Ultrasound-Assisted Closed Reduction of Distal Radius Fractures
Ultrasound-Assisted Closed Reduction of Distal Radius Fractures
复制标题
DOI：
10.1016/j.jhsa.2014.02.031
复制
发表时间：
2014-07-01
影响因子：
1.9
通讯作者：
Matsusue, Yoshitaka
中科院分区：
文献类型：
--
作者：
Kodama, Narihito;Takemura, Yoshinori;Matsusue, Yoshitaka
目的评价超声监测桡骨远端骨折闭合复位的准确性和能力。方法收集2003年1月至2006年12月在我科行超声引导下闭合复位桡骨远端急性移位骨折的患者100例。对照组是从在透视下或没有任何成像辅助下对类似骨折进行闭合复位的患者中提取的。为了证实超声测量的准确性，将复位前后的位移距离值与X线成像进行比较。比较两组患者复位前后X线检查参数、复位时间、总费用及成功率对照组57例，其中35例（平均年龄，74岁）和22例（平均年龄，72岁）的患者，在X线透视下进行复位。放射学和超声测量之间没有显著的位移差异。在复位前后的X线参数方面，两组之间没有显著差异。超声引导复位时间较其他2种方法长。超声和透视组的成功率相似（分别为95%和94%）。结论我们的数据表明，超声辅助可以帮助桡骨远端骨折复位以及透视。版权所有（C）2014美国手外科学会。All rights reserved.
Purpose To assess the accuracy and ability of ultrasound for monitoring closed reduction for distal radius fractures.Methods Consecutive patients undergoing ultrasound-guided closed reduction of acute, displaced distal radius fractures between January 2003 and December 2006 at our department were enrolled. The control group was extracted from patients who underwent a closed reduction for similar fractures under fluoroscopy or without any imaging assistance. To confirm the accuracy of the ultrasonography measurements, displacement distance values were compared with those on radiographic imaging before and after reduction. X-ray parameters for pre- and postreduction, reduction time, total cost, and success rate were compared between the ultrasound-guided and the control groups.Results The ultrasound-guided group consisted of 43 patients (mean age, 68 y) and the control group consisted of 57 patients, which included 35 patients (mean age, 74 y) with fluoroscopic reduction and of 22 patients (mean age, 72 y) with reduction unaided by imaging. There were no significant displacement differences between radiographic and ultrasound measurements. In x-ray parameters for pre- and postreduction, there were no significant differences between the 2 groups. Ultrasound-guided reduction took longer than the other 2 methods. The success rate of the ultrasound and the fluoroscopic groups were similar (95% and 94%, respectively).Conclusions Our data suggest that ultrasound assistance can aid reduction of distal radius fractures as well as fluoroscopy. Copyright (C) 2014 by the American Society for Surgery of the Hand. All rights reserved.