The management of unstable distal forearm fractures: a national survey among orthopedic trauma surgeons from Italy

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-01 DOI:10.23736/s2784-8469.23.04331-6

Biagio MORETTI, Stefania BRIANO, Giulia PACHERA, Rohit ARORA, Letizia MARENGHI, Elisa PESARE, Claudio BUONO, Walter GINESTRA, Maria Maddalena TRABACE, Fabrizio PIACQUADIO, Marco PATERLINI, Emmanuele SANTOLINI, Enricomaria LUNINI, Giovanni VICENTI

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引用次数: 1

Abstract

BACKGROUND: Distal forearm fractures are injuries typically occurring in high-energy trauma in young adults or in low-impact injuries in osteoporotic elderly people. Due to the lack of guidance in the current literature, proper fracture management is very challenging. Distal radioulnar joint (DRUJ) stability is the most disabling complication and is under debate its necessity for surgical reconstruction. This article is based on a survey created to analyze what commonly happens in clinical practice and the aim of the study was providing an algorithm to use for diagnosis and treatment of these fracture.METHODS: A webinar survey was developed: questions were derived from recent literature and an email has been sent to all surgeons subscribed to AO/OTA and AUOT association a few days before the webinar online. A total of 185 orthopedic surgeons in Italy were interviewed.RESULTS: After a review of current literature, a final treatment algorithm has been proposed.CONCLUSIONS: Clinical experiences, in conjunction with literature evidence mentioned should help to clarify how to approach, evaluate, examine, and treat distal forearm fractures.

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不稳定前臂远端骨折的处理:意大利骨科创伤外科医生的一项全国性调查

背景:前臂远端骨折通常发生在年轻成人的高能创伤或骨质疏松老年人的低冲击损伤中。由于目前文献中缺乏指导，正确的骨折处理是非常有挑战性的。远端尺桡关节(DRUJ)的稳定性是最致残性的并发症，其手术重建的必要性仍在争论中。本文基于一项调查，旨在分析临床实践中常见的情况，研究的目的是提供一种用于诊断和治疗这些骨折的算法。方法:制定了一项网络研讨会调查:从最近的文献中得出问题，并在网络研讨会在线前几天向所有订阅AO/OTA和AUOT协会的外科医生发送电子邮件。在意大利共采访了185名整形外科医生。结果:在回顾了目前的文献后，提出了最终的治疗算法。结论:临床经验，结合文献证据，应有助于阐明如何处理、评估、检查和治疗前臂远端骨折。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.