8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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@rtbrfscfpic rmhuctife fa ietr rticuk r hist k r hiusar cturms `eh trm`tomet fa kil`omet kmsifes

r ctic k mxpk e tifes, tips `eh tricjs 

GO Cflemt

SFS O`ies Cb`op`lem @rhmeem

^fkyckieiqum S`iet @ehré, = Dfukmv`rh hm k` p`ix=00>> TMIOS, Ar`ecm bttp7//www.o`iemtpfilemt.cfo

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Ietmrmst fa wrist `rtbrfscfpy afr tbm trm`tomet faietr` `rticuk`r ar`cturm fa tbm hist`k r`hius b`s dmmehmofestr`tmh ie tbm kitmr`turm.

Kieh`u X, @remr O, B`ldmrl K 7 Ietr``rticuk`r kmsifes ie hist`k ar`cturms fa tbm r`hius ie yfuel hukts hmscriptivm rtbrfscfpic stuhy ie => p`timets. G B`eh Surl (Dr), 099<, 44, 132-183

Armmk`eh @M, Lmisskmr \D Xbm rtbrfscfpic o`e lmomet fa ietr`-`rticuk`r hist`k r`hius ar`cturms. B`eh Surl. 4>>>, =(4), 93-0>4.

Tucb HS, Q`kkmm G, ^fmbkiel LL, `tmrsfe Soitb D, Juzo` LT. @rtbrfscfpic rmhuctife vmrsus akufrfscfpic rmhuctife ie tbm o`e`lmomet fa ietr`-`rticuk`r hist`k r`hius ar`cturm. G `rtbrfscfpic rmk tmh surlmry , 4>>8, 3, 44=-43>

Mhw`rhs CC, B`r`szti CG, OcLikkiv`ry LT, Lutfw @^. Ietr`-`rticuk`r hist`k r`hius ar`cturms 7 rtbrfscfpic ssmssomet fa r`hiflr`pbic`kky ssistmhrmhuctife. G B`eh Surl Z@o_, 4>>0, 41(1), 0>31-0>80

@hfkassfe K, Gñrlsbfko . rtbrfscfpic`kky-`ssistmh rmhuctife fa ietr`-`rticuk r ar`cturms fa tbm hist`k r`hius. G B`eh Surl ZDr_, 0992, 43(3), 390-39=

O`tbfukie C, Sdibi @, ^`ecimr` . ietérçt hm k’`rtbrfscfpim hu pfilemt h`es km tr`itmomet hms ar`cturms rticuk`irms hu » ieaérimur hu r `hius 7 îprfpfs hm 4< c`s. Cbir O`ie. 4>>0, 4>(=), 384-=>

Cflemt GO, Dfeefomt A, Mbkielmr O, Hug`rhie C, Jmopa GA, Siofe . Cfetrøkm rtbrfscfpiqum h`es km tr`itmomet hms ar`cturms rticuk`irms hur`hius hist`k 7 î prfpfs hm 01 c`s. Tmv cbir Frtbfp. 4>>3, 29, =0=-=43

B`ttfri Y, Hfi J, Mstrmkk` M^, Cbme L. @rtbrfscfpic`kky ssistmh rmhuctife witb vfk`r pk`tiel fr mxtmre`k aix`tife afr hispk`cmh ietr`-`rticuk`rar`cturms fa tbm hist`k r`hius ie tbm mkhmrky p`timets. B`eh Surl. 4>><:04(0)70-04

hmk iň`k A. Hry rtbrfscfpy fa tbm wrist 7 its rfkm ie tbm o`e`lmomet fa rticuk`r hist`k r`hius ar`cturm. Sc`eh G Surl. 4>>2:9<(8)7492-3>8

Cflemt GO

, O`rtie`cbm R, O`tbfukie C. @rtbrfscfpic o`e`lmomet fa ietr`-`rticuk`r ar`cturms fa tbm hist`k r`hius. Cbir O`ie. 4>>2 Smp:4<(8)70<0-9

Ietmrmst fa `rtbrfscfpic cfetrfk @e`kysis fa tbm ar`cturm

Bmkp afr rmhuctife

Hi`lefsis fa `ssfci`tmh kmsifes

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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@e kysis fa tbm ar`cturm

@rticuk`r sura`cm fa tbm r`hius is eft ak`t dut cfec`vm

\bicb mx`o wfukh dm tbm dmst tf

mv`ku`tm tbm ar`cturm 6

R-T`y 6

XHO 6

Akufrfscfpy 6

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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]siel st`eh`rh

R-T`y, wb`t

c`e wm smm 6

Arfet vimw

K`tmr`k vimw

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Ie a`ct, tbm ar`cturm `eh its rmhuctife wmrm

pffrky mv`ku`tmh

 @rtbrfscfpic cfetrfk wfukh b`vm sbfwe tbis

hispk`cmomet fa tbm uke`r sihm fa tbm r`hius

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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XHO 6

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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 @rtbrfscfpic cfetrfk is tbm feky w`y tf `ssms tbm qu`kity

fa yfur rmhuctife

Akufrfscfpy `kfem c`e’t sbfw tbm st`tm fa tbm rmhuctife 

@ulm \, Qmk`squmz . Xbm ppkic`tife fa Iehirmct rmhuctife tmcbeiqums ie tbm hist`k

r`hius 7 tbm rfkm fa `hguv`et `rtbrfscfpy. @rtbrfscfpy , 4>>>, 01, 23>-23=

 @atmr `rtbrfscfpic cfetrfk, `e `hhitife`k stmp b`s dmme emcmss`ry

ie <>% fa tbm p`timets

@e kysis fa tbm ar`cturm

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Dut… …hfe’t afrlmt tb`t `rtbrfscfpic cfetrfk is

feky fem p`rt fa yfur trm`tomet wbicb iscfopfsmh fa tbrmm st`lms

Airst st`lm 7 rmhuctife `eh st`dikis`tife fa tbm ar`cturm

Smcfeh st`lm 7 `rtbrfscfpic cfetrfk @e`kysis fa tbm ar`cturm

Bmkp afr rmhuctife

Xrm`tomet fa `ssfci`tmh kmsifes

Xbirh st`lm 7 st`dikis`tife fa mpipbism`k p`rt fa tbmr`hius

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Airst st`lm 7 rmhuctife `eh st`dikis`tife fa tbm ar`cturm

Xr`ctife fa tbm wrist is eft emcmss`ry

ofst fa tbm tiom wm usm `e `etmrifr kfcjiel pk`tm, witb `etmrifr `pprf`cb

J-wirms fr sp`tuk` c`e bmkp afr tbm rmhuctife fa tbm ar`cturm

Tmhuctife is mv`ku`tmh usiel akufrfscfpic cfetrfk

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Smcfeh st`lm 7 rtbrfscfpic cfetrfk

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Smcfeh st`lm 7 rtbrfscfpic cfetrfk

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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^k`tm is aixmh fe tbm `etmrifr sihm fa tbm wrist usiel ` efe kfcjiel scrmw

^`rti`k syetbmsis fa tbm hist`k p`rt fa tbm r`hius is hfem usiel fem fr twf kfcjielscrmws

Mv`cu`tife fa bmo`rtbrfsis is tbm airst tbiel tf hf tf mv`ku`tm tbm rmhuctife fa tbm

ar`cturm

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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 @ emmhkm is ietrfhucmh ie tbm r`hif-c`rp k `rticuk`tife 7 tbis emmhkm livms yfu ieafro`tife dfut

tbm hirmctife fa tbm J-wirm yfu emmh tf aix tbm ar`cturm

Xbm iop`ctmh p`rt fa tbm `rticuk`r sura`cm is rmhucmh usiel tbm bffj fr ` J-wirm (usmh `s ` gfysticj)

Fecm tbm rmhuctife b`s dmme `cbimvmh, pusb tbm J-wirm (witb ` oftfr) tf aix it

K`st stmp is tbm fstmfsyetbmsis fa tbm hist`k p`rt fa tbm r`hius witb kfcjiel scrmws

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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 @rticuk`r ar`cturm fa tbm hist`k r`hius fpmr`tmh

witb `e `etmrifr kfcjiel pk`tm:rmhuctife smmos

tf dm lffh… 

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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4 J-wirms wmrm usmh tf aix tbm

rmhuctife fa tbm ar`cturm

J-wirms emmh tf dm pk`cmh em`rtbm sudcbfehr`k sura`cm `eh

sfomtioms dmtwmme tbm kfcjiel

scrmws `eh tbm dfem

J-wirms wmrm rmofvmh 1 wmmjs`atmr tbm fpmr`tife

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Yfuel o`e, 44 ym`rs fkh, o`eu`k

wfrjmr

 @rticuk`r ar`cturm fa tbm hist`k r`hius

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8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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 @rtbrfscfpic cfetrfk me`dkmh 7

- `e`tfoic rmhuctife fa ` cfopkmx ietr`-`rticuk`r ar`cturm fa tbm hist`k

r`hius

- hi`lefsis `eh trm`tomet fa `e `cutm sc`pbfkue`tm iegury

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8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Is `rtbrfscfpic rmhuctife kw`ys pfssidkm 6

Ie oy mxpmrimecm, yfu ouse’t t`jm ofrm tb`e 9> oe tffpmr`tm ` wrist ar`cturm Fmhmo`

Sjie cfopkic`tife

Hiaaicukt rmb`dikit`tife

^`ie `eh stiaaemss +++

9> oe ? 3> oe R 3 Airst 3> oe 7 fstmfsyetbmsis `eh p`rti`k rmhuctife

Smcfeh 3> oe 7 `rtbrfscfpic cfetrfk `eh `rticuk`r rmhuctife

Xbirh 3> oe 7 k`st scrmws `eh trm`tomet fa `ssfci`tmh kmsifes

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Yfur p`timet is ofrm iopfrt`et tb`e yfur « `rtbrfscfpic`dikity º tf fpmr`tm fe bio

@rtbrfscfpic cfetrfk c`e sbfw Iopfssidikity fa rmhuctife fr rmcfestructife

Tmhuctife pfssidkm dut tff hiaaicukt fr tff o`ey iegurims tf trm`t

@atmr fem bfur fa fpmr`tife, ia yfu b`vme't fdt`iemhrmhuctife, rmomodmr yfu gust b`vm 3> oe tf aieisb… 

Is `rtbrfscfpic rmhuctife kw`ys pfssidkm 6

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Kfcjiel pk`tm eh etmrifr`pprf`cb

@rtbrfscfpic cfetrfk

Tmhuctife fa tbm ar`cturmuehmr rtbrfscfpic cfetrfk

`eh trm`tomet fa kil`ometfusiegurims

Kfcjiel scrmws uehmr tbm`rticuk`r sura`cm

Tmhuctife uehmr rtbrfscfpiccfetrfk is eft pfssidkm

Fpme surlmry fr hf eftbiel

Airst Stmp

Smcfeh Stmp

Xbirh Stmp

 @rtbrfscfpic @ssmssomet fa Ietr`-@rticuk`r Hist`k T`hius Ar`cturms @atmr Fpme Tmhuctife `eh Ietmre`k Aix`tife Arfo ` Qfk`r @pprf`cb

Jmvie Kutsjy, O`rtie I. Dfymr, Gmeeiamr @. Stmaame, Cb`rkms @. Lfkha`rd Gfure`k fa B`eh Surlmry @prik 4>>2 (Qfk. 33, Issum 8, ^`lms 8<1-828)

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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@ssfci tmh iegurims

Dmtwmme 3> `eh 2>% C`rtik`liefus kmsifes (r`hius, c`pit`tuo)

Kil`ometfus iegurims (sc`pbf-kue`tm, kuef-triqumtr`k,XACC)

@rm sfomtioms ofrm iopfrt`et tb`e tbm

ar`cturm itsmka

Ietmrmst fa `rtbrfscfpic cfetrfk +++

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Lmisskmr I• frtbfp`mhic trm`tomet

• sbriej`lm

Armsb iegurims fa sc`pbf-kue`tm kil`omet

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Lmisskmr II `eh III

• sb`viel fa sc`pbf-kue`tm kil`omet

• réhuctife

• c`psukfhmsis fr sc`pbfkue`tm `eh sc`pbf-

c`pit`tm pieeiel afr 1 tf 2 wmmjs pkus c`st

Armsb iegurims fa sc`pbf-kue`tm kil`omet

Lmisskmr I• frtbfp`mhic trm`tomet

• sbriej`lm

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Lmisskmr IQ • fpme surlmry fr eftbiel

(is it rm`kky ` armsb iegurim 6)

Armsb iegurims fa sc`pbf-kue`tm kil`omet

Lmisskmr I• frtbfp`mhic trm`tomet

• sbriej`lm

Lmisskmr II `eh III

• sb`viel fa sc`pbf-kue`tm kil`omet

• réhuctife

• c`psukfhmsis fr sc`pbfkue`tm `eh sc`pbf-

c`pit`tm pieeiel afr 1 tf 2 wmmjs pkus c`st

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Cfeckusife

 @rtbrfscfpy sbfukh dm ` « rfutiem prfcmhurm º afr tbm

trm`tomet fa `e ietr`-`rticuk`r ar`cturm fa tbm hist`k r`hius

- afr ` aukk hi`lefsis fa `kk iegurims

- afr ` dmttmr rmhuctife fa tbm ar`cturm

- afr m`rky trm`tomet fa kil`ometfus iegurims

8/9/2019 Arthroscopic Reduction of Intra Articular Distal Radius Fractures and Treatment of Ligament Lesions Practical Explanations, Tips and Tricks

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Xb`ej yfu afr yfur ttmetife