کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4080735 1267565 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Minimally invasive percutaneous plate osteosynthesis for distal radius fractures with long-segment metadiaphyseal comminution
ترجمه فارسی عنوان
استئوسنتز پلاسمایی پوستی مضر برای شکستگی شعاع دیستال با خرد شدن مادی فازی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

IntroductionDistal radius fractures with both metaphyseal and diaphyseal comminution are commonly encountered injuries due to high-energy trauma. However, effectively treating patients with this disease remains challenging for the surgeon.HypothesisThe goal of this study was to evaluate the outcomes of minimally invasive percutaneous plate osteosynthesis (MIPPO) technique for distal radius fractures with long-segment metadiaphyseal comminution.Material and methodsNine patients with distal radius fractures involving long-segment metadiaphyseal comminution were treated with MIPPO from June 2011 to May 2012. Radiograph index, the range of motion of the wrist and forearm, grip strength, the Disabilities of the Arm, Shoulder, and Hand (DASH) score were assessed at final follow-up. Additionally, time to bone healing, time to return to work or activity, and postoperative complications were also recorded.ResultsAll nine fractures healed by 13 ± 1.3 weeks postoperatively. At an average follow-up of 15.9 ± 3.6 months, the radiographs revealed a mean radial inclination of 18.2 ± 2.7°, a mean volar tilt of 10.7 ± 3.2°, and a radial shortening of 2.3 ± 1.0 mm. Nine patients had excellent wrist function according to the DASH score, range of motion, and grip strength. Except one patient experienced delayed healing of the distal incision, no complications occurred. All patients resumed work or activity within 16.2 ± 1.9 weeks.DiscussionVolar MIPPO is a safe and effective surgical treatment method for distal radius fractures with long-segment metadiaphyseal comminution, with few potential complications.Type of study/level of evidenceTherapeutic IV.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Orthopaedics & Traumatology: Surgery & Research - Volume 102, Issue 3, May 2016, Pages 333–338
نویسندگان
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