How do you treat an intra-articular fracture?
How do you treat an intra-articular fracture?
Surgery for Intra-Articular Radial Fractures Through this incision, bone fragments can be straightened and adjusted. Plates, screws, and pins are used to hold the bone in position. For open radial fractures (when the skin is broken by the fractured bone), surgery should be performed as soon as possible.
How do you treat a distal radius fracture?
Treatment for a Distal Radius Fracture
- Immobilize the wrist with a splint or brace.
- Elevate the wrist above the level of the heart.
- Use ice therapy for 5 to 10 minutes every hour, which can ease swelling and dull pain signals.
Can I drive with a broken wrist in a cast?
Conclusion: It is recommended that all medical professionals advise their patients that they should not drive while immobilised in an upper limb plaster cast.
How long does it take an intra-articular fracture to heal?
Open reduction and pin fixation are required (Fig. 9-41). Surgical dissection into the joint is distal to the intact ulnar collateral ligament insertion via the fracture site. When anatomically realigned, these injuries heal in 4 to 6 weeks without complication.
Does an intra-articular fracture require surgery?
For patients with extra-articular fractures, closed reduction and cast immobilization was the first choice. As intra-articular DRFs often had fragments displacement >2 mm, and are commonly accompanied by multi-fragments in the articular surface, surgical treatment is required by most cases.
How long should a broken wrist hurt in a cast?
A cast might be needed for six to eight weeks, and sometimes even longer depending on the severity of the break. More severe breaks may take as long as six months to fully heal. Discomfort or pain may continue for months or even years after your injury.
Do all intra-articular fractures need surgery?
Extra-articular distal radius fractures, which are typically the result of a low-energy event, can be treated with conservative management, while intra-articular fractures may require surgery.
How long should you take off work with a broken wrist?
This depends on your job. In general terms your wrist will take six to eight weeks to heal fully and during this time you will be unable to lift heavy items or do heavy manual work. However if you can do office-based duties you can potentially return to work with your plaster on before this time.
What are the surgical options for intra-articular distal radius fractures?
Volar distal radius plating, locking or nonlocking, is the most common surgical treatment of intra-articular distal radius fractures. These range from the more conventional single volar plate to fragment-specific plating systems.
What causes a distal radius fracture?
Distal radius fractures occur through the distal metaphysis of the radius May involve articular surface frequently involving the ulnar styloid Most often result from a fall on the outstretched hand. – forced extension of the carpus, – impact loading of the distal radius.
Are extensor tendons at risk for rupture after distal radius fractures?
Tendon irritation and rupture are known complications after operative and non-operative treatment of distal radius fractures (DRFs). The extensor tendons, specifically the extensor pollicis longus (EPL), is in close proximity to the bony architecture of the dorsal distal radius and therefore is at risk for injury.
How do you treat a distal angulated fracture?
Reduction Maneuver (dorsally angulated fracture): – hyperextension of the distal fragment, – Maintain weighted traction and reduce the distal to the proximal fragment with pressure applied to the distal radius. Apply well-molded “sugar -tong” splint or cast, with wrist in neutral to slight flexion.
