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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/12433
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dc.contributor.authorCojocari, Ștefan
dc.contributor.authorBuzu, Dumitru
dc.contributor.authorUrsu, Sergiu
dc.contributor.authorMaftei, Dumitru
dc.contributor.authorVacarciuc, Ion
dc.date.accessioned2020-10-30T20:34:57Z
dc.date.available2020-10-30T20:34:57Z
dc.date.issued2016
dc.identifier.citationCOJOCARI, Ștefan, BUZU, Dumitru, URSU, Sergiu et al. The surgical treatment of the distal metaphysic radius fractures (DMFR). In: Arta Medica. 2016, nr. 4(61), p. 12. ISSN 1810-1852.en_US
dc.identifier.issn1810-1852
dc.identifier.urihttps://artamedica.md/old_issues/ArtaMedica_61.pdf
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/12433
dc.descriptionClinical Hospital of Orthopedics and Traumatology, Chișinău, Republic of Moldova, Al VIII-lea Congres Naţional de Ortopedie și Traumatologie cu participare internaţională 12-14 octombrie 2016en_US
dc.description.abstractThe goal of our study was retro and prospective analysis of the results of surgical treatment of DMFR Material and methods: In Hand Surgery Department during the period of years 2011-2015 were diagnosed and treated surgically 546 patients with DMFR (male: female = 1.78: 1). The average age of 59.3 years for men and women 60.2 years, mean age 58.5 years. Predominantly rural population with a ratio of 1.5: 1. Right hand is most often traumatized to the left hand and bilateral with a ratio of 7.75: 3.75: 1. According to the classification Kapandji (K) and AO in our practice we have met the following cases: 18(3,30%) – K.I(AO:23-A2.2 - 11 ;23-A3 - 7 patients), 272(49,82%) cases– K.II(AO:23-C1.1), 51(9,34%) – K.III(AO:23-C1.3), 14(2,56%) – K.IV(AO:23-C1.2), 15(2,75%) – K.V(AO:23-B1.1 - 11 cases ;23-B1.2 – 4 cases), 7(1,28%) – K.VI(AO:23-B2.1 - 4 cases;23-B2.2 - 3; 23-B2.3 - 1 case), 8(1,47%) – K.VII(AO:23-B3.1 - 5 cases ;23-B3.2 - 1 case ;23-B3.3 - 2 cases), 8(1,47%) – KVIII(AO:23-A2.3), 80(14,65%) – K.IX(AO:23-C3), 25(4,58%) – K.X(AO:23-C2.1 - 16 cases;23-C2.2 - 7 cases ;23-C2.3 - 2 cases). According to the classification proposed by Максимов А. (2013), the viciously consolidated fracture of the radial distal metaphysis we have 48(8,79%) cases – K.11(type1 - 4 cases; type2 - 30 cases; type3 - 12 cases; type4 - 2 cases). Depending on the type of fracture, the extent of stability and impaction, the type and the tilting angle of fragments, the surgical treatment was performed by the following methods: osteosynthesis with brooches - 149(27,38%); intrafocal osteosynthesis with brooches - method Kapandji – 269(49,24%) patients; plate osteosynthesis - 67(12,23%); ligamentocapsulotaxia in external fixation appliance - 13(2,36%); corrective osteotomy – k-wire osteosynthesis – 24(4,40%); corrective osteotomy - plate osteosynthesis – 16(2,93%); osteoclasia - plate osteosynthesis – 8(1,47%); In 29(5,31%) cases was determined acute carpal tunnel syndrome, which has intervened by decompression of the median nerve. In 5(0,92%) cases K.XI (tip2,3,4) was determined carpal tunnel syndrome, the median nerve compression ultrasonography was determined in the carpal tunnel more than 18% versus proximal, was performed excision of the carpal ligament and median nerve neurolysis. Conclusion · The problem of treatment DMFR far remains current, despite of the successes in the treatment of orthopedic and experience in the treatment FMDR · In our study, most patients were treated by the method Kapandji - 269(49,24%), that ensuring a good bone junction, excluding secondary displacement. · With a minimum operator volume, exclude the risk of complications and allows a more rapid rehabilitation hand.en_US
dc.language.isoenen_US
dc.publisherAsociaţia chirurgilor “Nicolae Anestiadi” din Republica Moldovaen_US
dc.titleThe surgical treatment of the distal metaphysic radius fractures (DMFR)en_US
dc.typeOtheren_US
Appears in Collections:Arta Medica Vol. 61, No 4, 2016 ediție specială

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