Abstract
Why do we struggle with distal radius fractures as Abraham Colles stated 200 years ago: “… the limb will again enjoy perfect freedom in all its motions, and be completely free of pain”?
Why have half of all the publications on the topic “distal radius fracture”, listed in PubMed, been published in the last ten years?
Why is there so much controversy that the Cochrane Institute (2008) cannot find any evidence for anything we do in the management of distal radius fractures?
Why could the American Association for Orthopaedic Surgeons (2009) only find one area of “moderate” evidence, namely, regarding operative treatment: “We suggest operative fixation for fractures with post-reduction radial shortening >3 mm, dorsal tilt >10°, or intra-articular displacement or step-off >2 mm as opposed to cast fixation”?
Why can’t we manage this common fracture better in the twenty-first century?
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References
American Association of Orthopaedic Surgeons (AAOS) Guideline on the treatment of distal radius fractures. 2009. http://www.aaos.org/Research/guidelines/DRFguideline.asp
Andersen DJ, Blair WF, Steyers Jr CM, Adams BD, el-Khouri GY, Brandser EA. Classification of distal radius fractures: an analysis of interobserver reliability and intraobserver reproducibility. J Hand Surg Am. 1996;21A(4):574–82.
Chung KC, Shauver MJ, Yin H, Kim HM, Baser O, Birkmeyer JD. Variations in the use of internal fixation for distal radial fracture in the United States medicare population. J Bone Joint Surg Am. 2011;93A(23):2154–62.
Flinkkilä T, Raatikainen T, Hämäläinen M. AO and Frykman’s classifications of Colles’ fracture. No prognostic value in 652 patients evaluated after 5 years. Acta Orthop Scand. 1998;69(1):77–81.
Handoll HHG, Huntley JS, Madhok R. External fixation versus conservative treatment for distal radial fractures in adults. Cochrane Database Syst Rev. 2007;(3):CD006194. doi:10.1002/14651858.CD006194.pub2.
Kreder HJ, Agel J, McKee MD, Schemitsch EH, Stephen D, Hanel DP. A randomized, controlled trial of distal radius fractures with metaphyseal displacement but without joint incongruity: closed reduction and casting versus closed reduction, spanning external fixation, and optional percutaneous K-wires. J Orthop Trauma. 2006;20(2):115–21.
Lafontaine M, Hardy D, Delince P. Stability assessment of distal radius fractures. Injury. 1989;20(4):208–10.
Lindau TR, Aspenberg P, Arner M, Redlundh-Johnell I, Hagberg L. Fractures in the distal forearm in young adults. An epidemiologic description of 341 patients. Acta Orthop Scand. 1999;70(2):124–8.
Mackenney PJ, McQueen, MM, Elton R. Prediction of instability in distal radial fractures. J Bone Joint Surg Am. 2006;88A(9):1944–1951. http://www.trauma.co.uk/wristcalc.
Margaliot Z, Haase SC, Kotsis SV, Kim HM, Chung KC. A meta-analysis of outcomes of external fixation versus plate osteosynthesis for unstable distal radius fractures. J Hand Surg Am. 2005;30A(6):1185–99.
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Lindau, T., Ekholm, C. (2014). Distal Radius Fractures: What Is the Problem?. In: Hove, L., Lindau, T., Hølmer, P. (eds) Distal Radius Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54604-4_1
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DOI: https://doi.org/10.1007/978-3-642-54604-4_1
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