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Arthroscopic debridement does not enhance surgical treatment of intra-articular distal radius fractures
- Source :
- Journal of Hand Surgery: European Volume, 45(4), 327-332. SAGE Publications Ltd, Journal of hand surgery, European volume. W.B. Saunders Ltd
- Publication Year :
- 2020
-
Abstract
- The aim of this study was to determine the difference in functional outcomes after open reduction and internal fixation (ORIF) with and without arthroscopic debridement in adults with displaced intra-articular distal radius fractures. In this multicentre trial, 50 patients were randomized between ORIF with or without arthroscopic debridement. The primary outcome measure was the Patient-Rated Wrist Evaluation (PRWE) score. Secondary outcome measures were Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, pain scores, range of wrist motion, grip strength, and complications. Median PRWE was worse for the intervention group at 3 months and was equal for both groups at 12 months. The secondary outcome measures did not show consistent patterns of differences at different time-points of follow-up. We conclude that patients treated with additional arthroscopy to remove intra-articular hematoma and debris did not have better outcomes than those treated with ORIF alone. We therefore do not recommend arthroscopy for removal of hematoma and debris when surgically fixing distal radius fractures. Level of evidence: I
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Wrist
law.invention
03 medical and health sciences
Grip strength
Fracture Fixation, Internal
0302 clinical medicine
Hematoma
Randomized controlled trial
law
medicine
Wrist arthroscopy
Internal fixation
Humans
Range of Motion, Articular
Reduction (orthopedic surgery)
030222 orthopedics
medicine.diagnostic_test
business.industry
Arthroscopy
030229 sport sciences
medicine.disease
Surgery
medicine.anatomical_structure
Treatment Outcome
Debridement
business
Radius Fractures
Bone Plates
Subjects
Details
- Language :
- English
- ISSN :
- 17531934
- Volume :
- 45
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of Hand Surgery: European Volume
- Accession number :
- edsair.doi.dedup.....4d7f0b578f21da15907eff42d9cec084