This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by JUPITER, J. B.
Right arrow Articles by RING, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by JUPITER, J. B.
Right arrow Articles by RING, D.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery 78:1817-28 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Operative Treatment of Volar Intra-Articular Fractures of the Distal End of the Radius*

JESSE B. JUPITER, M.D.{dagger}, BOSTON, DIEGO L. FERNANDEZ, M.D.{ddagger}, CHOON-LAI TOH, M.D.§, AARAU, SWITZERLAND, THOMAS FELLMAN, M.D.{ddagger} and DAVID RING, M.D.{dagger}, BOSTON, MASSACHUSETTS

Investigation performed at Massachusetts General Hospital, Boston, and Kantonspital, Aarau

We retrospectively reviewed the results of operative treatment of forty-nine volar marginal intra-articular fractures of the distal end of the radius. According to the Comprehensive Classification of Fractures, there were two B3.1 fractures (characterized by a small volar fragment, with the sigmoid notch intact), three B3.2 fractures (characterized by a large volar fragment that included the sigmoid notch), and forty-four B3.3 fractures (characterized by comminution of the volar fragment). Although all fractures healed and only nine patients had evidence of osteoarthrosis on follow-up radiographs, there were six early and fourteen late complications, some of which adversely influenced the over-all outcome. After an average of fifty-one months (range, twenty-four to 117 months), there were thirty-one excellent, ten good, and eight fair results according to the system described by Gartland and Werley, and thirty-two excellent, nine good, five fair, and three poor results according to the modified system of Green and O'Brien. Two factors were found to have a significant association with a fair or poor outcome: evidence of osteoarthrosis on the most recent follow-up radiographs and reversal of the normal volar tilt of the distal end of the radius. The age of the patient, the interval from the injury to the operation, a concomitant injury of the ipsilateral upper extremity, an associated fracture of the ulnar styloid process, the radio-ulnar index, ulnar angulation, the classification of the fracture, comminution of the volar fragment, and articular incongruity were not significantly associated with the outcome.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J Am Acad Orthop SurgHome page
A. D. Nana, A. Joshi, and D. M. Lichtman
Plating of the Distal Radius
J. Am. Acad. Ortho. Surg., May 1, 2005; 13(3): 159 - 171.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
N. G. Harness, J. B. Jupiter, J. L. Orbay, K. B. Raskin, and D. L. Fernandez
Loss of Fixation of the Volar Lunate Facet Fragment in Fractures of the Distal Part of the Radius
J. Bone Joint Surg. Am., September 1, 2004; 86(9): 1900 - 1908.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
P. M. Simic and A. J. Weiland
Fractures of the Distal Aspect of the Radius: Changes in Treatment Over the Past Two Decades
J. Bone Joint Surg. Am., March 11, 2003; 85(3): 552 - 564.
[Full Text] [PDF]

Home page
 JBJSHome page
T. E. TRUMBLE, R. CULP, D. P. HANEL, W. B. GEISSLER, and R. A. BERGER
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Intra-Articular Fractures of the Distal Aspect of the Radius*{{dagger}}
J. Bone Joint Surg. Am., April 1, 1998; 80(4): 582 - 600.
[Full Text]