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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
[Score system--potential uses and application in the assessment of results in Colles' fractures]
Introduction:
Colles'fractures are the most common fractures of the human skeleton, especially in winter and in menopausal women.
Objective:
The objective of the paper was to provide an overview of the potential uses of the Gartland-Werley (G-W) scoring system, that is, of its elements (residual deformities, subjective discomfort, objective discomfort and complications) in assessing the results of the Colles' fractures treatment; as well as to determine which of these elements--and to what extent--have an impact on the final result of the scoring system and what correlations exist within the G-W scoring system itself.
Method:
Our paper included 102 patients suffering from Colles' fractures treated non-operatively with a minimum follow-up period of one year.The Gartland-Werley scoring system was used to assess the results of the non-operative treatment.
Results:
The results, when applying the G-W score, were excellent in 40, good in 46, satisfactory in 14, and poor in 2 patients at the end of the assessment. The G-W score elements had the following percentages in the scoring results: residual deformities 15.38%, subjective discomfort 15.38%, objective discomfort (functional results) 43.58%, and complications 25.64%. The correlation analysis showed a statistically significant correlation of the residual deformities and the total G-W score (p < 0.01) at the level of subjective discomfort and total G-W score (p < 0.01), and between objective discomfort and total G-W score at the same level.
Conclusion:
Colles'fractures, as the most common fractures in humans, require a special approach and adequate assessment of final treatment results, because inadequate treatment results in the reduction of patients'daily activities and their ability to work.
