کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3245396 1206715 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Comparison of treatment of unstable intra articular fractures of distal radius with locking plate versus non-locking plate fixation
ترجمه فارسی عنوان
مقایسه درمان شکستگی های داخل مفصلی ناپایدار شعاع دیستال با ورقه قفل در مقابل قفل شدن قفسه های بشقابی
کلمات کلیدی
بی اختیاری داخل مفصلی، شعاع دیستال، قفل کردن، صفحه غیر قفل
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

IntroductionUnstable intra articular fractures of distal radius are frequently being managed with open reduction and internal fixation. Of late in some biomechanical studies locking plates have been shown to be better in terms of maintenance of radiological parameters in comparison to non-locking plates. We conducted this study to know whether this biomechanical superiority of locking plates is converted in to better clinical outcomes.Materials and methodsA study was conducted in 60 patients (30 in each group) with unstable intra articular fractures of distal radius who were treated by open reduction and internal fixation with locking plates and non-locking plates. Patients were evaluated for radiological parameters (intra articular step off, radial height, radial tilt, volar tilt) and functional parameters (flexion, extension, radial deviation, ulnar deviation, pronation, supination grip strength) at two year follow up. Overall outcome was evaluated by scoring systems of Gartland and Werley and modified Green O' Brien.ResultsThe change in radiological parameters from immediate post op to latest at two year in locking plate group was not significant for radial height, radial tilt, volar tilt, but ulnar variance whereas in non-locking plate there was significant change in radial height, volar tilt, ulnar variance but no significant change in radial inclination. In clinical and functional outcome no significant difference was found at two year follow up.ConclusionsLocking plates maintain the radiological parameters better than non-locking plates but functional outcome are same for both plates at two year after surgery.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Orthopaedics and Trauma - Volume 5, Issue 2, June 2014, Pages 74–78
نویسندگان
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