Fracture; Radius, Lower or Distal End
Conditions
Keywords
Fracture of the radius
Brief summary
Anterior plate osteosynthesis of fractures of the lower extremity of the radius may be accompanied by tendinous complications : tenosynovitis of extensors or even tendon ruptures caused by the end of the epiphyseai screws. The intraoperative measurements as well as the realization of the scopic pictures make it possible to estimate the length of the screws but the tendinous lesions remain frequent (5 to 15% according to the various series)
Detailed description
* Preoperative consultation * Oral information of the patient of the protocol and delivery of the written information note * Seeking patient's non-opposition to participating in the study * Inclusion of the patient * Surgical procedure for distal radius fracture + immediate post-operative radiography * Intervention performed according to the usual practices of the service by the surgeon of the day without randomization * Radiography: 2 shots: face and wrist profile * Control X-ray + consultation * Achieved at 3 weeks, 6 weeks and 3 months after the intervention * X-rays: 2 shots: face and wrist profile * Control ultrasound o Realized at 3 months after the intervention End of participation in the study after consultation of 3 months.
Interventions
None listed
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years old * Fracture (s) of extra joint distal radius with or without joint refend in the sagitta plane * Osteosynthesis by anterior locked plate * Patient who did not oppose his participation in this research
Exclusion criteria
* Distal radius fractures with joint refend frontal (posterior marginal)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Screws exceeding the posterior cortical | 3 months | Proportion of tendon complications induced by conflict between the distal end of the epiphysal screws and extender tendons: rupture, tenosynovitis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tendon complications | 3 months | Proportion of tendon complications induced by conflict between the distal end of the epiphysal screws and extender tendons: rupture, tenosynovitis. |
| Secondary displacement or dismantling | 3 months | Proportion of secondary displacement or dismantling 3-month control radio equipment (change of the radial slope on the face and radial glene's anversion on the profile between X-rays at J0 and control x-rays) |
| Ablation of material or resumption early surgery | 3 months | Proportion of ablation of material or resumption early surgery on secondary displacement rated at 3 months |
Countries
France
Contacts
Primary ContactOlivier HERISSON, Dr
Backup ContactMarc SOUBEYRAND, Pr
Outcome results
None listed