CAST IMMOBILIZATION AFTER PINNING IN DISTAL RADIUS FRACTURES

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JAZAYERI S.M.; KAZEMIAN GH.H.; ABD ELAHZADEH LAHIJI F.; HESARIKIA H.

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Paper Information

Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2007 | Volume:5 | Issue:3 (19) Page(s): 135-140

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Information Journal Paper

Title

CAST IMMOBILIZATION AFTER PINNING IN DISTAL RADIUS FRACTURES

Author(s)

JAZAYERI S.M. | KAZEMIAN GH.H. | ABD ELAHZADEH LAHIJI F. | HESARIKIA H. | Issue Writer Certificate

Keywords

RADIUS FRACTURESQ2

COLLES’ FRACTUREQ3

FRACTURE FIXATIONQ3

ADMINISTRATIONQ3

CUTANEOUSQ3

Abstract

Background: Percutaneuos pinning (PCP) is a minimally invasive but cost-effective procedure for treatment of distal radius fracture. There is some uncertainty about duration of post-pinning cast immobilization. The aim of this study was to compare 3 weeks of immobilization with 6 weeks in terms of the effect on wrist function.Methods: In a prospective randomized control clinical trial, 50 patients with A2, A3 or C1 distal RADIUS FRACTURES were treated with reduction and 2 trans- radius- styloid pin fixation. Then, first group received 3 weeks and second group 6 weeks of cast immobilization. The functional outcome was assessed in 3, 6 and 12 months by Lidstorm scoring system.Results: In 33 men and 17 women, the findings were as follows: At 3 months excellent or good function was seen in 10 cases (40%) of group 1 (3 weeks casting), and 3 patients (12%) of group 2. At 6 months the figures were 19 (76%) and 13 (52%) respectively. At 12 months 23 cases (92%) of group one and 21 cases (84%) of group two had good or excellent outcomes. The mean time period between injury and return to work in group one and two were 3 and 3.5 months respectively. Male patients had an earlier return-to-work period in either group.Conclusions: Extra-articular, non-comminuted distal RADIUS FRACTURES with no fracture of distal ulna can be safely treated with percutaneous pinning followed by only 3 weeks cast immobilization. This will results into faster return of wrist function and earlier return to work in 3 to 6 months, with no effect at 12 months.

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APA: Copy

JAZAYERI, S.M., KAZEMIAN, GH.H., ABD ELAHZADEH LAHIJI, F., & HESARIKIA, H.. (2007). CAST IMMOBILIZATION AFTER PINNING IN DISTAL RADIUS FRACTURES. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 5(3 (19)), 135-140. SID. https://sid.ir/paper/85553/en

Vancouver: Copy

JAZAYERI S.M., KAZEMIAN GH.H., ABD ELAHZADEH LAHIJI F., HESARIKIA H.. CAST IMMOBILIZATION AFTER PINNING IN DISTAL RADIUS FRACTURES. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2007;5(3 (19)):135-140. Available from: https://sid.ir/paper/85553/en

IEEE: Copy

S.M. JAZAYERI, GH.H. KAZEMIAN, F. ABD ELAHZADEH LAHIJI, and H. HESARIKIA, “CAST IMMOBILIZATION AFTER PINNING IN DISTAL RADIUS FRACTURES,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 5, no. 3 (19), pp. 135–140, 2007, [Online]. Available: https://sid.ir/paper/85553/en

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