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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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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. |
format | Online Article Text |
id | pubmed-10695496 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
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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