gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Arthroscopic assisted reduction versus fluoroscopic reduction in treatment for AO type C intra-articular distal radius fracture. A review of functional and radiological outcome between two methods

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  • presenting/speaker Siu Cheong Jeffrey Justin Koo - Department of Orthoapedics and Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, Hong Kong
  • Kam Yiu Adrian Leung - Department of Occupational Therapy, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, Hong Kong
  • Pak Cheong Ho - Department of Orthoapedics and Traumatology, Princes of Wales Hospital, Hong Kong SAR, Hong Kong

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1182

doi: 10.3205/19ifssh0758, urn:nbn:de:0183-19ifssh07588

Published: February 6, 2020

© 2020 Koo et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

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Objectives/Interrogation: Arthroscopic assisted reduction versus fluoroscopic reduction in treatment for AO type C intra-articular distal radius fracture. A review of functional and radiological outcome between two methods.

Methods: Between April 2016 and March 2018, 24 patients (15 males, 9 females, average age 57.3, follow-up time 12.5 months) were recruited into 2 groups and retrospectively reviewed. In Arthroscopic group, articular fragments are reduced and stabilised with K-wire arthroscopically. All patients in 2 groups had fractures fixed with volar distal radius locking plate. Active range of motion, grip strength, Modified Mayo Wrist (MMWS) score and Quick Disabilities of the Arm, Shoulder, and Hand (DASH), radiological assessment in distal radius parameters were assessed.

Results and Conclusions: Arthroscopic group had statistically better restoration in articular stepping and gapping as well as volar tilt and ulnar variance. Wrist extension and flexion, forearm pronation and supination as well as grip strength also have statistically improvement when compared with conventional fluoroscopic method.

Concomitant intra-articular soft tissue injuries were detected in arthroscopic group (5 TFCC tear, 3 Scapho-lunate interosseous ligament tear and 1 Luno-triquetral interosseous ligament tear) and treated accordingly.

Arthroscopic group had 2 excellent, 2 good and 8 satisfactory results whereas fluoroscopic group had 1 good, 8 satisfactory and 3 poor results with better mean MMWS score (P=0.02). However, Quick DASH score failed to show any difference.

Our study showed arthroscopic assisted technique precisely restore the distal radius radiological parameters with good functional outcome. Also, missing intra-articular soft tissue injury can be avoided and treated simultaneously.