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Clinical Utility of 3-Dimensional Reconstruction Images to Predict Conservative Treatment Outcomes of Intra-Articular Distal Radius Fractures
BACKGROUND: Three-dimensional (3D) images can provide additional information on bone fractures, especially in patients with intra-articular distal radius fractures (DRFs). We aimed to identify possible risk factors for adverse outcomes using a 3D reconstruction technique. MATERIAL/METHODS: We retros...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590525/ https://www.ncbi.nlm.nih.gov/pubmed/33082303 http://dx.doi.org/10.12659/MSM.926894 |
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author | Kong, Lingde Zhang, Zuzhuo Lu, Jian Zhang, Bing Zhou, Yanqing Tian, Dehu |
author_facet | Kong, Lingde Zhang, Zuzhuo Lu, Jian Zhang, Bing Zhou, Yanqing Tian, Dehu |
author_sort | Kong, Lingde |
collection | PubMed |
description | BACKGROUND: Three-dimensional (3D) images can provide additional information on bone fractures, especially in patients with intra-articular distal radius fractures (DRFs). We aimed to identify possible risk factors for adverse outcomes using a 3D reconstruction technique. MATERIAL/METHODS: We retrospectively reviewed adult patients who underwent plaster immobilization with or without closed reduction for DRFs in our hospital between February 2016 and May 2019. The 3D reconstruction image of DRFs was viewed from multiple angles to determine the existence of gaps or steps. Then, a semiquantitative standard was used to assess the severity of fracture. The patients’ basic data and radiographic data were collected, and multiple linear regression analyses were used to identify possible risk factors associated with adverse outcomes. RESULTS: A total of 89 cases were analyzed in our study. There were 28, 39, and 22 patients with level 1, 2, or 3 fractures, respectively, based on the semiquantitative standard. In a multiple linear regression, preoperative severity degree (β, 0.393; 95% confidence interval [CI], 0.260–0.526) and postoperative rehabilitation exercise (β, 0.352; 95% CI, 0.023–0.681) were associated with the Patient-Rated Wrist Evaluation during follow-up. CONCLUSIONS: Our study presents a new method based on 3D reconstruction images to assess the severity of intra-articular DRFs. Patients who were identified as having severe fractures based on this method were found to have worse functional outcome. |
format | Online Article Text |
id | pubmed-7590525 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-75905252020-10-28 Clinical Utility of 3-Dimensional Reconstruction Images to Predict Conservative Treatment Outcomes of Intra-Articular Distal Radius Fractures Kong, Lingde Zhang, Zuzhuo Lu, Jian Zhang, Bing Zhou, Yanqing Tian, Dehu Med Sci Monit Clinical Research BACKGROUND: Three-dimensional (3D) images can provide additional information on bone fractures, especially in patients with intra-articular distal radius fractures (DRFs). We aimed to identify possible risk factors for adverse outcomes using a 3D reconstruction technique. MATERIAL/METHODS: We retrospectively reviewed adult patients who underwent plaster immobilization with or without closed reduction for DRFs in our hospital between February 2016 and May 2019. The 3D reconstruction image of DRFs was viewed from multiple angles to determine the existence of gaps or steps. Then, a semiquantitative standard was used to assess the severity of fracture. The patients’ basic data and radiographic data were collected, and multiple linear regression analyses were used to identify possible risk factors associated with adverse outcomes. RESULTS: A total of 89 cases were analyzed in our study. There were 28, 39, and 22 patients with level 1, 2, or 3 fractures, respectively, based on the semiquantitative standard. In a multiple linear regression, preoperative severity degree (β, 0.393; 95% confidence interval [CI], 0.260–0.526) and postoperative rehabilitation exercise (β, 0.352; 95% CI, 0.023–0.681) were associated with the Patient-Rated Wrist Evaluation during follow-up. CONCLUSIONS: Our study presents a new method based on 3D reconstruction images to assess the severity of intra-articular DRFs. Patients who were identified as having severe fractures based on this method were found to have worse functional outcome. International Scientific Literature, Inc. 2020-10-21 /pmc/articles/PMC7590525/ /pubmed/33082303 http://dx.doi.org/10.12659/MSM.926894 Text en © Med Sci Monit, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Clinical Research Kong, Lingde Zhang, Zuzhuo Lu, Jian Zhang, Bing Zhou, Yanqing Tian, Dehu Clinical Utility of 3-Dimensional Reconstruction Images to Predict Conservative Treatment Outcomes of Intra-Articular Distal Radius Fractures |
title | Clinical Utility of 3-Dimensional Reconstruction Images to Predict Conservative Treatment Outcomes of Intra-Articular Distal Radius Fractures |
title_full | Clinical Utility of 3-Dimensional Reconstruction Images to Predict Conservative Treatment Outcomes of Intra-Articular Distal Radius Fractures |
title_fullStr | Clinical Utility of 3-Dimensional Reconstruction Images to Predict Conservative Treatment Outcomes of Intra-Articular Distal Radius Fractures |
title_full_unstemmed | Clinical Utility of 3-Dimensional Reconstruction Images to Predict Conservative Treatment Outcomes of Intra-Articular Distal Radius Fractures |
title_short | Clinical Utility of 3-Dimensional Reconstruction Images to Predict Conservative Treatment Outcomes of Intra-Articular Distal Radius Fractures |
title_sort | clinical utility of 3-dimensional reconstruction images to predict conservative treatment outcomes of intra-articular distal radius fractures |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590525/ https://www.ncbi.nlm.nih.gov/pubmed/33082303 http://dx.doi.org/10.12659/MSM.926894 |
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