Comparison of external fixation, locking and non-locking palmar plating for unstable distal radius fractures in the elderly

被引：0
作者：
N. Schmelzer-Schmied
P. Wieloch
A. K. Martini
W. Daecke
机构：
[1] University of Heidelberg,Department of Hand and Plastic Surgery
[2] University of Heidelberg,Department of Orthopaedic Surgery
[3] Hand and Reconstructive Surgery,Department of Trauma
来源：
International Orthopaedics | 2009年 / 33卷
关键词：
Carpal Tunnel Syndrome; External Fixation; Distal Radius Fracture; Carpal Tunnel Release; Palmar Tilt;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
This study compares the effectiveness of locking and non-locking palmar plating and external fixation for unstable distal radius fractures in the elderly. In a retrospective match-paired study, 45 patients aged 50 to 70 years who underwent surgery for C1/C2 distal radius fractures were evaluated. The surgical procedures were external fixation or plating with locking or non-locking palmar plates. Radiological and functional outcomes were assessed. Outcomes according to Gartland and Werley, Martini and the Disability of the Arm, Shoulder and Hand (DASH) questionnaire were compared. The locking palmar plate fixation method demonstrated significantly better radiological and functional results in comparison to external fixation and the non-locking palmar plating methods. The subjective assessment of plate fixation proved to be better than that of external fixation. Complications and reoperations were fewer for both plate fixation groups. Our data indicates that most displaced intra-articular distal radius fractures can be treated successfully with the locking palmar plate.
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页码：773 / 778
页数：5
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