality of anatomical reduction and the long-term functional outcome. One problem that immediately arises in this field, and that the literature does not clarify is the definition of anatomical. The choice of treatment technique, conservative or surgical, will depend on fracture displacement, joint surface involvement, patient age, bone quality,handeness, job and leisure activities as well as on the experience and preference of the orthopedic surgeon, always taking account that the ultimate goal is to restore the patient to his previous state of function.The overall complication rate of distal radius fractures ranges from 6% to 80% and has been associated with poor functional outcomes. A perceived difficulty with commonly used modalities by the orthopedic community has been enough to drive an entire new set of options for distal radius fixation. This article outlines some of these options with a literature opinion and a clarification from the author. |
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