To Study The Treatment Outcomes Of Patients With Fractures Of The Distal Forearm Bones
Keywords:
distal forearm fracture, distal radius fracture, complex regional pain syndrome, osteosynthesis, microcirculation, fracture fixation, postoperative rehabilitationAbstract
Distal forearm fractures are among the most common skeletal injuries and are frequently associated with unsatisfactory treatment outcomes, particularly when managed through prolonged conservative immobilization. Complications such as secondary displacement of fragments, neurovascular disorders, limited wrist mobility, and the development of complex regional pain syndrome (CRPS) significantly affect patient recovery and quality of life. Despite numerous clinical studies, reliable methods for early diagnosis of CRPS and clear criteria for selecting optimal fixation techniques remain insufficiently defined.
This study aimed to evaluate treatment outcomes in patients with distal forearm fractures and to investigate clinical and microcirculatory changes during the post traumatic period. Microvascular blood flow regulation and tissue temperature changes were analyzed using spectral amplitude frequency wavelet analysis and instrumental diagnostic methods. The study also assessed the effectiveness of a minimally invasive osteosynthesis device designed for stable fixation of metaphyseal fractures without immobilization of adjacent joints. Early postoperative rehabilitation and functional therapy were incorporated into the treatment protocol.
The findings demonstrated that microcirculatory changes and persistent hyperthermia play an important role in the development of CRPS and in the regeneration processes of the distal radius. The proposed osteosynthesis device provided stable fixation of bone fragments and allowed early joint mobilization, which reduced pain, prevented secondary displacement, and improved functional recovery. Compared with conservative treatment, patients treated with the device showed faster rehabilitation and better restoration of wrist mobility. These results suggest that minimally invasive stable osteosynthesis combined with early functional therapy can significantly improve clinical outcomes and reduce complications in patients with distal forearm fractures.
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