کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4070190 | 1604451 | 2007 | 8 صفحه PDF | دانلود رایگان |

PurposeThe aim of this study was to define the outcome after dorsal or volar plating of Association for Osteosynthesis (AO) type C3 distal radius fractures based on the fracture morphology.MethodsTwenty-nine patients with AO type C3 distal radius fractures were surgically managed between 1996 and 2005. Group 1 (n = 15) had volar plating. Group 2 (n = 14) had dorsal plating. Outcomes were evaluated at an average of 22 months after surgery. Statistical analysis was performed using the Wilcoxon test and chi-square test.ResultsNo significant differences were seen for the scores of Gartland and Werley, Castaing, Stewart I and II, Green and O’Brien, and Disability of the Arm, Shoulder and Hand between the 2 groups. The visual and verbal pain analog scales did not show significant differences between the 2 groups. Radiology analysis showed significant difference in comparison with the contralateral side in terms of dorsopalmar inclination (3° ± 3) and distal radioulnar joint angle (98° ± 8) for the patients in group 1, whereas there were no significant differences in group 2. The development of radiographic post-traumatic arthritis was significant in both groups. Significant functional differences were seen for flexion (45° ± 15) and hand span (20 cm ± 2) in group 1 as well as for extension (37° ± 19), flexion (42° ± 12), and radial deviation (16° ± 10) in group 2. We found more complications after dorsal plate osteosynthesis than after volar plate osteosynthesis.ConclusionsThis study shows satisfactory functional and subjective outcome results in both groups. Group 1 had non-significant better functional results than group 2, whereas both groups showed good to very good radiology results.Type of study/level of evidenceTherapeutic III.
Journal: The Journal of Hand Surgery - Volume 32, Issue 7, September 2007, Pages 954–961