Good radiological and functional results after intramedullary nailing of distal radius fractures

Lene Dremstrup; Mette Schandorff Skjærbæk; Steen Olesen; Annette Langager Høgh; Torben Bæk Hansen

doi:10.3109/2000656X.2012.760466

Good radiological and functional results after intramedullary nailing of distal radius fractures

Lene Dremstrup, Mette Schandorff Skjærbæk, Steen Olesen, Annette Langager Høgh, Torben Bæk Hansen

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

To evaluate the results after fixation of distal radius fractures using Micronail internal fixation, a prospective cohort study was performed, including displaced fractures of the distal radius (AO type A 2.2, A3.1, and A3.2). In total, 60 patients were included and 44 patients were available for 1-year follow-up (radiological and clinical examination) and 39 for 5-year follow-up (telephone interview). It was found that all fractures healed, with an average radial volar tilt of 2°, radial length of 11 mm, and a radial inclination of 22°. The functional result was excellent-to-good in 93% of the patients. Thirteen patients (30%) reported paraesthesia of the superficial branch of the radial nerve at the 1-year follow-up. In four patients the paraesthesia of the radial nerve was persistent. No other complications or reoperations were reported by the patients at the 5-year follow-up and only one implant had been removed. The study confirms that the Micronail is a minimal invasive method that can provide a stable fixation of selected distal radius fractures and provide a good functional outcome with a very low need of implant removal after fracture healing with few complications related to the operation, the main complication being permanent damage to the radial nerve.

Original language	English
Journal	Journal of Plastic Surgery and Hand Surgery
Volume	47
Issue	4
Pages (from-to)	286-8
Number of pages	3
ISSN	2000-656X
DOIs	https://doi.org/10.3109/2000656X.2012.760466
Publication status	Published - Sept 2013

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10.3109/2000656X.2012.760466

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title = "Good radiological and functional results after intramedullary nailing of distal radius fractures",

abstract = "To evaluate the results after fixation of distal radius fractures using Micronail internal fixation, a prospective cohort study was performed, including displaced fractures of the distal radius (AO type A 2.2, A3.1, and A3.2). In total, 60 patients were included and 44 patients were available for 1-year follow-up (radiological and clinical examination) and 39 for 5-year follow-up (telephone interview). It was found that all fractures healed, with an average radial volar tilt of 2°, radial length of 11 mm, and a radial inclination of 22°. The functional result was excellent-to-good in 93% of the patients. Thirteen patients (30%) reported paraesthesia of the superficial branch of the radial nerve at the 1-year follow-up. In four patients the paraesthesia of the radial nerve was persistent. No other complications or reoperations were reported by the patients at the 5-year follow-up and only one implant had been removed. The study confirms that the Micronail is a minimal invasive method that can provide a stable fixation of selected distal radius fractures and provide a good functional outcome with a very low need of implant removal after fracture healing with few complications related to the operation, the main complication being permanent damage to the radial nerve.",

author = "Lene Dremstrup and Skj{\ae}rb{\ae}k, {Mette Schandorff} and Steen Olesen and H{\o}gh, {Annette Langager} and Hansen, {Torben B{\ae}k}",

year = "2013",

month = sep,

doi = "10.3109/2000656X.2012.760466",

language = "English",

volume = "47",

pages = "286--8",

journal = "Journal of Plastic Surgery and Hand Surgery",

issn = "2000-656X",

publisher = "Taylor & Francis",

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Good radiological and functional results after intramedullary nailing of distal radius fractures. / Dremstrup, Lene; Skjærbæk, Mette Schandorff ; Olesen, Steen et al.
In: Journal of Plastic Surgery and Hand Surgery, Vol. 47, No. 4, 09.2013, p. 286-8.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Good radiological and functional results after intramedullary nailing of distal radius fractures

AU - Dremstrup, Lene

AU - Skjærbæk, Mette Schandorff

AU - Olesen, Steen

AU - Høgh, Annette Langager

AU - Hansen, Torben Bæk

PY - 2013/9

Y1 - 2013/9

N2 - To evaluate the results after fixation of distal radius fractures using Micronail internal fixation, a prospective cohort study was performed, including displaced fractures of the distal radius (AO type A 2.2, A3.1, and A3.2). In total, 60 patients were included and 44 patients were available for 1-year follow-up (radiological and clinical examination) and 39 for 5-year follow-up (telephone interview). It was found that all fractures healed, with an average radial volar tilt of 2°, radial length of 11 mm, and a radial inclination of 22°. The functional result was excellent-to-good in 93% of the patients. Thirteen patients (30%) reported paraesthesia of the superficial branch of the radial nerve at the 1-year follow-up. In four patients the paraesthesia of the radial nerve was persistent. No other complications or reoperations were reported by the patients at the 5-year follow-up and only one implant had been removed. The study confirms that the Micronail is a minimal invasive method that can provide a stable fixation of selected distal radius fractures and provide a good functional outcome with a very low need of implant removal after fracture healing with few complications related to the operation, the main complication being permanent damage to the radial nerve.

AB - To evaluate the results after fixation of distal radius fractures using Micronail internal fixation, a prospective cohort study was performed, including displaced fractures of the distal radius (AO type A 2.2, A3.1, and A3.2). In total, 60 patients were included and 44 patients were available for 1-year follow-up (radiological and clinical examination) and 39 for 5-year follow-up (telephone interview). It was found that all fractures healed, with an average radial volar tilt of 2°, radial length of 11 mm, and a radial inclination of 22°. The functional result was excellent-to-good in 93% of the patients. Thirteen patients (30%) reported paraesthesia of the superficial branch of the radial nerve at the 1-year follow-up. In four patients the paraesthesia of the radial nerve was persistent. No other complications or reoperations were reported by the patients at the 5-year follow-up and only one implant had been removed. The study confirms that the Micronail is a minimal invasive method that can provide a stable fixation of selected distal radius fractures and provide a good functional outcome with a very low need of implant removal after fracture healing with few complications related to the operation, the main complication being permanent damage to the radial nerve.

U2 - 10.3109/2000656X.2012.760466

DO - 10.3109/2000656X.2012.760466

M3 - Journal article

C2 - 23750843

SN - 2000-656X

VL - 47

SP - 286

EP - 288

JO - Journal of Plastic Surgery and Hand Surgery

JF - Journal of Plastic Surgery and Hand Surgery

IS - 4

ER -

Good radiological and functional results after intramedullary nailing of distal radius fractures

Abstract

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