Does circumferential casting prevent fracture redisplacement in reduced distal radius fractures? A retrospective multicentre study

Journal of Orthopaedic Surgery and Research

T. Gosens¹  M. Reijman²  J. W. Colaris²  A. C. Berger²  B. Barvelink²  G. A. Kraan³  K. W. W. Lansink⁴  M. R. De Vries⁵  P. F. W. Hannemann⁶  M. H. J. Verhofstad⁷ 

[1] Department of Orthopedic Surgery, Elisabeth Tweesteden Hospital, Hilvarenbeekse Weg 60, 5022 GC, Tilburg, The Netherlands;Department of Orthopedic Surgery, Erasmus MC Rotterdam, University Medical Center, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands;Department of Orthopedic Surgery, Reinier de Graaf Gasthuis, Reinier de Graafweg 5, 2625 AD, Delft, The Netherlands;Department of Surgery, Elisabeth Tweesteden Hospital, Hilvarenbeekse Weg 60, 5022 GC, Tilburg, The Netherlands;Department of Surgery, Reinier de Graaf Gasthuis, Reinier de Graafweg 5, 2625 AD, Delft, The Netherlands;Department of Trauma Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands;Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands;

关键词: Distal radius fracture;    Circumferential cast;    Splint;    Redisplacement;    Fracture;    Bone;   

DOI  :  10.1186/s13018-021-02866-9

来源: Springer

【 摘 要 】

BackgroundThis study evaluates whether a circumferential cast compared to a plaster splint leads to less fracture redisplacement in reduced extra-articular distal radius fractures (DRFs).MethodsThis retrospective multicentre study was performed in four hospitals (two teaching hospitals and two academic hospitals). Adult patients with a displaced extra-articular DRF, treated with closed reduction, were included. Patients were included from a 5-year period (January 2012–January 2017). According to the hospital protocol, fractures were immobilized with a below elbow circumferential cast (CC) or a plaster splint (PS). The primary outcome concerned the difference in the occurrence of fracture redisplacement at one-week follow-up.ResultsA total of 500 patients were included in this study (PS n = 184, CC n = 316). At one-week follow-up, fracture redisplacement occurred in 52 patients (17%) treated with a CC compared to 53 patients (29%) treated with a PS. This difference was statistically significant (p = 0.001).ConclusionThis study suggests that treatment of reduced DRFs with a circumferential cast might cause less fracture redisplacement at 1-week follow-up compared to treatment with a plaster splint.Level of Evidence Level III, Retrospective study.

【 授权许可】

CC BY