Anterior Plate Osteosynthesis of Fractures of the Lower Extremity of the Radius: Does the Systematic Use of Short Epiphysic Screws Limit the Posterior Protrusion of the Screws Without Compromising Stability

Study Overview
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Brief Summary
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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)

Detailed Description
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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.

Official Title
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Anterior Plate Osteosynthesis of Fractures of the Lower Extremity of the Radius: Does the Systematic Use of Short Epiphysic Screws Limit the Posterior Protrusion of the Screws Without Compromising Stability

Conditions
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Fracture; Radius, Lower or Distal End

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≥ 18 years old Fracture (s) of extra joint distal radius with or without joint refend in the sagitta plane Osteosynthesis by anterior locked plate Patient who did not oppose his participation in this research Exclusion Criteria: Distal radius fractures with joint refend frontal (posterior marginal)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Screws exceeding the posterior cortical | Proportion of tendon complications induced by conflict between the distal end of the epiphysal screws and extender tendons: rupture, tenosynovitis. | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tendon complications | Proportion of tendon complications induced by conflict between the distal end of the epiphysal screws and extender tendons: rupture, tenosynovitis. | 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) | 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 | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fracture of the radius