gartland and werley classification

published an extremely useful system WILLIAM P. COONEY, R.L.LINSCHEID et al studied distal radius fractures and drew attention to the complications, bone grafting, carpal instability and the triangular fibrocartilage injuries associated with the distal radius fractures Gartland and Werley, in 1951, and Lidstrrm, in 1959, developed systems of classification that were based on the presence, but not the extent, of displacement at the site of the 39’5fracture 5.and of involvement of the radiocarpal joint In 1965, Older et al. Keywords: Distal radius, external fixation, Gartland and werley’s score, Frykman’s classification Introduction Fractures of the distal radius are the most frequently occuring injuries and account for about 10% of the fractures in human skeleton [1]. Gartland–Werley scale is a validated physician‐based scoring system, which combines residual deformity, subjective findings, ROM, postoperative complications, and poor finger function. [ 8 ] found no significant differences between the palmar locking and non-locking system in unstable fractures of the distal radius in the elderly. View in Gallery. Export. The Using the Gartland-Werley score, 12 patients (35%) had excellent results, 17 (50%) good, and five patients (15%) had fair results. Using the Gartland and Werley score, there were 24 (80%) excellent to good and 6 (20%) fair to poor results which are quite comparable to other landmark studies. The classification was modeled after the Grartland and Werley system and divided groups into extra-versus intra-articular fractures and stable versus unstable fractures. Email. Gartland and Werley as modified by Sarmiento, there were seven excellent and four good results. Gartland & Werley classification is similar to these topics: Frykman classification, Lidström classification, Nissen-Lie classification and more. DASH Score was 15,5 points after 12 (before trauma 6,8). It applies to extension supracondylar fractures rather than the rare flexion supracondylar fracture. Objective and Intended Population[edit| edit source] The Gartland & Werley Score is a point-based outcome measure used to evaluate hand and wrist function [1]. Classification Lidstrom is a system of classification of fractures of the radius. RESULTS: The median patient age at surgery was 59 years. Eighteen out of 20 working patients returned to the same level of work. 63.3% excellent results were obtained in the plating group as compared to 46.7% in the cast group and the k-wiring group. according to AO classification and were managed with CRIF with k wire and were then followed at Regular Interval. Functional outcome was evaluated by Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and Gartland and Werley scoring system. The median functional scores from the modified Gartland and Werley score improved from 67 (IQR, 57.0-78.5) to 97 (IQR, 90.0-97.0). In 1939, the classification system of Nissen-Lie 19 was published; this system was based on the presence or absence of intra-articular involvement, metaphyseal comminution, or singular deformity, similar to the system proposed by Gartland and Werley 20 in 1951 in the Journal of Bone and Joint Surgery (Table 1-1). Frykman (radiocarpal & radioulnar) 3. Sarmiento A, Pratt GW, Berry NC, Sinclair WF et al. According to Gartland and Werley's point system, the end-results were poor in 2, fair in 11, good in 4, and excellent in 4 wrists. The classification of the distal radius fractures contributes to find the best therapeutic scheme. These corresponded to ex tra articular displaced fractures, and intra articular fractures with and without displacement [10]. Inclusion Criteria 1. There was no statistically significant difference in secondary displacement and functional end-result between Older's type 3 and type 4 fractures. CLASSIFICATION – FERNANDEZ (1997) I. Bending-metaphysis fails under tensile stress (Colles, Smith) • extraarticular II. The evaluator rates pain, stiffness, and disability on a scale … This systematic literature review aimed to make a detailed overview on the clinical and functional outcomes and to get insight into the possible superiority of a treatment method for extra-articular distal radius fractures. Table 1 Objective and subjective radiologic parameters correlated with objective-subjective assessment (complete Gartland Werley score) Factor Odds ratio 195% Conf Int p-value Ulna + 2.53 1.18 – 5.41 0.017 Radiocarpal # 4.41 0.94 – 20.59 0.059 Dorsal Tilt 1.06 0.99 – 1.14 0.073 Results: According to the AO classification, there were 20 patients with an A2, 71 an A3, 11 a B, 35 a C1, 44 a C2, and 30 a C3 fracture. There was no statistically significant difference in secondary displacement and functional end-result between Older's type 3 and type 4 fractures. Sennwald and Segmuller classification . Frykman Classification Extra … Of 211 patients, 28 (13%) had a step-off in the articular surface of over 1 mm, resulting in a 24% reduction of the range of motion compared to … Statistical analysis Baseline characteristics and outcome scores of the clini-cally DRUJ stable and unstable groups were compared. Gartland and Werley. RESULTS: Median age at surgery was 58 years (range, 24 to 86). AO 4. The classification reflects the characteristics of ICF and may provide an important reference for choosing treatment and evaluating prognosis. Conclusion. Gartland and Werley and DASH (r ¼ .44, P ¼ .01). Gartland Classification of Supracondylar Fractures (including the widely accepted Type IV) Case Discussion. Patients were followed at regular intervals depending on the case and time of operation and evaluated by Gartland and Werley … The analysis indicated that in 95.78% of the patients, wrist function was rated as excellent or good (n=477), while in 4.22% of patients it was rated as fair (n=21), mainly due to the development of post-traumatic arthritis of the wrist following inappropriate therapy. Gartland and Werley. (1965) (Figure 1) Type Exwllent Qood Falr Reduction Total 1 43 18 2 5 63 2 28 17 7 39 50 3 a 10 4 22 22 4 3 11 5 18 19 All the parameters recorded in the modified Gartland and Werley … Full-Size. The static DRUJ unstable group was compared to the stable group, as … At final follow-up by ‗The Gartland and Werley criteria for functional outcome‘ 37 patients had excellent result, 13 had good result, 2 had fair result and 1 had a poor result. AO Classification . The rating systems according to Gartland and Werley showed excellent to good results in 80% to 100% of the patients (in our study, 95%) [1, 2, 9, 24, 26]. The overall outcome according to the Gartland and Werley score showed 41,2% excellent,47,1% good, 9,8%fair and 1,2% poore results. Email to Colleague. Once the patient is anaesthetized, longitudinal traction through hand holding thumb and fingers, counter type I: undisplaced or minimally displaced Patients operated by external fixation were classified as Group A and those operated by internal fixation were classified as group B. Classification of Gartland From: Gartland, J.J. and Werley, C.W. The Gartland and Werley classification, although not having been subjected to formal reliability and reproducibil- ity kappa statistics, is included in this review for a historical perspective, as it was the first classification system describ- Find link is a tool written by Edward Betts.. searching for Gartland & Werley classification 0 found (5 total) Type I: non-displaced or minimally displaced (<2 mm) supracondylar fracture; Type II: displaced (>2 mm) supracondylar fracture with a intact, yet hinged, posterior cortex; Wrist motion also did not significantly differ between the groups. Closed … Gartland & Werley classification Gartland & Werley classification is a system of categorizing Colles fractures. At the last follow-up, according to Gartland and Werley score of the functional recovery of wrist, all except 3 patients had excellent or good results (the excellent and good rate was 95.95%). Gartland and Werley score, Green and O’Brien score, patient-reported outcome measure, PRWE, QuickDASH, ... AO/OTA classification type 23.A, B, or C10 distal radius fracture, (2) treatment within 3 weeks of injury, (3) treat-ment by volar or dorsal plate fixation, (4) willingness to No implant failure was seen. Sennwald and Segmuller classification . Procedure: Surgery is performed at a mean 0.6 day’s (range 0-6day’s). Lidström classification is similar to these topics: Frykman classification, Gartland & Werley classification, Nissen-Lie classification and more. Deși a fost utilizat în mod tradițional sistemul de clasificare Frykman, există o valoare mică în utilizarea sa, deoarece nu ajută la tratarea directă. Functional outcome was assessed using Gartland and Werley scoring system. The mean active range of motion was greater than 80% of that of the contralateral wrist in flexion/extension, pronation/supination, and ulnar/radial deviation. (2018) Yang et al. Distal Radius Fractures: Considerations and Treatments Frank A. Liporace, MD . Gartland & Werley classification is a system of categorizing Colles' fractures. Patient is placed supine on operating table with shoulder abducted 90 degree and the elbow flexed to approximately 70 degree. One patient required a secondary salvage procedure. In a non-matched paired study on 53 patients, Kamano et al. No patient has required a secondary surgical procedure. Fractures were classified according to the AO/ASIF classification. The classification was later revised to add … According to the AO classification system, there were 4 type A fractures, 5 type B fractures, and 21 type C fractures. part of the Gartland and Werley score (Tables 1 and 3). In 1951, the Gartland and Werley classification was described in the first attempt to move away from the use of eponyms in classifications. Functional outcomes were assessed using “Demerit point rating system” of Gartland & Werley (modified).

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