Combined volar and dorsal plating vs. volar plating of distal radius fractures: A single-center study of 105 cases

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Karlsson, EmmaDepartment of Hand Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (författare)

Combined volar and dorsal plating vs. volar plating of distal radius fractures : A single-center study of 105 cases

Artikel/kapitelEngelska2020

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Elsevier,2020
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:oru-85113
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-85113URI
https://doi.org/10.1016/j.hansur.2020.07.006DOI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

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Funding Agency:ALF funding Region Orebro County, Sweden
Despite recent advances in the surgical management of distal radius fractures (DRFs), the optimal treatment remains controversial as different fixation methods often have similar clinical functional and radiographic outcomes. The objective of this study was to assess the differences in outcomes 1 year postoperatively between volar plating and combined plating for DRFs. In a retrospective cohort study, we evaluated 105 consecutive patients operated with either a volar locking plate or combined dorsal and volar plating. The primary outcome was wrist range of motion (ROM). Secondary outcome measures included hand grip strength, visual analog scale (VAS) pain scores, radiographic examination and patient-related outcome measures. Patients treated with combined plating had significantly inferior wrist flexion, extension and ulnar deviation. The radiographic Batra score 1 year postoperatively was similar for both groups. The PRWE (patient-rated wrist evaluation) score was 16 for the volar plating group and 14 for the combined plating group. The QuickDASH (Quick disabilities of the hand arm and shoulder) score was 9 for the volar plating group and 16 for the combined plating group. VAS pain scores were 0 at rest and 2 during activity for both groups. Grip strength was similar between the two groups. Hardware removal was done in 18/78 patients for the combined plating group and 1/27 for the volar plate group. Two patients operated with combined plating had tendon ruptures. Our findings indicate that both methods can yield satisfactory clinical and radiographic outcomes. However, combined plating resulted in inferior wrist ROM and substantially higher frequency of hardware removal. The potential advantages of combined plating in stabilizing a comminuted DRF must be balanced by the potential drawbacks such as inferior wrist ROM and higher frequency of hardware removal.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Distal radius fracture
Fonction du poignet
Fracture de l’extrémité distale du radius
Mesure du résultat par le patient
Ostéosynthèse par plaque
Patient-related outcome measures
Plating
Wrist function

Biuppslag (personer, institutioner, konferenser, titlar ...)

Wretenberg, Per,1963-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Orthopedic Surgery(Swepub:oru)pewg (författare)
Björling, PatrikDepartment of Hand Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (författare)
Sagerfors, Marcus,MD, PhD,1977-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Hand Surgery(Swepub:oru)msss (författare)
Department of Hand Surgery, Faculty of Medicine and Health, Örebro University, Örebro, SwedenInstitutionen för medicinska vetenskaper (creator_code:org_t)

Sammanhörande titlar

Ingår i:Hand surgery & rehabilitation: Elsevier39:6, s. 516-5212468-12292468-1210

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Av författaren/redakt...: Karlsson, Emma; Wretenberg, Per, ...; Björling, Patrik; Sagerfors, Marcu ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

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Av lärosätet: Örebro universitet

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