Anterior plate osteosynthesis of fractures of the lower extremity of the radius may be accompanied by tendinous complications : tenosynovitis of extensors or even tendon ruptures caused by the end of the epiphyseai screws. The intraoperative measurements as well as the realization of the scopic pictures make it possible to estimate the length of the screws but the tendinous lesions remain frequent (5 to 15% according to the various series)
* Preoperative consultation * Oral information of the patient of the protocol and delivery of the written information note * Seeking patient's non-opposition to participating in the study * Inclusion of the patient * Surgical procedure for distal radius fracture + immediate post-operative radiography * Intervention performed according to the usual practices of the service by the surgeon of the day without randomization * Radiography: 2 shots: face and wrist profile * Control X-ray + consultation * Achieved at 3 weeks, 6 weeks and 3 months after the intervention * X-rays: 2 shots: face and wrist profile * Control ultrasound o Realized at 3 months after the intervention End of participation in the study after consultation of 3 months.
Study Type
OBSERVATIONAL
Enrollment
100
St Antoine hospital - orthopaedic and traumatic surgery
Paris, France
RECRUITINGScrews exceeding the posterior cortical
Proportion of tendon complications induced by conflict between the distal end of the epiphysal screws and extender tendons: rupture, tenosynovitis.
Time frame: 3 months
Tendon complications
Proportion of tendon complications induced by conflict between the distal end of the epiphysal screws and extender tendons: rupture, tenosynovitis.
Time frame: 3 months
Secondary displacement or dismantling
Proportion of secondary displacement or dismantling 3-month control radio equipment (change of the radial slope on the face and radial glene's anversion on the profile between X-rays at J0 and control x-rays)
Time frame: 3 months
Ablation of material or resumption early surgery
Proportion of ablation of material or resumption early surgery on secondary displacement rated at 3 months
Time frame: 3 months
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