Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Kong, Lingde, Zhang, Zuzhuo, Lu, Jian, Zhang, Bing, Zhou, Yanqing, Tian, Dehu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2020
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
_version_ 1783600819181977600
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
work_keys_str_mv AT konglingde clinicalutilityof3dimensionalreconstructionimagestopredictconservativetreatmentoutcomesofintraarticulardistalradiusfractures
AT zhangzuzhuo clinicalutilityof3dimensionalreconstructionimagestopredictconservativetreatmentoutcomesofintraarticulardistalradiusfractures
AT lujian clinicalutilityof3dimensionalreconstructionimagestopredictconservativetreatmentoutcomesofintraarticulardistalradiusfractures
AT zhangbing clinicalutilityof3dimensionalreconstructionimagestopredictconservativetreatmentoutcomesofintraarticulardistalradiusfractures
AT zhouyanqing clinicalutilityof3dimensionalreconstructionimagestopredictconservativetreatmentoutcomesofintraarticulardistalradiusfractures
AT tiandehu clinicalutilityof3dimensionalreconstructionimagestopredictconservativetreatmentoutcomesofintraarticulardistalradiusfractures