Rotational deformity affects radiographic measurements in distal radius malunion
Malunited distal radius fractures are 3D deformities. The preoperative evaluation of the deformity and surgical planning are usually depended on plain radiographic measurements for corrective osteotomies. In most of the cases, the rotational deformity is disregarded in preoperative planning. We aime...
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| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2011-01, Vol.21 (1), p.13-20 |
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| container_title | European journal of orthopaedic surgery & traumatology |
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| creator | Cirpar, Meric Gudemez, Eftal Cetik, Ozgur Turker, Mehmet Eksioglu, Fatih |
| description | Malunited distal radius fractures are 3D deformities. The preoperative evaluation of the deformity and surgical planning are usually depended on plain radiographic measurements for corrective osteotomies. In most of the cases, the rotational deformity is disregarded in preoperative planning. We aimed to clarify the effect of rotational deformity on radial inclination and dorsal or volar tilt measurements, which are commonly used as radiologic parameters. This study was performed on standard left radius saw bone models. The malunion models were prepared according to AO distal radius fracture classification system in four main and seventeen subgroups. The differences between the mean radial inclination, volar or dorsal tilt measurements performed on plain radiographies and gold standard values were statistically analyzed. Results showed that rotational deformity causes faulty measurements of radial inclination and dorsal tilt on plain radiographies which may be a contributing factor for unsatisfactory clinical results of corrective osteotomy. We suggest 3D preoperative evaluation of the deformity if possible. |
| doi_str_mv | 10.1007/s00590-010-0653-1 |
| format | Article |
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The preoperative evaluation of the deformity and surgical planning are usually depended on plain radiographic measurements for corrective osteotomies. In most of the cases, the rotational deformity is disregarded in preoperative planning. We aimed to clarify the effect of rotational deformity on radial inclination and dorsal or volar tilt measurements, which are commonly used as radiologic parameters. This study was performed on standard left radius saw bone models. The malunion models were prepared according to AO distal radius fracture classification system in four main and seventeen subgroups. The differences between the mean radial inclination, volar or dorsal tilt measurements performed on plain radiographies and gold standard values were statistically analyzed. Results showed that rotational deformity causes faulty measurements of radial inclination and dorsal tilt on plain radiographies which may be a contributing factor for unsatisfactory clinical results of corrective osteotomy. 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The preoperative evaluation of the deformity and surgical planning are usually depended on plain radiographic measurements for corrective osteotomies. In most of the cases, the rotational deformity is disregarded in preoperative planning. We aimed to clarify the effect of rotational deformity on radial inclination and dorsal or volar tilt measurements, which are commonly used as radiologic parameters. This study was performed on standard left radius saw bone models. The malunion models were prepared according to AO distal radius fracture classification system in four main and seventeen subgroups. The differences between the mean radial inclination, volar or dorsal tilt measurements performed on plain radiographies and gold standard values were statistically analyzed. Results showed that rotational deformity causes faulty measurements of radial inclination and dorsal tilt on plain radiographies which may be a contributing factor for unsatisfactory clinical results of corrective osteotomy. We suggest 3D preoperative evaluation of the deformity if possible.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp1kE9LxDAQxYMouK5-AG8Fz9GZpEnboyz-gwVF9ByyabJm2bZrkh7225tSwZOHYQbe-z2YR8g1wi0CVHcRQDRAAfNIwSmekAWWnFEEWZ_mW3JO6yydk4sYdwAoGhQL8vY-JJ380Ot90Vo3hM6nY6GdsybFIujWD9ugD1_eFJ3VcQy2s31WfF-0PqZMTZ4xFp3ej33OuSRnTu-jvfrdS_L5-PCxeqbr16eX1f2aGl6zRFnDGICETQMVt8wKXrpSysayDXPWVUI7rR3WiKbSBjdtiVxqsJwb0ZSO8SW5mXMPYfgebUxqN4whvxEVq3nFIAOTC2eXCUOMwTp1CL7T4agQ1FScmotTuTg1FacwM2xmYvb2Wxv-kv-HfgDAQXDw</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Cirpar, Meric</creator><creator>Gudemez, Eftal</creator><creator>Cetik, Ozgur</creator><creator>Turker, Mehmet</creator><creator>Eksioglu, Fatih</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20110101</creationdate><title>Rotational deformity affects radiographic measurements in distal radius malunion</title><author>Cirpar, Meric ; Gudemez, Eftal ; Cetik, Ozgur ; Turker, Mehmet ; Eksioglu, Fatih</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382t-29220060b9073e2e534f4669e2b2fef75afaaf1811c7ac1bd4136a0e33c594f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cirpar, Meric</creatorcontrib><creatorcontrib>Gudemez, Eftal</creatorcontrib><creatorcontrib>Cetik, Ozgur</creatorcontrib><creatorcontrib>Turker, Mehmet</creatorcontrib><creatorcontrib>Eksioglu, Fatih</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cirpar, Meric</au><au>Gudemez, Eftal</au><au>Cetik, Ozgur</au><au>Turker, Mehmet</au><au>Eksioglu, Fatih</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rotational deformity affects radiographic measurements in distal radius malunion</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><date>2011-01-01</date><risdate>2011</risdate><volume>21</volume><issue>1</issue><spage>13</spage><epage>20</epage><pages>13-20</pages><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Malunited distal radius fractures are 3D deformities. The preoperative evaluation of the deformity and surgical planning are usually depended on plain radiographic measurements for corrective osteotomies. In most of the cases, the rotational deformity is disregarded in preoperative planning. We aimed to clarify the effect of rotational deformity on radial inclination and dorsal or volar tilt measurements, which are commonly used as radiologic parameters. This study was performed on standard left radius saw bone models. The malunion models were prepared according to AO distal radius fracture classification system in four main and seventeen subgroups. The differences between the mean radial inclination, volar or dorsal tilt measurements performed on plain radiographies and gold standard values were statistically analyzed. 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| subjects | Medicine Medicine & Public Health Original Article Surgical Orthopedics Traumatic Surgery |
| title | Rotational deformity affects radiographic measurements in distal radius malunion |
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