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[Bore wire osteosynthesis in distal radius fracture]
Summary
Percutaneous drill wire fixation for dislocated radial fractures yields excellent or good results in 84% of cases. This method is superior to non-operative treatments for elderly patients and dislocated wrist fractures, with minimal severe complications.
Area of Science:
- Orthopedic surgery
- Traumatology
- Skeletal fixation
Context:
- 404 cases of dislocated radial fractures treated with percutaneous drill wire fixation.
- Evaluation of treatment outcomes and complications.
- Focus on typical fracture situations.
Purpose:
- To report treatment results and complications of percutaneous drill wire fixation for dislocated radial fractures.
- To compare the efficacy of this method with non-operative procedures.
- To identify the most frequent complications and assess overall success rates.
Summary:
- Percutaneous drill wire fixation achieved excellent or good results in 84% of 404 patients with dislocated radial fractures.
- Common complications included secondary fracture impression, transient paresthesia, and skin perforation by the wire.
- No cases of osteitis or pseudoarthrosis were reported.
Impact:
- Percutaneous drill wire fixation is a highly effective treatment for dislocated radial fractures.
- This technique demonstrates superiority over non-operative management, particularly for elderly patients and those with dislocated wrist fractures.
- The study provides valuable data on complication rates and successful outcomes in orthopedic trauma management.