Interest of Ultrasound for Osteosynthesis of Distal Radius Fractures
COGNET JM | MARES O
Seance of wednesday 31 march 2021 (Chirurgie de la main et du poignet)
DOI number : 10.26299/1mkk-bd89/emem.2019.1.008
Abstract
Objectives: The aim of this study was to evaluate the possibility to check the reduction and osteosynthesis of a displaced distal radius fracture using ultrasound, compare to radiographic control by image intensifier peroperatively .
Methods: 41 patients operated for a displaced distal radius fracture underwent intraoperative ultrasound control of the reduction and osteosynthesis of their fracture. For each procedure, a double check was carried out, ultrasound then by image intensifier.
Results: 31 women and 10 men with an average age of 62.4 years old were included in this study. The average operating time was 35.8 minutes. At the last follow-up, the average anteversion was 7.5°, with an average radial inclination of 19.1 ° and an ulnar variance of - 0.56 mm. The image intensifier radio control confirmed the ultrasound control of the reduction of the fracture. Position of the plate was modified in five cases after image intensifier control. All of these cases were operated on by a junior surgeon.
Conclusions: This study demonstrated that ultrasound could be used for the control of osteosynthesis of distal radius fractures for senior surgeons.
Methods: 41 patients operated for a displaced distal radius fracture underwent intraoperative ultrasound control of the reduction and osteosynthesis of their fracture. For each procedure, a double check was carried out, ultrasound then by image intensifier.
Results: 31 women and 10 men with an average age of 62.4 years old were included in this study. The average operating time was 35.8 minutes. At the last follow-up, the average anteversion was 7.5°, with an average radial inclination of 19.1 ° and an ulnar variance of - 0.56 mm. The image intensifier radio control confirmed the ultrasound control of the reduction of the fracture. Position of the plate was modified in five cases after image intensifier control. All of these cases were operated on by a junior surgeon.
Conclusions: This study demonstrated that ultrasound could be used for the control of osteosynthesis of distal radius fractures for senior surgeons.