Articolul precedent |
Articolul urmator |
320 2 |
Ultima descărcare din IBN: 2023-06-01 16:36 |
SM ISO690:2012 COJOCARI, Ştefan, BUZU, Dumitru. Tratamentul chirurgical al diformităților radiusului distal. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 502. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 502-502 | ||||||
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Rezumat | ||||||
Background. Distal radius deformities (DRD) have fundamental consequences in the biomechanics of the fist, lack of treatment can cause pain, limited movement and osteoarthritis. Post-traumatic DRD has an incidence of around 24%, while congenital DRDs are rare, below 2%. Objective of the study. Analysis of intermediate-term results (three-year follow-up) of DRD according to data from medical records, classification, surgical treatment. Material and Methods. The patients with DRD, treated consecutively in the department of Hand Surgery and Microsurgery, within the Clinical Hospital of Traumatology and Orthopedics, Chisinau, during 2017-2019 were analyzed. The final results were determined using the DASH and MAYO score for hand ability. Results were presented as mean ± standard deviation (± SD). Results. 57 patients were determined with DRD, of which 5 (8.8%) with congenital DRD. The average age is 57.2 years. The gender ratio was 6: 1 (49: 8) with the predominance of female. In congenital DRD, osteotomy was performed with elevation of the radial plateau. In posttraumatic DRD depending on the type of malunion in 22 cases osteoclasia and internal fixation were performed, of which in 2 cases bone grafting was needed, in 27 cases osteotomy was performed and in 5 cases the defect was replaced with bone graft. In all patients, bone consolidation was determined within an average of 1.5-3 months. MAYO and DASH scores in 37 patients represented 95 ± 10 and 10 ± 7. Conclusion. The problem of DRD treatment remains current, despite of successes in the treatment of orthopedy and traumatology. Prevention of post-traumatic DRD as well as timely diagnosis of congenital DRD is the best treatment option. |
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Cuvinte-cheie deformity, distal radius, osteotomy, osteosynthesis, diformitate, radius distal, osteotomie, osteosinteza |
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