Distal Radius Fractures
Evidence-Based Management
Geert Buijze, Jesse Jupiter, Michel Chammas
- 458 pages
- English
- ePUB (mobile friendly)
- Available on iOS & Android
Distal Radius Fractures
Evidence-Based Management
Geert Buijze, Jesse Jupiter, Michel Chammas
About This Book
Edited and authored by leading international experts, Distal Radius Fractures: Evidence-Based Managementprovides a state-of-the-art overview of diagnosis and management based ontoday'sbest practices. Each chapter focuses on one key issue, offering a challenging case and thenquestioning the reader in an engaging fashionto provide the best available evidence on each topic.Practical and easy toread, this innovative text is a useful resource for all residents, physicians and surgeons who manage fractures.
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Combines current best practices with the knowledge and experience of a global team of expert contributing authors, with a focus onpractical use in applying the evidence.
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Coversneed-to-know topicssuch as anatomy and biomechanics, diagnostic management, acute fracture management, management of pediatric and elderly fractures, and more.
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Includes valuablecase scenarios, technicaltips and tricks, andpearls and pitfalls.
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Featureshigh-quality illustrationsincluding CT scans, x-rays, and clinical photographs.
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Consolidates the latest evidence on distal radius fractures intoone convenient resource.
Frequently asked questions
Information
Chapter 7: Closed Reduction and Immobilization of Displaced Distal Radius Fractures
Abstract
Keywords
- • Despite the popularity of surgical treatment, most displaced distal radius fractures (DRFs) are initially managed with closed reduction and immobilization.
- • Radiological outcomes were not significantly different between mechanical reduction using finger-trap traction and manual reduction.
- • Compared to procedural sedation, local anesthesia (hematoma block) is a safe and effective alternative anesthesia for reduction of DRFs, which provides excellent pain relief in adult and pediatric patients.
- • Immobilization using a sugar-tong or above-the-elbow splint is equivalent to a short-arm splint for maintaining the reduction and quality of molding has more influence on maintaining reduction than the length of the cast.
- • The evidence of the benefit of routinely repeating reduction or routine preoperative reduction in DRFs is insufficient
- • Repeated reduction should be reserved for experienced teams in selected patients, such as those with minimal comminution, those who fail to get appropriate reduction due to inadequate anesthesia or those who have relative contraindications to surgery.