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Predictive factors of distal radioulnar joint instability after surgical treatment of distal radius fractures

Distal radioulnar joint (DRUJ) instability is a common postoperative complication of distal radius fractures, seriously impacting patients’ quality of life. This study investigated its possible influencing factors to determine prognosis and to guide treatment better. We retrospectively included a se...

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Autores principales: Li, Chenfei, Kong, Lingde, Shi, Xuyang, Zhang, Zuzhuo, Lu, Jian, Zhang, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695496/
http://dx.doi.org/10.1097/MD.0000000000036505
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author Li, Chenfei
Kong, Lingde
Shi, Xuyang
Zhang, Zuzhuo
Lu, Jian
Zhang, Bing
author_facet Li, Chenfei
Kong, Lingde
Shi, Xuyang
Zhang, Zuzhuo
Lu, Jian
Zhang, Bing
author_sort Li, Chenfei
collection PubMed
description Distal radioulnar joint (DRUJ) instability is a common postoperative complication of distal radius fractures, seriously impacting patients’ quality of life. This study investigated its possible influencing factors to determine prognosis and to guide treatment better. We retrospectively included a series of patients with distal radius fractures that underwent volar locking plate fixation. Basic patient information and imaging parameters were collected. The incidence of DRUJ instability during follow-up was recorded, and factors associated with DRUJ instability were determined using univariate analysis and multifactorial logistic regression analysis. A total of 159 patients were enrolled in this study. At 6 months of follow-up, 54 patients (34.0%) had DRUJ instability, and multivariate analysis showed coronal plane displacement (OR, 1.665; 95% CI, 1.091–2.541), fracture classification (OR, 0.679; 95% CI, 0.468–0.984) and DRUJ interval (OR, 1.960; 95% CI, 1.276–3.010) were associated with DRUJ instability after volar locking plate. DRUJ interval, coronal plane displacement, and fracture classification are associated with DRUJ instability during follow-up. Therefore, preoperative risk communication and intraoperative attention to recovering relevant imaging parameters are necessary for these patients.
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spelling pubmed-106954962023-12-05 Predictive factors of distal radioulnar joint instability after surgical treatment of distal radius fractures Li, Chenfei Kong, Lingde Shi, Xuyang Zhang, Zuzhuo Lu, Jian Zhang, Bing Medicine (Baltimore) 7100 Distal radioulnar joint (DRUJ) instability is a common postoperative complication of distal radius fractures, seriously impacting patients’ quality of life. This study investigated its possible influencing factors to determine prognosis and to guide treatment better. We retrospectively included a series of patients with distal radius fractures that underwent volar locking plate fixation. Basic patient information and imaging parameters were collected. The incidence of DRUJ instability during follow-up was recorded, and factors associated with DRUJ instability were determined using univariate analysis and multifactorial logistic regression analysis. A total of 159 patients were enrolled in this study. At 6 months of follow-up, 54 patients (34.0%) had DRUJ instability, and multivariate analysis showed coronal plane displacement (OR, 1.665; 95% CI, 1.091–2.541), fracture classification (OR, 0.679; 95% CI, 0.468–0.984) and DRUJ interval (OR, 1.960; 95% CI, 1.276–3.010) were associated with DRUJ instability after volar locking plate. DRUJ interval, coronal plane displacement, and fracture classification are associated with DRUJ instability during follow-up. Therefore, preoperative risk communication and intraoperative attention to recovering relevant imaging parameters are necessary for these patients. Lippincott Williams & Wilkins 2023-12-01 /pmc/articles/PMC10695496/ http://dx.doi.org/10.1097/MD.0000000000036505 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 7100
Li, Chenfei
Kong, Lingde
Shi, Xuyang
Zhang, Zuzhuo
Lu, Jian
Zhang, Bing
Predictive factors of distal radioulnar joint instability after surgical treatment of distal radius fractures
title Predictive factors of distal radioulnar joint instability after surgical treatment of distal radius fractures
title_full Predictive factors of distal radioulnar joint instability after surgical treatment of distal radius fractures
title_fullStr Predictive factors of distal radioulnar joint instability after surgical treatment of distal radius fractures
title_full_unstemmed Predictive factors of distal radioulnar joint instability after surgical treatment of distal radius fractures
title_short Predictive factors of distal radioulnar joint instability after surgical treatment of distal radius fractures
title_sort predictive factors of distal radioulnar joint instability after surgical treatment of distal radius fractures
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695496/
http://dx.doi.org/10.1097/MD.0000000000036505
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