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Mini C-arm fluoroscopy may be unnecessary in distal radius fracture reduction
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Steven K. Dailey, MD, and colleagues randomly assigned 63 patients undergoing closed reduction for distal radius fractures to receive either standard reduction or mini C-arm fluoroscopically aided reduction. Primary outcome measurement was reduction quality on post-reduction radiographs, and secondary outcome measurements included number of reduction attempts, number of splints applied, subjective difficulty of reduction and initial fracture management.
Results showed no differences in the final radial height, radial inclination, ulnar variance or ulnar tilt between groups. Dailey noted residents attempted more manipulations among patients in the mini C-arm group. He said residents felt “the reduction was definitely more difficult.”
“When we did a subset analysis and broke down reduction by year of training, we found that 29 reductions were performed by PGY 1; 17 by PGY 2; and 17 by PGY 3,” Dailey said in his presentation.
He added there were no differences in variables when comparing years of training. – by Casey Tingle
Reference:
Dailey SK, et al. Paper #7. Presented at: American Society for Surgery of the Hand Annual Meeting; Sept. 7-9, 2017; San Francisco.
Disclosure: Dailey reports that he has no relevant financial disclosures.