A randomized comparison of locking and non-locking palmar plating for unstable Colles' fractures in the elderly

被引:30
作者
Koshimune, M [1 ]
Kamano, M [1 ]
Takamatsu, K [1 ]
Ohashi, H [1 ]
机构
[1] Saiseikai Imperial Gifu Fdn Inc, Saiseikai Nakatsu Hosp & Med Ctr, Dept Orthopaed Surg, Kita Ku, Osaka 5300012, Japan
关键词
fracture of the distal radius; locking plate; non-locking plate; palmar approach; elderly people;
D O I
10.1016/j.jhsb.2005.04.018
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This study compared the effectiveness of locking and non-locking palmar plating for unstable Colles' fractures in the elderly. The patients treated with locking plates included 4 men and 18 women with a mean age of 68 years (Group A) and those treated with non-locking plates included 3 men and 28 women with a mean age of 74 years (Group B). Radiographic parameters, including palmar tilt, radial inclination and radial length were measured before surgery, after surgery and at final followup. There were no significant differences in respect of any of the radiographic parameters between the two groups pre-operatively. After surgery, all of the radiographic parameters were improved in both groups and there were no significant differences between the two groups at final followup.
引用
收藏
页码:499 / 503
页数:5
相关论文
共 16 条
[1]   Open reduction and internal fixation of unstable distal radius fractures with a low-profile plate: A multicenter study of 73 fractures [J].
Carter, PR ;
Frederick, HA ;
Laseter, GF .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1998, 23A (02) :300-307
[2]  
FERNANDEZ DL, 2002, FRACTURE DISTAL RADI
[3]   EVALUATION OF HEALED COLLES FRACTURES [J].
GARTLAND, JJ ;
WERLEY, CW .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1951, 33-A (04) :895-907
[4]   The distal radial fracture in elderly women and the bone mineral density of the lumbar spine and hip [J].
Hegeman, JH ;
Oskam, J ;
Van der Palen, J ;
Ten Duis, HJ ;
Vierhout, PAM .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 2004, 29B (05) :473-476
[5]   Relationship between bone mineral density of the distal radius and ulna and fracture characteristics [J].
Itoh, S ;
Tomioka, H ;
Tanaka, J ;
Shinomiya, K .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2004, 29A (01) :123-130
[6]  
KAMANO M, 2002, CLIN ORTHOP RELAT R, V397, P403
[7]   Complications of the AO/ASIF titanium distal radius plate system (π plate) in internal fixation of the distal radius:: A brief report [J].
Kambouroglou, GK ;
Axelrod, TS .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1998, 23A (04) :737-741
[8]  
Lee H C, 2003, Hand Surg, V8, P7, DOI 10.1142/S0218810403001339
[9]   Palmar plate fixation of AO type C2 fracture of distal radius using a locking compression plate - A biomechanical study in a cadaveric model [J].
Leung, F ;
Zhu, L ;
Ho, H ;
Lu, WW ;
Chow, SP .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 2003, 28B (03) :263-266
[10]   Volar fixation for dorsally displaced fractures of the distal radius: A preliminary report [J].
Orbay, JL ;
Fernandez, DL .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2002, 27A (02) :205-215