Surgical treatment of unstable distal radius fractures with volar locking plates

被引:39
作者
Murakami, Kenichi
Abe, Yoshihiro
Takahashi, Kazuhisa
机构
[1] Sakura Orthopaed Hosp, Chiba Hand Surg Inst, Chiba 2850817, Japan
[2] Chiba Univ, Grad Sch Med, Dept Orthopaed Surg, Chiba, Japan
关键词
D O I
10.1007/s00776-006-1103-0
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
Background. Surgical treatment of unstable distal radius fractures does not always yield a satisfactory outcome. The several surgical strategies available have problems associated with them. This study was undertaken to determine if volar locking plate fixation could be useful for treating unstable distal radius fractures. Methods. This retrospective follow-up study assessed 24 fractures in 24 patients with unstable distal radius fractures surgically treated with one of three volar locking plate systems. According to the AO classification system, 7 patients had type A3 fractures, 5 patients had type C2 fractures, and the remaining 12 patients had type C3 fractures. Radiographic measurements included volar tilt, radial inclination, and ulnar variance. Clinical outcomes were evaluated by active range of motion of the wrist and forearm, grip strength, Saito's wrist score, and the Japanese Society for Surgery of the Hand version of the Disabilities of the Arm, Shoulder, and Hand questionnaire (JSSH version of the DASH). Results. At the time of final follow-up ( 5 months minimum) the mean volar tilt was 8.1 degrees, radial inclination was 20 degrees, and ulnar variance was 0.4 mm. Mean wrist extension measured 61 degrees, wrist flexion 55 degrees, radial deviation 23 degrees, ulnar deviation 35 degrees, pronation 87 degrees, and supination 87 degrees. Grip strength recovered to a mean of 84% of the grip strength in the contralateral limb for patients who had injured their dominant hand and to a mean of 73% for patients who had injured their nondominant hand. Saito's wrist score calculations revealed 20 excellent and 4 good results. The mean DASH disability/ symptom score was 9.9 points, and the mean DASH work module score was 8.2 points. Conclusions. The present study demonstrated that unstable distal radius fractures could be successfully treated with volar locking plate systems.
引用
收藏
页码:134 / 140
页数:7
相关论文
共 26 条
[1]   Palmar locking plate for treatment of unstable dorsal dislocated distal radius fractures [J].
Arora, R ;
Lutz, M ;
Fritz, D ;
Zimmermann, R ;
Oberladstätter, J ;
Gabl, M .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2005, 125 (06) :399-404
[2]   OPEN REDUCTION AND INTERNAL-FIXATION OF COMMINUTED, INTRAARTICULAR FRACTURES OF THE DISTAL RADIUS [J].
AXELROD, TS ;
MCMURTRY, RY .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1990, 15A (01) :1-11
[3]  
Constantine KJ, 2002, ORTHOPEDICS, V25, P125
[4]   EVALUATION OF HEALED COLLES FRACTURES [J].
GARTLAND, JJ ;
WERLEY, CW .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1951, 33-A (04) :895-907
[5]   A randomized prospective study on the treatment of intra-articular distal radius fractures: Open reduction and internal fixation with dorsal plating versus mini open reduction, percutaneous fixation, and external fixation [J].
Grewal, R ;
Perey, B ;
Wilmink, M ;
Stothers, K .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2005, 30A (04) :764-772
[6]   Validation of the Japanese Society for Surgery of the Hand version of the Disability of the Arm, Shoulder, and Hand questionnaire [J].
Imaeda, T ;
Toh, S ;
Nakao, Y ;
Nishida, J ;
Hirata, H ;
Ijichi, M ;
Kohri, C ;
Nagano, A .
JOURNAL OF ORTHOPAEDIC SCIENCE, 2005, 10 (04) :353-359
[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]   Open reduction and internal fixation of unstable distal radius fractures: Results using the trimed fixation system [J].
Konrath, GA ;
Bahler, S .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2002, 16 (08) :578-585
[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]  
Lindau T, 2000, CLIN ORTHOP RELAT R, P229