[Fractures of the distal radius with dorsal displacement: a comparative study of the predictive value of 6 classifications].
OBJECTIVE
The authors compare six classifications in a prospective study of distal radius fractures surgical treatment. Classifications included Castaing's, Frykman's, Gartland's, Older's, Lindström's and Jenkins'.


METHODS
96 patients presenting a distal radius fracture were included in a protocol comparing two surgical treatments. 42 were treated with styloid pinning and immobilization while 54 with intra-focal pinning and immediate mobilization according to Kapandji's technique.


METHODS
Each patient was graded initially according to each six classifications. Patients were reviewed at 6 weeks, 3, 6, 12, and 24 months. Clinical and radiographical evaluation were performed. Clinical and radiological results were compared according to each group of classification.


RESULTS
None of the six classifications appeared to have any utility to predict functional or radiological results. None was able to distinguish treatment option.


CONCLUSIONS
The six classifications did not permit to predict clinical or radiological outcome of distal radius fractures treated by radial styloid pinning or Kapandji's technique. All those classifications have been described for conservative treatment rarely performed in France for displaced fractures.


CONCLUSIONS
The six classifications tested showed no predictive value in K-wire treatment of dorsally displaced distal radius fractures.
Lenoble
E
E
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Henri Mondor, Créteil, France.
Dumontier
C
C
Goutallier
D
D
Apoil
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003627:Data Interpretation, Statistical; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D011885:Radius Fractures / Q000145:classification* / Q000503:physiopathology / Q000601:surgery; D016059:Range of Motion, Articular