Academic literature on the topic 'Distal radius bone fracture'

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Journal articles on the topic "Distal radius bone fracture"

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Engelhardt, Lucas, Frank Niemeyer, Patrik Christen, et al. "Simulating Metaphyseal Fracture Healing in the Distal Radius." Biomechanics 1, no. 1 (2021): 29–42. http://dx.doi.org/10.3390/biomechanics1010003.

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Simulating diaphyseal fracture healing via numerical models has been investigated for a long time. It is apparent from in vivo studies that metaphyseal fracture healing should follow similar biomechanical rules although the speed and healing pattern might differ. To investigate this hypothesis, a pre-existing, well-established diaphyseal fracture healing model was extended to study metaphyseal bone healing. Clinical data of distal radius fractures were compared to corresponding geometrically patient-specific fracture healing simulations. The numerical model, was able to predict a realistic fracture healing process in a wide variety of radius geometries. Endochondral and mainly intramembranous ossification was predicted in the fractured area without callus formation. The model, therefore, appears appropriate to study metaphyseal bone healing under differing mechanical conditions and metaphyseal fractures in different bones and fracture types. Nevertheless, the outlined model was conducted in a simplified rotational symmetric case. Further studies may extend the model to a three-dimensional representation to investigate complex fracture shapes. This will help to optimize clinical treatments of radial fractures, medical implant design and foster biomechanical research in metaphyseal fracture healing.
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Dr., M. Rassiwala, P. Neema Pramod Dr., D.K. Sharma Dr., and S. Mishra Dr. "Evaluation of the Results of Volar Plating in the Treatment of Fractures of Distal End Radius." Orthopaedic Journal of M P Chapter 23, no. 1 (2017): 4–11. https://doi.org/10.5281/zenodo.3970548.

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Background: Fractures of lower end radius are most common fractures of the upper extremity. Increased awareness of the complexity of the distal end radius fractures have stimulated a growing interest and promoted new ideas regarding their management. Close reduction and cast immobilization had been the mainstay of treatment of these fractures but poor functional and cosmetic results are not uncommon. The volar plate system has been shown to be reliable for the fixation of distal radius fractures. As open reduction and volar plating ensures more consistent correction of displacement and maintenance of reduction, this prospective study evaluates the anatomical and functional outcome of open reduction and plate fixation in the management of fracture distal end radius. Method: In this study 40 patients with distal end radius fractures were included, informed consent was and clearance from ethical committee of the institute was taken. The study was Prospective, interventional and observational for the methods used for management of the fracture. Patients were evaluated pre operatively and post operatively at the end of first, fourth, sixth week,3 months and then once in 3months up to 12 months. Results: In the prospective study conducted with forty patients,88% anatomical and 93% functional, excellent to good results suggests that stabilizing the fracture fragments with volar plate and screws in the management of the fractures of distal radius, is an effective method to maintain the reduction till union and prevent collapse of the fracture fragments, even when the fracture is grossly comminuted / intra-articular / unstable and / or the bone is osteoporotic. Conclusion: This study concludes that open reduction and internal fixation with volar plating has excellent functional outcome with minimal complications. The procedure is applicable for all types of Frykman fractures in young patients with a good bone stock as well as in elderly osteoporotic patients.
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Tada, Kaoru, Kazuo Ikeda, and Hiroyuki Tsuchiya. "Distal Radius Fracture with Bone Fragment Protruded into the Radiocarpal Joint: Two Case Reports." Journal of Hand Surgery (Asian-Pacific Volume) 26, no. 03 (2021): 460–62. http://dx.doi.org/10.1142/s2424835521720164.

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Distal radius fractures often involve comminuted fragments of the dorsal cortex of the radius, but bone fragments rarely protrude into the radiocarpal joint. We report two cases of distal radius fracture with bone fragment protrusion into the radiocarpal joint. To the best of our knowledge, there are no English reports of distal radius fracture with bone fragment protrusion into the radiocarpal joint. Despite the rarity of these cases, clinicians should still be mindful of such injuries and not overlook the possibility of presence of bone fragments within the joint. Missed intra-articular fragments may cause pain, limited range of motion, and subsequent osteoarthritis.
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Akino, Hiromasa, Shunpei Hama, Masataka Yasuda, Kenta Minato, and Masahiro Miyashita. "Bone Resection for Isolated Ulnar Head Fracture." Case Reports in Orthopedics 2017 (2017): 1–4. http://dx.doi.org/10.1155/2017/3519146.

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Distal ulnar fractures often occur with distal radius fractures (DRFs), and ulnar styloid fractures commonly occur in the setting of DRF. However, isolated ulnar head fractures are rare. We report a case of isolated ulnar head fracture in which we performed bone resection because the ulnar head bone fragment fractured when internal screw fixation was attempted. His outcome at 18 months postoperatively was considered excellent. However, we do not advocate bone resection other than failure of fixation and the difficult case to perform internal fixation. Longer follow-up would be needed because bone resection might lead to osteoarthritis of the distal radioulnar joint in the future.
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Mehta, JA, JP Slavotinek, and J. Krishnan. "Local Osteopenia Associated with Management of Intra-Articular Distal Radial Fractures by Insertion of External Fixation Pins in the Distal Fragment: Prospective Study." Journal of Orthopaedic Surgery 10, no. 2 (2002): 179–84. http://dx.doi.org/10.1177/230949900201000213.

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Purpose. To assess the restoration of the bone mass of the distal radius following the use of implants in the distal radial fragment. Highly comminuted Frykman type 7 and 8 fractures were studied to determine whether the use of fixation pins in the comminuted distal radial fragment leads to osteopenia in the distal radial fragment after healing of the fracture. Methods. As part of a clinical trial, 30 patients with comminuted intra-articular fractures of the distal radius were treated with closed reduction, external non-bridging fixation, and early postoperative mobilisation. To detect local osteopenia, bone density measurements were taken at the distal metaphysis and mid-diaphysis following healing of the fractured radius and the contralateral unaffected radius in 12 patients. Results. The mean age of the 12 patients for whom bone density measurements were recorded was 52.5 years (range, 39–87 years). There were 9 females and 3 males included in the study. Seven patients had a Frykman type 8 fracture and 5 patients had a Frykman type 7 fracture. Significant osteopenia was absent despite the use of four 2.5-mm fixation pins in the distal fragments of the healed distal radial fracture. The median value of the maximal step was 2.8mm (range, 0–9.1mm). The median value of the intra-articular interfragmentary gap was 1.8 mm (range, 0–13.4mm). Conclusion. The findings of this study do not suggest long-term osteopenia following the use of four 2.5-mm pins in the distal fragments. The non-bridging fixator, by allowing early physical activity, possibly led to satisfactory functional and structural results.
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Biver, Emmanuel. "Is radius bone mineral density helpful for fracture risk assessment?" Osteologie 28, no. 02 (2019): 109–11. http://dx.doi.org/10.1055/a-0849-1264.

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AbstractAlthough peripheral DXA is not recommended for the diagnosis of osteoporosis or to monitor osteoporotic treatments, its use for fracture risk assessment is supported by several studies. In addition, its potential interest is supported by the recent demonstration, in prospective cohorts, of the contribution of distal radius microstructure and strength, assessed by high-resolution peripheral QCT (HRpQCT), to predict incident fractures beyond the classical clinical tools (femoral neck BMD and FRAX). Indeed, areal BMD measured by DXA at the ultra-distal radius is highly correlated with bone strength derived from HRpQCT measurements at the same site. Ultra-distal radius areal BMD is therefore highly associated with fracture risk, with associations of higher magnitude than at the “classically recommended” one-third distal radius. Furthermore, ultra-distal radius areal BMD is also associated with incident fractures in non-osteoporotic women in women with T-score > –2.5 SD on hip and spine DXA or women with FRAX score below the intervention threshold for age. Since more than half of low-trauma fractures occur in individuals not identified as being at high risk by BMD testing at the spine or hip, radius bone mineral density may help to refine fracture risk in patients with osteopenia defined by central DXA (spine or hip), or relatively few clinical risk factors.
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Dipak, Suthar, Kotak Abhinav, and P. Shah Amit. "The Clinical Efficacy of the Radius Bone Plates in the Treatment of Radius Bone Fractures." International Journal of Current Pharmaceutical Review and Research 16, no. 05 (2024): 168–72. https://doi.org/10.5281/zenodo.12785549.

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AbstractBackground and Aim: Distal radius intraarticular fractures can have a significant impact on clinical outcomes.Treatment of intraarticular fractures is a topic of debate in the medical community, with varying outcomesreported in the literature. Our study aimed to assess the effectiveness of radius bone plate fixation in thetreatment of radius bone fractures.Material and Methods: A group of fifty patients who had fractures in the distal part of their radius underwenttreatment using the fixed angle plate fixation method. Patients were monitored through radiographs, physicalexamination, ASA and VAS score.Results: Among the 50 patients, 30% (15) were found to have 2R3A1, while 22% (11) were found to have2R3B1.Out of the total number of patients, 20% (10) were found to have 2R3B1. Out of the 28 patients, 14 werediagnosed with 2R3A2.1 types of fracture based on the AO fracture classification. According to thisretrospective study, fractures were found to occur more frequently on the left side of the radius (56%) comparedto the right side (44%). Based on data from the American Society of Anaesthesiologists (ASA), the majority ofpatients (84%) were classified as grade 1, indicating that they were normal and healthy. A smaller percentage ofpatients (16%) were classified as grade 2, indicating that they had mild systemic disease.Conclusion: The utilization of radius plates in the treatment of unstable distal end radius fractures has beenfound to result in favorable functional outcomes and few complications.
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Naito, Kiyohito, Yoichi Sugiyama, Hiroyuki Obata, Atsuhiko Mogami, Osamu Obayashi, and Kazuo Kaneko. "Screw Fixation and Autogenous Bone Graft for an Irreducible Distal Ulna Fracture Associated with Distal Radius Fracture." Journal of Hand Surgery (Asian-Pacific Volume) 22, no. 02 (2017): 236–39. http://dx.doi.org/10.1142/s0218810417720145.

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Distal ulna fractures often occur with distal radius fractures, and their treatment method is still controversial. We considered reduction of the distal radio-ulnar joint (DRUJ) surface the most important factor when treating distal ulna fractures accompanied by residual dislocation. We herein presented a patient with a distal ulna fracture accompanied by dislocation of the DRUJ surface in whom an autogenous bone fragment collected from the radius was grafted onto the ulnar bone defect after open reduction and Herbert screw fixation. In this technique, the bone fragment was supported through the medullary cavity by inserting a Herbert screw, which was less likely to cause irritation between the screw and surrounding tissue, because the screw was almost entirely present in the bone. In addition, an autogenous bone graft from the same surgical field may be less invasive than that from another region.
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Belloti, João Carlos, João Baptista Gomes dos Santos, Álvaro Nagib Atallah, Walter Manna Albertoni, and Flavio Faloppa. "Fractures of the distal radius (Colles' fracture)." Sao Paulo Medical Journal 125, no. 3 (2007): 132–38. http://dx.doi.org/10.1590/s1516-31802007000300002.

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CONTEXT AND OBJECTIVE: Although Colles' fracture is a common clinical situation for the orthopedist, we did not find any information in the literature that would allow safe decision-making on the best treatment for each fracture type. The aim of the present study was to investigate Brazilian orthopedists' opinions regarding the main aspects of treatments for Colles' fracture. DESIGN AND SETTING: Cross-sectional study conducted during the 34th Brazilian Congress of Orthopedics and Traumatology. METHODS: Five hundred questionnaires containing 12 items were randomly distributed to orthopedists who were attending the congress; 439 were filled out correctly and were considered in this study. RESULTS: The main factors in making decisions on interventions in fracture cases were whether the fracture was intra-articular, the existence of shortening of the distal radius and the patient's age. The classification method most used was Frykmann. The closed reduction method most used was manual reduction. The principal surgical interventions were percutaneous pinning (39%), external fixation (27%) and volar plate (19%). Most of the interviewees only used bone grafts for osseous gaps in special cases. The most frequent complications were impairment of joint mobility and residual pain. CONCLUSIONS: Brazilian orthopedists have concordant opinions regarding conservative treatment methods and the use of bone grafts. There were conflicting opinions regarding surgical treatment methods, classification types and complications.
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Greco, Victor E., Jon E. Hammarstedt, Shaelyn O’Connor, and Steven Regal. "Masquelet Technique and Proximal Tibial Autograft Utilizing Avitus® Bone Harvester for Severely Comminuted Open Distal Radius Fracture with Extensive Bone Loss: A Case Report." Journal of Orthopaedic Case Reports 12, no. 4 (2022): 49–53. http://dx.doi.org/10.13107/jocr.2022.v12.i04.2762.

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Introduction: Distal radius fractures are one of the most common fractures in the United States. Treatment usually involves internal fixation using a volar Henry approach with placement of a volar locking plate. Optimal treatment becomes less apparent when significant bone loss occurs. No case of an open distal radius fracture treated using a staged Masquelet technique involving proximal tibial autograft is available in the literature. Herein, we describe and discuss a case report of a novel technique to treat a large (5 cm) bone defect for an open distal radius fracture. Case Report: A 59-year-old man suffered an open, comminuted, and intra-articular distal radius fracture with 5 cm of bone loss. He was treated using a staged Masquelet technique with incorporation of ipsilateral proximal tibial autograft with a bone harvester to obtain cancellous autograft and bone marrow graft. The patient initially underwent emergent I and D, acute carpal tunnel release, and internal and external fixation. A 5 cm bone void was filled with antibiotic cement. Four weeks later, the antibiotic cement was removed, cancellous bone graft and marrow were harvested from the proximal tibia, and the graft was placed within the prior bone void. Fracture site healing was confirmed radiographically and with computer-tomography imaging 3 months later. The patient has demonstrated excellent results 1 year post-operative with 60° of wrist flexion, 40° of wrist extension with mild pain, and full finger range of motion with radiographic union. Conclusion: Internal fixation with placement of a volar locking plate remains the mainstay of treatment for distal radial fractures. However, in more comminuted fractures with bone loss, treatment becomes more challenging. We have presented a unique case utilizing a staged Masquelet technique with incorporation of a proximal tibial autograft to educate readers on an alternative option and technique for autograft donor sites in these more complicated fractures.
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Dissertations / Theses on the topic "Distal radius bone fracture"

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Zapata, Edison. "Bone strength of the human distal radius under fall loading conditions : an experimental and numerical study." Thesis, Lyon 1, 2015. http://www.theses.fr/2015LYO10275/document.

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Les fractures de fragilité représentent un problème de santé publique pour les personnes âgées. L'évaluation de la résistance osseuse et du risque de fracture par la méthode de référence (absorption bi-photonique à rayons X, DXA) est limitée. Les micro-modèles en éléments finis (µFEM) ont montré de meilleures prédictions de la résistance osseuse, mais on ne peut confirmer qu’ils améliorent l’estimation du risque de fracture par rapport à la DXA. L'objectif de cette thèse était donc d'évaluer si la prédiction par simulation numérique pouvait être améliorée en prenant en compte des conditions réalistes de chargement. Tout d’abord, les conditions de chargement correspondant à une chute vers l’avant ont été reproduites sur 32 radius humain dans une expérimentation ex-vivo. Les résultats expérimentaux ont conduits à deux groupes : un fracturé et un non fracturé. Puis, la capacité de prédiction d’un modèle « ségment » (9 mm de radius distal) créé en utilisant un scanner à très haute résolution (High Resolution peripheral Quantitative Computed Tomography) a été évaluée. . Différentes configurations (axiale (configuration standard) et 5 non-axiales) ont été simulées. L’implémentation de chargement non-axial n’a pas amélioré la capacité de prédiction du modèle « segment ». Finalement, un modèle hétérogène du radius distal entier a été créé à partir d’un scanner clinique (Cone Beam Computed Tomography). Ce modèle a pris en compte les conditions d’une chute en termes d’orientation et de vitesse. Le modèle de radius distal entier a montré une meilleure prédiction de la charge à la rupture expérimentale que le modèle « segment ». Cette étude propose des données originales pour la validation de modèles numériques pour l’amélioration de la prédiction du risque de fracture<br>Fragility fractures represent a public health problem for elderly. The assessment of the bone strength and of the risk of fracture by the gold standard method (Dual X-ray Absorptiometry - DXA) is limited. Micro-finite element models (µFEM) have shown to better predict the bone strength, but it is not possible to confirm that they do better than the density measured by DXA to estimate the risk of fracture. Thus, the aim of this thesis was to evaluate whether including realistic loading conditions could improve the level of prediction of the FEM. First, we reproduced the loading conditions of a forward fall on 32 radii in an ex-vivo experiment. This experiment leaded to two groups: one fractured and one non - fractured. Then, we evaluated the prediction capability of a segment FEM (9 mm of the distal radius) created using the High Resolution peripheral Quantitative Computed Tomography. This segment FEM was tested under the axial loading (standard analysis), and under five additional non-axial configurations. It was found that the prediction capability of the segment FEM was not improved by the implementation of non-axial loadings. Finally, a heterogeneous FEM of the whole distal radius was created using data from a Cone Beam Computed Tomography. This model considers the fall loading configurations in orientation and speed of the ex-vivo experiment. The FEM of the whole distal radius has a better accuracy to predict the experimental failure load than the segment FEM. This study proposes original data for model validation dedicated to further improvements of fracture risk prediction
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Nordvall, Helena. "Factors in secondary prevention subsequent to distal radius fracture : Focus on physical function, co-morbidity, bone mineral density and health-related quality of life." Doctoral thesis, Umeå universitet, Sjukgymnastik, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-22102.

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In Sweden approximately 25000 distal radius fractures occur annually, which is 37 % of all fractures related to osteoporosis. In this thesis, risk factors for osteoporosis, bone mineral density (BMD) and health-related quality of life (the SF-36) were compared in patients who suffered a distal radius fracture after low energy trauma with a control group matched on the basis of age, gender, and municipality of residence. The aim was also to analyse, among these patients, whether a risk factor questionnaire, tests on dynamic and static balance and a one-leg rise test could identify those, who have osteopenia or osteoporosis, and run a risk of new falls. Moreover, in a three-year follow-up, mortality, the need for in- and outpatient care, and health-related quality of life after radius fracture were investigated and compared between the patients and matched controls. Finally, the effect of a preventive intervention program including patient education and self-training was evaluated. Falls were reported in a risk factor questionnaire and in a fall diary. The patients aged 45-64 years showed lower, although not statistically significant, BMD, compared with the controls of the same age, but there was no difference concerning their history of falls. In contrast, the patients aged 64 years or older had a history of falling more often than the corresponding controls, but no difference in BMD was found. For all other risk factors, except falls, no differences were found between the patients and the controls. The results of the one-leg rise test were associated with those of dynamic and static balance, but none of the functional tests were associated with the number of falls. Decreased height and cigarette smoking were the only risk factors, which predicted osteopenia and osteoporosis. Five patients, although none of the controls, died during the study time. The patients needed statistically significantly more episodes as inpatients than the controls. The patients also had lower SF-36, Role Physical scores, than the controls at three months. This difference disappeared by the time of the follow-up. Both the patients, who participated in a four-week intervention program, “the osteoporosis school” followed by a one-year home-based exercise program, and the controls showed statistically significantly improved dynamic and static balance, ability to walk backwards and to stand on one leg with eyes open and closed at the end of the study. However, no significant differences were found between the patients and the controls in any of the tests, in BMD or in the number of the falls. The thesis shows that, except for the falls in patients aged over 64 years, there were no significant differences between patients and controls with respect to BMD and other risk factors related to osteoporosis. Consequently, in patients aged 45-64 years and older, the underlying cause of a distal radius fracture is more related to falls than to osteoporosis. Furthermore, the thesis shows that the functional tests and the risk factor questionnaire seem to be of limited value for identifying 8 people with a radius fracture, who are at risk of falling or have osteopenia or osteoporosis. If, in spite of this, functional tests on musculoskeletal function are considered for testing of functional ability in patients with a recent radius fracture, the one leg-rise test may be sufficient. There seems to be an increased mortality and morbidity necessitating inpatient care among patients with a recent radius fracture. The osteoporosis school had no significant effect on BMD, balance, muscle strength or falls in this thesis. Therefore, the lack of proven efficacy of the osteoporosis school for the secondary prevention of distal radius fractures highlights the need for more and long-term randomised controlled follow-up studies in this specific population.
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Mackenney, P. J. "Distal radius fracture : epidemiology, outcome, and prediction of instability." Thesis, University of Edinburgh, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.654287.

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The studies in the thesis are divided into two broad sections. The first section is descriptive. Data were collected prospectively over a five-and-one-half year period for approximately 4000 fractures. Validation of the data is performed. The data are used to describe the epidemiology of the fracture in the Lothian Region, and the anatomical outcome of the fracture. Multiple logistic regression analysis of the data is performed to identify those factors (recordable at patient presentation) that are prognostic of outcome. The statistical method used provides weighted significance for each of these factors, and thus mathematical formulae predictive of outcomes are constructable. A number of formulae are produced, depending on the displacement of the fracture at presentation (minimally displaced or displaced), and on the outcome measure (early and late instability, the risk of malunion, and carpal malalignment). The second section is validative. The studies in this section are an assessment of the performance of the mathematical formulae in the clinical setting. In the first study, data are collected prospectively for 139 patients, and outcomes recorded. In the second study, a group of clinicians involved in fracture management are asked to predict fracture outcome using first clinical experience and then the predictive formula. Results. The distal radius fracture occurred predominately in the older female patient following a simple fall. The fracture in this typical patient was usually unstable. The most consistently important predictors of fracture outcome were patient age, fracture displacement, comminution and ulnar variance. The mathematical formulae were able to correctly predict anatomical outcome in approximately 7/10 patients in the validative study. This was a significant improvement upon the predictive accuracy of the clinicians using experience alone. Use of the predictive formula also significantly reduced inter-observer variation in the assessment of fracture stability. Conclusion. Use of the predictive formula in the Accident and Emergency setting could improve decision-making in fracture management. By promoting an assessment of fracture stability rather than fracture displacement, appropriate management choices are facilitated. The unstable fracture can be referred for operative management, an ineffective closed reduction avoided. The thesis also demonstrates the potential value of the method employed. Multiple logistic regression analysis may provide a guide to treatment where the management of the condition is dependent upon the natural history.
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Goudie, Stuart Thomas. "Distal radius fracture : relationships between psychological factors and recovery." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33253.

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Distal radius fracture is a common injury. The majority of people recover well but a proportion have ongoing pain, stiffness, deformity and functional limitation. Associations between these outcomes, injury characteristics and treatment methods are inconsistent, for example a deformed wrist is not always painful, stiff and functionally limiting. The psychological response to fracture and the role that psychological factors play in recovery are complex and poorly understood. Identification and treatment of those psychological factors that might influence disability and symptom intensity could improve outcomes in this large group of patients. The aim of this thesis is to explore the influence of psychological factors on outcome following fracture of the distal radius. To investigate these relationships further a literature review was carried out looking at the association between psychological factors and outcomes in distal radius fracture patients. Prospective studies were then performed in order to identify associations between demographic factors, injury severity, treatment and psychosocial factors and symptom intensity and disability after fracture and to identify predictors of psychological response to injury. A prospective randomised controlled trail (RCT) was then carried out to compare the impact of an additional psychological workbook intervention versus an information workbook in the otherwise routine management of distal radius fracture. The literature review identified evidence to support the association between psychological factors and outcome after acute injury in general but limited evidence specifically pertaining to distal radius fracture. The first prospective study of 216 patients found psychosocial factors to be more strongly associated with disability (Disability of Arm Shoulder and Hand score, DASH) and pain intensity after distal radius fracture than any injury or treatment factor. The second prospective study of 153 patients found that psychological traits are relatively stable in this cohort and that no demographic, injury or treatment factors were associated with the small changes in psychological scores up to 10 weeks following injury. The RCT demonstrated that use of a psychological workbook did not significantly improve disability six weeks after injury compared to an information workbook in a cohort of patients with distal radius fracture (DASH 38 vs 35, p = 0.949). The importance of psychosocial factors in recovery from distal radius fracture has been demonstrated. Following this injury, psychological factors remain stable over time or fluctuate to a small degree with distinct trends. In cohorts with stable psychological responses to fracture, the individual psychological response cannot be reliably predicted by demographic, injury or treatment factors. Use of a psychological workbook intervention does not improve outcomes in patients with a good initial psychological response to injury. Future work should investigate less psychologically stable and well adapted cohorts, establish how best to identify patients at risk of poor outcome and whether, indeed, these specific groups are amenable to treatment and if so what form this intervention should take. It should address limitations identified in this work, primarily, reduce questionnaire fatigue with more focused psychological questionnaires. Ultimately, it should work towards creating a structure where patients can be screened with a recognised psychological scoring system at initial presentation to fracture clinic and allow a sub-group of psychologically mal-adpted patients to be referred on to a dedicated psychology service, that would work to optimise the psychological conditions for recovery.
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HIRATA, HITOSHI, TAKANOBU NISHIZUKA, KATSUYUKI IWATSUKI, MICHIRO YAMAMOTO, MASAHIRO TATEBE, and SHUICHI KATO. "The Results of Volar Locking Plate Fixation for the Fragility Fracture Population with Distal Radius Fracture in Japanese Women." Nagoya University School of Medicine, 2014. http://hdl.handle.net/2237/19488.

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Pickett, Alexandra. "Distal Radius Fracture : – Treatment, Complications, and Risk Factors for Re-operation." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-86255.

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Introduction: Distal radius fractures (DRF’s) are one of the most common types of fractures,especially in elderly women. In the last decade, there has been a shift in the treatment methodemployed for DRF’s from the traditional non-operative to an operative method using plates andscrews even though there is no evidence to suggest that this method has superior outcomes. Aim: The primary objective of this study was to identify risk factors for complications and reoperationsin the treatment of DRF’s. Method: The study was designed as a retrospective cohort study. Patients treated for DRF’sbetween 2016-2017 were included through the Swedish Fracture Register and complementedwith the patients’ charts and classification of X-Ray Images from The Orthopedic Clinic at TheCentral Hospital in Karlstad. The risk for re-operation was valued through treatment methodsand fracture classification and presented as Odds Ratio. Result: Positive ulnar variance was correlated to having an increased risk for re-operation, OR4.8 (95% CI 1.7-13.8). Those who had volar comminution in their fracture had a greater risk forre-operation, OR 12.4 (95% CI 4.6-34.1, p&lt;0.001), but also a greater risk for correctiveosteotomy, OR 12.6 (95% CI 1.4-113.9, p=0.024). Conclusion: Volar comminution and positive ulnar variance are associated with an increasedrisk for re-operation. However, the degree of the risk is difficult to measure due to the lowincidence of re-operations.
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Gordon, Christopher Lane. "In-vivo assessment of trabecular bone structure at the distal radius." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape16/PQDD_0012/NQ30140.pdf.

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MacDermid, Joy C. "Baseline predictors of pain and disability six-months following distal radius fracture." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape8/PQDD_0011/NQ42543.pdf.

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何柏康 and Pak-hong Henry Ho. "A new implant for distal radius fracture fixation: from design to testing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31226061.

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Ho, Pak-hong Henry. "A new implant for distal radius fracture fixation : from design to testing /." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B23766025.

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Books on the topic "Distal radius bone fracture"

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Lee, Osterman A., ed. Fractures and injuries of the distal radius and carpus: The cutting edge. Saunders/Elsevier, 2009.

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(Matthias), Rapp M., and SpringerLink (Online service), eds. The Double Dynamic Martin Screw (DMS): Adjustable Implant System for Proximal and Distal Femur Fractures. Steinkopff, 2008.

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Slutsky, David J., and Andrew P. Gutow. Distal Radius Fractures, An Issue of Hand Clinics (The Clinics: Orthopedics). Saunders, 2005.

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Warwick, David, Roderick Dunn, Erman Melikyan, and Jane Vadher. Bone and joint injuries—wrist and forearm. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199227235.003.0004.

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Bone and joint injuries—wrist and forearm 100Forearm fractures 102Ulnar corner injuries 106Fractures of the distal radius in adults 108Fractures of the distal radius in children 118Fractures of the scaphoid 120Fractures of the other carpal bones 127Carpal ligament rupture and dislocations ...
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Naqui, Zaf, and David Warwick. Bone and joint injuries of the wrist and forearm. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198757689.003.0004.

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The forearm is a complex quadrilateral structure linked by the proximal and distal radioulnar joints, ligaments, which include the interosseous membrane and triangular cartilage, and several obliquely orientated muscles. A displaced fracture or ligament rupture within this forearm is likely to involve other structures. Treatment requires anatomic recovery of stable function. The ulnar corner can sustain fractures or ligament ruptures which affect stable, pain-free, congruous forearm rotation. The distal radius may fracture after high- or low-energy trauma; anatomic reduction may not be essential in all; inaccuracy may lead to loss of rotation and ulnocarpal abutment but long-term arthritis is unusual. Children’s fractures are managed with consideration of remodeling potential. The scaphoid is vulnerable to non-union; plaster immobilization, early percutaneous fixation, and later bone-grafting all have roles. Salvage for osteoarthritic non-union may reduce pain but compromises function. Rupture of the carpal ligaments may cause substantial disruption and require complex reconstruction.
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Alastair, Graham. Distal radius fracture. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.012032.

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♦ Active treatment increasingly used♦ It is important to recognize type B fractures♦ CT useful to define complex fractures♦ K wiring quick and simple but complex fractures often require plating♦ Palmar locking plates useful for complex fractures♦ Dorsal plates only used occasionally because of complications.
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Hove, Leiv M., Tommy Lindau, and Per Hølmer. Distal Radius Fractures: Current Concepts. Springer, 2016.

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Hove, Leiv M., Tommy Lindau, and Per Hølmer. Distal Radius Fractures: Current Concepts. Springer, 2014.

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Hove, Leiv M., Tommy Lindau, and Per Hølmer. Distal Radius Fractures: Current Concepts. Springer, 2014.

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Jupiter, Jesse B., and Diego L. Fernandez. Fractures of the Distal Radius: A Practical Approach to Management. Springer London, Limited, 2012.

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Book chapters on the topic "Distal radius bone fracture"

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Oestern, Hans-Jörg. "Distal Radius Fractures." In Bone and Joint Injuries. Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-38388-5_13.

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Tagil, Magnus. "Bone Substitutes, Grafts and Cement." In Distal Radius Fractures. Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-54604-4_29.

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Kiyoshige, Yoshiro. "Bone Cementing in the Treatment of Distal Radius Fracture in Elderly Patients." In Wrist Disorders. Springer Japan, 1992. http://dx.doi.org/10.1007/978-4-431-65874-0_28.

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Lin, Michael, and Tamara D. Rozental. "Scaphoid Nonunion Open Treatment with Distal Radius Bone Graft via Mini Dorsal Approach." In Scaphoid Fractures and Nonunions. Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-18977-2_8.

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Makhni, Melvin C., Eric C. Makhni, Eric F. Swart, and Charles S. Day. "Distal Radius Fracture." In Orthopedic Emergencies. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-31524-9_42.

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Makhni, Melvin C., Eric C. Makhni, Eric F. Swart, and Charles S. Day. "Distal Radius Fracture." In Orthopedic Emergencies. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-31524-9_98.

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Gradl, Georg. "Distal Radius Fracture." In Fracture Reduction and Fixation Techniques. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-68628-8_23.

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Wolfe, Caroline N., and Jeffrey N. Lawton. "DRUJ Dislocation/Galeazzi Fracture." In Distal Radius Fractures. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-27489-8_15.

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Krukhaug, Yngvar. "How to Assess Fracture Instability." In Distal Radius Fractures. Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-54604-4_11.

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Duncan, Scott F. M., and Christopher W. Flowers. "Distal Radius Fracture Nonoperative." In Therapy of the Hand and Upper Extremity. Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-14412-2_47.

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Conference papers on the topic "Distal radius bone fracture"

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Wang, Siyuan, Shuchen Liu, Zheng Jin, et al. "A Digital Traditional Chinese Medicine Splint for Treatment of Distal Radius Fracture." In 2024 IEEE 23rd International Conference on Trust, Security and Privacy in Computing and Communications (TrustCom). IEEE, 2024. https://doi.org/10.1109/trustcom63139.2024.00372.

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Chiu, James, and Stephen N. Robinovitch. "Transient Impact Response of the Body During a Fall on the Outstretched Hand." In ASME 1996 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 1996. http://dx.doi.org/10.1115/imece1996-1218.

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Abstract The distal radius is the most commonly fractured bone in the human body. Over 90% of such fractures are caused by falls onto the outstretched hand [1]. However, few biomechanics studies have explored the risk for distal radius fracture associated with a fall onto the upper extremity, or the reduction in fracture risk provided by wrist guards or energy absorbing floors.
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Liu, X. Sherry, Adi Cohen, Perry T. Yin, et al. "Relationships Between Stiffness of Human Distal Tibia, Distal Radius, Proximal Femur, and Vertebral Body Assessed by HR-pQCT and cQCT Based Finite Element Analyses." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-205457.

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High-resolution peripheral quantitative computed tomography (HR-pQCT) is a promising clinical tool that permits separate measurements of trabecular and cortical bone compartments at the distal radius and tibia. It has an isotropic voxel size of 82 μm, which is high enough to assess the fine microstructural details of trabecular architecture. HR-pQCT images can also be used for building microstructural finite element (μFE) models to estimate the mechanical competence of whole bone segments. Melton et al. showed that derived bone strength parameters (axial rigidity and fall load to failure load ratio) are additional to BMD and bone geometry and microstructure as determinants of forearm fracture risk prediction [1]. Boutroy et al. found that the proportion of the load carried by trabecular bone versus cortical bone is associated with wrist fracture independently of BMD and microarchitecture [2]. These clinical studies demonstrate that HR-pQCT based μFE analyses can provide measurements of mechanical properties that independently associate with fracture risk. However, microstructure of one skeletal site may be different from that of another site. It is unclear whether and to what extent these peripheral measurements reflect the bone strength of the proximal femur and vertebral bodies, the sites of frequent osteoporotic fractures. Currently, central quantitative computed tomography (cQCT) is the most commonly used clinical imaging modality to quantify the structural and mechanical properties of the proximal femur and lumbar spine. We therefore evaluated relationships between the stiffness of the distal radius and tibia estimated by HR-pQCT-based FEA with that of the proximal femur and lumbar spine which was estimated from cQCT-based FEA in the same human subjects.
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Salas, Christina, Meir Marmor, Thomas Chu, Paul Hansma, Amir Matityahu, and Jenni M. Buckley. "Assessment of Local Bone Quality of the Distal Radius Using a Novel Hard Tissue Diagnostic Instrument." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-206823.

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Senile osteoporosis has been defined as a skeletal disorder characterized by a deterioration of bone matrix with an increase in susceptibility to fracture with increasing age (1). Studies have shown that over 25 million Americans are currently afflicted with osteoporosis and/or osteopoenia, with this number doubling by 2020. (2) (3) With the propensity for fracture being large in older osteoporotic patients, quantification of bone mineral density (BMD) is essential for proper implant selection in the event of a fracture. Dual energy x-ray absorptiometry (DEXA) is the clinical gold standard for BMD assessment; however, the hardware associated with this technique is neither portable nor appropriate for intraoperative use, and both of these qualities are occasionally necessary clinically.
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Liddle, Kate D., Meir Marmor, Hyun Kyu Han, et al. "Predicting the Strength of Volar Screw Purchase in the Distal Radius: Comparison Between DEXA and a New “Smart” Surgical Tool." In ASME 2010 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2010. http://dx.doi.org/10.1115/sbc2010-19086.

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The distal radius is a common site of fracture with volar plates and screws as the current clinical practice for fracture fixation [1]. Local measurements of bone quality at the sites of screw insertion aid in providing the most stable fixation with the least amount of hardware, minimizing the risk of construct failure and irritation to soft tissue [2, 3]. The clinical standard for pre-operative bone mineral density (BMD) assessment uses dual x-ray absorptiometry (DEXA). However, DEXA scans provide global BMD values and cannot accurately predict variations in BMD within a given anatomical site [4]. Furthermore, patients frequently present without a pre-operative DEXA scan, so intra-operative assessment would be ideal. We developed a simple sensor system that would be appropriate for assessing local BMD intra-operatively. The system consists of a “smart” Weber clamp instrumented with a single uniaxial strain gage that provides real-time feedback regarding the local BMD.
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Varre, Mathew S., Sang-Pil Lee, Terence E. McIff, E. Bruce Toby, and Kenneth J. Fischer. "In Vivo Contact Mechanics of the Distal Radioulnar Joint of the Normal Wrist Compared to Scapholunate Injury and Surgical Repair." In ASME 2011 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2011. http://dx.doi.org/10.1115/sbc2011-53810.

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The distal radioulnar joint (DRUJ) is a joint of the wrist which allows forearm rotation and force transmission in the upper limb while preserving stability independent of flexion and extension of the forearm and wrist. The DRUJ is a frequently injured joint in the body. Conditions affecting the joint could be positive ulnar variance (Ulnar Impaction Syndrome) or negative ulnar variance (ulnar impingement), which may be congenital or may result from a poorly reduced distal radius fracture or both bone forearm fracture. The DRUJ is also adversely affected by other injuries near the joint. In fact, a significant correlation has been found between negative ulnar variance and scapholunate dissociation [1, 2, 3]. While this could be a predisposing factor, the associate also leads to the question of whether or not scapholunate dissociation may cause changes in the radioulnar joint mechanics. Altered joint mechanics are highly associated with onset of secondary osteoarthritis. An understanding of in vivo distal radioulnar joint contact mechanics in the normal and pathological wrist could help physicians make better clinical recommendations and improve treatment for the primary injury and avoid DRUJ pathology. Successful treatment may possibly reduce risk of or prevent the onset of osteoarthritis.
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Chang, Chih-Hao, Sheng-Mou Hou, Jaw-Lin Wang, and Yuan-Quan Tsai. "The Studies of Mechanical Contribution of Pins of Wrist External Fixator Using Mechanical Model, Cadaver Model and In Vivo Patient Model." In ASME 2003 International Mechanical Engineering Congress and Exposition. ASMEDC, 2003. http://dx.doi.org/10.1115/imece2003-42942.

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Wrist external fixator (WEF) is widely used in unstable distal radius fracture. The mechanical properties of WEF were thoroughly studied by many authors. The researches of external skeletal fixator include the stability of the frame structure, fatigue or failure model of pins, exploration of biomechanical characteristics of pin-bone interface, and the strength of pin clamps. The mechanical models [1–5] and cadaver bone [6] were frequently used to test the WEF. For most of the studies, the stiffness (or stability) of the construct was the criteria to evaluate the WEF. In these many studies, however, the mechanical contribution of pins was less studied. Due to the non-weight bearing property and prevention of injuries from the soft tissue of peri-wrist, the structure and elements of WEF are designed to be small and slender. It is hence important to find if all pins of WEF were necessary or proper designed. We tested the mechanical function of Traumafix WEF using the mechanical model, the cadaver model and in vivo patient model. The strains of the pins on the top surface were analyzed. The data showed that the load distribution of each pins were different from pins to pins, and from models. Our result suggests the distal pins of WEF can be smaller if the space of metacarpal bone is limited.
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Xie, Zhengkang, Bing Liang, Xingsong Wang, and Mengqian Tian. "Design of fracture reduction device for distal radius." In 2016 23rd International Conference on Mechatronics and Machine Vision in Practice (M2VIP). IEEE, 2016. http://dx.doi.org/10.1109/m2vip.2016.7827339.

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Jantan, Sadiah, Aini Hussain, and Mohd Marzuki Mustafa. "Distal radius bone age estimation based on fuzzy model." In 2010 IEEE EMBS Conference on Biomedical Engineering and Sciences (IECBES). IEEE, 2010. http://dx.doi.org/10.1109/iecbes.2010.5742275.

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"Design of Rehabilitation Protective Gear for Distal Radius Fracture." In WCSE 2022 Spring Event: 2022 9th International Conference on Industrial Engineering and Applications. WCSE, 2022. http://dx.doi.org/10.18178/wcse.2022.04.024.

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Reports on the topic "Distal radius bone fracture"

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Ilyas, Asif M. Distal Radius Fracture Repair with Volar Plating. Touch Surgery Simulations, 2018. http://dx.doi.org/10.18556/touchsurgery/2018.s0080.

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Shen, Oscar, Wen-Chih Liu, and Chih-Ting Chen. Effectiveness and safety of volar locked plate, K-wiring and external fixator, and the conservative treatment for distal radius fracture in the elderly: Systematic review and Network meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.12.0009.

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Review question / Objective: Patient/Problem: The elder(age&gt;60), with distal radius fracture; Intervention: conservative treatment; Comparison of intervention: volar locked plate, K-wire, external fixator; Clinical Outcome: Grip strength, Disabilities of the Arm, Shoulder, and Hand, Patient-rated wrist evaluation score, range of motion. Condition being studied: The elder(age&gt;60) with distal radius fracture, received conservative treatment or surgical treatment.
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