Orthopaedics & traumatology, surgery & research : OTSR · 2026
Arthroscopic arthrolysis with hardware removal versus hardware removal alone after intra-articular distal radius fracture: A prospective comparative study.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Boiteux Guillaume, Brenac Camille, Dubian Rémy, Dobelle Emile, Audiffret Lucas, de Villeneuve Bargemon Jean-Baptiste
Аннотация
INTRODUCTION: Post-traumatic wrist stiffness after intra-articular distal radius fractures rarely improves with hardware removal alone once arthrofibrosis is established. Arthroscopic arthrolysis allows minimally invasive release of intra-articular adhesions.
HYPOTHESIS: Arthroscopic arthrolysis combined with hardware removal improves wrist motion and function compared with hardware removal alone.
MATERIALS AND METHODS: This single-center prospective study compared arthroscopic arthrolysis with hardware removal (combined) versus hardware removal alone (isolated) in patients with post-traumatic wrist stiffness after intra-articular distal radius fracture fixation. Outcomes were assessed preoperatively and at 1 year. The primary outcome of the study was the improvement in the flexion-extension arc. Secondary outcomes included changes in radial and ulnar deviation, pronation and supination and functional scores (QuickDASH).
RESULTS: Forty patients were included (15 combined, 25 isolated). At 1 year, flexion-extension gain was significantly greater in the combined group (32.6° vs 6.4°; p < 0.001). QuickDASH improved significantly only in the combined group. No major complications occurred.
CONCLUSION: Arthroscopic arthrolysis combined with hardware removal provides superior improvement in wrist motion and function compared with hardware removal alone and should be considered in patients with established post-traumatic wrist stiffness.
LEVEL OF EVIDENCE: III.
HYPOTHESIS: Arthroscopic arthrolysis combined with hardware removal improves wrist motion and function compared with hardware removal alone.
MATERIALS AND METHODS: This single-center prospective study compared arthroscopic arthrolysis with hardware removal (combined) versus hardware removal alone (isolated) in patients with post-traumatic wrist stiffness after intra-articular distal radius fracture fixation. Outcomes were assessed preoperatively and at 1 year. The primary outcome of the study was the improvement in the flexion-extension arc. Secondary outcomes included changes in radial and ulnar deviation, pronation and supination and functional scores (QuickDASH).
RESULTS: Forty patients were included (15 combined, 25 isolated). At 1 year, flexion-extension gain was significantly greater in the combined group (32.6° vs 6.4°; p < 0.001). QuickDASH improved significantly only in the combined group. No major complications occurred.
CONCLUSION: Arthroscopic arthrolysis combined with hardware removal provides superior improvement in wrist motion and function compared with hardware removal alone and should be considered in patients with established post-traumatic wrist stiffness.
LEVEL OF EVIDENCE: III.