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Radiographic and clinical outcomes of muenster and sugar tong splints for distal radius fractures: a comparative study.
Jo, Young-Hoon; Lee, Myoung Keun; Lee, Young Seok; Choi, Wan-Sun; Kim, Joo-Hak; Kim, Jiwhan; Lee, Chang-Hun.
Afiliação
  • Jo YH; Department of Orthopaedic Surgery, Hanyang University Guri Hospital, Guri, Republic of Korea.
  • Lee MK; Department of Orthopaedic Surgery, College of Medicine, Hanyang University, 222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea.
  • Lee YS; Department of Orthopaedic Surgery, Hanyang University Guri Hospital, Guri, Republic of Korea.
  • Choi WS; Department of Orthopaedic Surgery, College of Medicine, Ajou University, Suwon, Republic of Korea.
  • Kim JH; Department of Orthopaedic Surgery, Myongji Hospital, Goyang, Republic of Korea.
  • Kim J; Department of Orthopaedic Surgery, Hanyang University Guri Hospital, Guri, Republic of Korea.
  • Lee CH; Department of Orthopaedic Surgery, College of Medicine, Hanyang University, 222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea. drlch79@hanyang.ac.kr.
BMC Musculoskelet Disord ; 25(1): 261, 2024 Apr 03.
Article em En | MEDLINE | ID: mdl-38570756
ABSTRACT

BACKGROUND:

Non-operative management is typically indicated for extra-articular distal radius fractures. Conservative treatments such as Sugar tong splints (STs) and Muenster splints (MUs) are commonly used. However, there is limited research and outcome data comparing the two splint types. Therefore, this study aimed to investigate and compare the radiographic and clinical outcomes of treatment using STs and MUs.

METHODS:

In this retrospective comparative study, we aimed to evaluate and compare the radiographic and clinical outcomes of STs and MUs for the treatment of distal radius fractures. The study included 64 patients who underwent closed reduction (CR) in the emergency room and were treated with either STs or MUs splints (STs group n = 38, MUs group n = 26). Initial X-rays, post-CR X-rays, and last outpatient follow-up X-rays were evaluated. Radial height (RH), ulnar variance (UV), radial inclination (RI), and volar tilt (VT) were measured by a blinded investigator. The Quick DASH form was applied to measure patients' satisfaction after treatments.

RESULTS:

There were no significant differences in baseline characteristics, initial radiographic measurements, or radiographic measurements immediately after CR between the two groups. However, the overall radiological values deteriorated to some degree in both groups compared to the post-CR images. Furthermore, using a paired test, the STs group showed significant differences in RH and RI, and the MUs group showed significant differences in RH and UV between the last follow-up and post-CR images.

CONCLUSIONS:

The study concluded that there was no difference in clinical outcomes between the two splint types. However, both STs and MUs groups showed reduced radiographic parameters, and the MUs group showed a significant reduction of RH and UV in the treatment of distal radius fractures. LEVEL OF EVIDENCE Level IV; Retrospective Comparison; Treatment Study.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraturas do Rádio / Fraturas do Punho Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraturas do Rádio / Fraturas do Punho Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article