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How effective is skyline view for avoiding dorsal cortex penetration in volar plate fixation of intra-articular and dorsal cortex comminuted distal radius fractures

Injury Nov 13, 2019

Özbek EA, et al. - Researchers examined the effectiveness of using the intraoperative skyline view for preventing dorsal cortex penetration of distal screws during the surgical treatment of intra-articular distal radius fractures with comminuted dorsal cortex with CT (computed tomography) scanning. They included 52 patients operated by two different national board certified surgeons. The intraoperative skyline view method was adopted by one of the surgeons but not the other. Twenty-five of the patients had intra-articular distal radius fractures with comminuted dorsal cortex (AO/OTA 2R3C2, C3) with no significant difference between two groups for the distribution of these patients. For preventing dorsal cortex penetration, they identified the insertion of a distal screw 2 mm (millimeter) shorter than the length measured with the help of skyline view as a more efficacious method than other intraoperative methods.
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