medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2013, Number 1

<< Back Next >>

Acta Ortop Mex 2013; 27 (1)

Distal radius fracture: clinico-radiographic correlation after fixation with volar plate

Tafoya-Arreguín GA, Martinez-Ruíz J, Rodríguez LM

Language: Spanish
References: 19
Page: 17-21
PDF size: 56.86 Kb.


ABSTRACT

The purpose of the study was to assess and correlate the clinical and radiographic results of patients with distal radius fracture treated with a volar approach and plate osteosynthesis thus identifying the factors that determine or contribute to functional results in these patients. Methods: All patients who underwent surgical treatment for distal radius fracture with a volar approach and plate osteosynthesis from May 2010 to May 2011 were identified. They were radiographically assessed with measurements of the volar and radial angle and clinically with the Mayo Wrist Score; the correlation coefficient was used to obtain the results. Results: A total of 35 patients met the selection criteria; 23 females and 12 males; mean age was 40 years (18-62); the right extremity was predominant (25:10) and was the dominant limb in 57% of cases. The assessment using the MWS was done at postoperative year one; mean score was 81 (50-100): 37% were excellent, 31% good, 26% satisfactory, and 6% poor. The correlation showed that the MWS-radial angle and the MWS-volar angle had statistically significant values with p values of 0.0001 and 0.0008 respectively, both with a 95% confidence interval. Conclusion: The clinical and radiographic correlation showed that the radial and volar angles are determining factors for a satisfactory course. Age, sex, the dominant limb, the number of days elapsed and the AO classification did not show statistically significant values for patient course.


REFERENCES

  1. Downing ND, Karantana A: A Revolution in the management of fractures of the distal radius? J Bone Joint Surg [BR] 2008; 90-B: 1271-5.

  2. Fernandez DL, Wolfe SW: Fracturas del extremo distal del radio. En: Green, coordinador. Cirugía de la Mano. Vol. 1. Madrid: Marban Libros SL; 2007: 645-710.

  3. Rozental TD, Blazar PE, Franko OI: Functional Outcomes for Unestable Distal Radial Fractures Treated with Open Reduction and Internal Fixation or Closed Reduction and Percutaneous Fixation. J Bone Joint Surg Am 2009; 91: 1837-46.

  4. Orbay JL, Touhami A: Current concepts in volar fixed-angle of unstable distal radius fractures. Clin Orthop 2006; 445: 58-67.

  5. Chung KC, Watt AV, Kotsis SV, et al: Treatment of unstable distal radius fractures with the volar locking plating system. J bone Joint Surg Am 2006; 88: 2687-94.

  6. Gerald G, Karl G, Christian G: Volar Plate Fixation of AO Type C2 and C3 Distal Radius Fractures, A Single-Center Study of 55 Patients. J Orthop Trauma 2008; 22: 467-72.

  7. Arora R, Lutz M, Hennerbichler A: Complications Following Internal Fixation of Unstable Distal Radius Fracture With a Palmar Locking-Plate. J Orthop Trauma 2007; 21: 316-22.

  8. Kreder HJ, Hanel DP, Agel J: Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius. J bone Joint Surg [Br] 2005; 87-B: 829-36.

  9. Liporace FA, Gupta S, Jeong GK: A Biomechanical Comparison of a Dorsal 3.5-mm T-Plate and a Volar Fixed-Angle Plate in a Model of Dorsally Unstable Distal Radius Fractures. J Orthop Trauma 2005; 19: 187-91.

  10. Schneeberger AG, Ip WY, Poon TL: Open Reduction and Plate Fixation of Displaced AO Type C3 Fractures or the Distal Radius: Restoration of Articular Congruity in Eighteen Cases. J Orthop Trauma 2001; 15: 350-7.

  11. Liporace FA: Adams Mr. Distal Radius fractures. J Orthop Trauma 2009; 23: 739-48.

  12. Campbell DA: Open Reduction and internal fixation of intra articular and unstable fractures of the distal radius using the AO distal radius plate. J Hand Surg [Br] 2000; 25: 528-34.

  13. Broos PL, Furneau IA, Stoffelen DV: Fractures of the distal radius. Current concepts for treatment. Acta Orthop Belg 2001; 67: 211-18.

  14. Fernandez DL: Fractures or the distal radius: operavide treatment. AAOS Instr Course Lect 1993; 42: 73-88.

  15. Fitoussi F, Ip WY, Chow SP: Treatment of displaced intra-articular fractures of the distal end of the radius with plates. J Bone Joint Surg Am 1997; 79: 1303-12.

  16. Koval KJ, Harrast JJ, Anglen JO, Weinstein JN: Fractures of the distal part of radius. The evolution of practice over time. Where’s the evidence? J Bone Joint Surg Am 2008; 90: 1855-61.

  17. Rozental TD, Beredjiklian PK, Bozentka DJ: Functional outcomes and complications following two types of dorsal plating for unstable fractures of the distal part of the radius. J Bone Joint Surg Am 2003; 85: 1956-60.

  18. Orbay JL, Fernandez DL: Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patient. J Hand Surg [Am] 2004; 29: 96-102.

  19. Leung F, Tu YK, Chew WY, Chow SP: Comparison of external and percutaneous pin fixation with plate fixation for intra-articular distal radial fractures. A randomized study. J Bone Joint Surg Am 2008; 90: 1622.




2020     |     www.medigraphic.com