Distal radioulnar joint instability (Galeazzi type injury) after internal fixation in relation to the radius fracture pattern

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dc.contributor.authorKorompilias, A. V.en
dc.contributor.authorLykissas, M. G.en
dc.contributor.authorKostas-Agnantis, I. P.en
dc.contributor.authorBeris, A. E.en
dc.contributor.authorSoucacos, P. N.en
dc.date.accessioned2015-11-24T19:24:07Z
dc.date.available2015-11-24T19:24:07Z
dc.identifier.issn1531-6564-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22424
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectBone Wiresen
dc.subjectCohort Studiesen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectFracture Fixation, Internal/*adverse effects/methodsen
dc.subjectHumansen
dc.subjectIncidenceen
dc.subjectInjury Severity Scoreen
dc.subjectJoint Instability/epidemiology/etiology/*radiographyen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectRadius Fractures/*radiography/*surgeryen
dc.subjectRange of Motion, Articular/physiologyen
dc.subjectRetrospective Studiesen
dc.subjectRisk Assessmenten
dc.subjectTime Factorsen
dc.subjectWrist Joint/*physiopathology/*radiographyen
dc.subjectYoung Adulten
dc.titleDistal radioulnar joint instability (Galeazzi type injury) after internal fixation in relation to the radius fracture patternen
heal.abstractPURPOSE: The purpose of this study was to classify Galeazzi type injuries and determine the association of residual instability after rigid fixation with the fracture pattern of the shaft of the radius, using a system that is based on anatomic landmarks of the radial shaft. METHODS: The clinical records of 95 patients (72 men and 23 women) with Galeazzi type injuries requiring open reduction and internal fixation of the fractures were retrospectively reviewed. The mean follow-up was 6.8 years (range, 18 mo to 11 y) after injury. Sixty-nine fractures occurred in the distal third of the radial shaft (type I), 17 fractures were in the middle third (type II), and 9 fractures were in the proximal third of the shaft of the radius (type III). Gross instability of the distal radioulnar joint (DRUJ) was determined intraoperatively by manipulation after radial fixation as compared to the uninjured side. RESULTS: Forty patients had DRUJ instability after internal fixation and were treated with temporary pinning with a K-wire placed transversely proximal to the sigmoid notch. Distal radioulnar joint instability after internal fixation was recorded in 37 type I fractures, 2 type II fractures, and 1 type III fracture. CONCLUSIONS: Distal radioulnar joint instability following radial shaft fracture fixation is significantly higher in patients with type I fractures than in patients with type II or type III fractures. The location of the radius fracture can be sufficiently used for preoperative estimation of percentage chance of potential DRUJ instability after fracture fixation.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1016/j.jhsa.2010.12.020-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21435802-
heal.identifier.secondaryhttp://ac.els-cdn.com/S0363502310016199/1-s2.0-S0363502310016199-main.pdf?_tid=6fd7ab85879bfb15c97b2a94ab1fe080&acdnat=1333380078_05d0edb27250cf92096f9da15c902cc1-
heal.journalNameJ Hand Surg Amen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2011-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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