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Surgical Treatment of Dorsally Displaced Unstable Distal Radius Fracture with Volar Plate Fixation / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association ; : 814-820, 2005.
Artigo em Coreano | WPRIM | ID: wpr-649117
ABSTRACT

PURPOSE:

This study was performed to evaluate the usefulness of volar plate fixation of dorsally displaced unstable distal radius fracture. MATERIALS AND

METHODS:

48 patients with dorsally displaced unstable distal radius fracture were treated by volar plate fixation, between August 1993 and February 2003. Radial inclination, radial length and volar tilting were analyzed by radiographic evaluation. For clinical evaluation, the clinical ratings of Green and O'Brien were used.

RESULTS:

Radiographic analysis of extra-articular or non-comminuted intra-articular fractures (AO type A2, A3, and C1) demonstrated no significant differences in radial inclination, radial height and volar tilting between the immediate postoperative period and the last follow-up evaluation. However, in cases of comminuted intra-articular fractures (AO type C2), there were statistically significant differences. In clinical evaluation, 40 (83%) patients demonstrated excellent or good results based on the clinical ratings of Green and O'Brien. 32 (94%) of patients demonstrated excellent or good results in extra-articular (AO type A2 and A3) or non-comminuted intra-articular fractures (AO type C1) and 8 (57%) patients demonstrated excellent or good results in comminuted intra-articular fractures (AO type C2). The number of patients with complications was 4 (8%). Median nerve neuropathy developed in 2 patients, and hand and wrist stiffness in 2 patients. All cases achieved bony union. There was no implant failure or irritation.

CONCLUSION:

Volar plate fixation of extra-articular or non-comminuted intra-articular fractures (AO type A2, A3, and C1) was an effective treatment method for dorsally displaced unstable distal radius fractures. It provided stable fixation and allowed early postoperative rehabilitation.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Período Pós-Operatório / Rádio (Anatomia) / Fraturas do Rádio / Reabilitação / Punho / Seguimentos / Placa Palmar / Fraturas Intra-Articulares / Mãos / Nervo Mediano Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Coreano Revista: The Journal of the Korean Orthopaedic Association Ano de publicação: 2005 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Período Pós-Operatório / Rádio (Anatomia) / Fraturas do Rádio / Reabilitação / Punho / Seguimentos / Placa Palmar / Fraturas Intra-Articulares / Mãos / Nervo Mediano Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Coreano Revista: The Journal of the Korean Orthopaedic Association Ano de publicação: 2005 Tipo de documento: Artigo