İnstabil, Kompleks Distal Radius Kırıklarında Traksiyon Altında Ve Traksiyonsuz Grafilerde Sınıflandırma Sistemlerinin Etkinliğinin Karşılaştırılması

The aim of this study is to identify and classify distal radius fractures more accurately and effectively with conventional radiographs. For this purpose, 21 patients (mean age: 38.4 (18-73)) underwent traction radiographs with two-way wrist and reduction radiographs.  Fractures were classified with and without traction radiography. The results were compared with the classification using computed tomography. Frykman, Melone and Fernandez classifications were used for fracture classification. In the first classification where traction radiographs were not used, only arrival, reduction and CT images were evaluated. The Melone classification system was able to classify 66.6% of patients, the Frykman classification system to 90.4%, and the Fernandez classification system to 100% of patients. In the second classification made by evaluation of traction radiographs with other x-rays; Melone classification system was able to classify 71.4% of patients, 95.2% of Frykman classification system and 100% of Fernandez classification system.           As a result of traction radiography, Melone and Frykman classification system enabled 4.8% more patients to be classified. It also provided additional soft tissue injury in three patients. In radiological evaluation of distal radius fractures, traction radiography provides better evaluation of soft tissue and provides detailed information about fractures of patients.