지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Purpose: This study investigated the clinical and radiological outcomes of patients undergoing provisional fixation in conjunction with locking plate fixation. Miniplates were used as the reduction plates for the surgical treatment of severe comminuted metadiaphyseal fractures with an intra-articular fracture of the distal radius. Materials and Methods: The radial length, radial inclination, volar tilt, and radial intra-articular stepoff were measured preoperatively, postoperatively, and at one year after surgery in 12 patients (eight males, four females, mean age 55.4 years old). The patients underwent volar locking plate fixation with miniplate as a reduction plate for severe comminuted metadiaphyseal fractures with an intra-articular fracture of the distal radius. Clinical evaluations were conducted using the modified Mayo wrist score (MMWS). Results: Bone union was achieved in all cases. The mean MMWS was 81.8 points, including two excellent, three good, and seven fair cases. Radiological improvements were observed in the average radial length (preoperative, 6.4 mm; postoperative, 11.8 mm), average radial inclination (10.2° to 22.4°), average volar tilt (–4.5° to 10.6°), and average radial intra-articular step-off (4.8-0.8 mm) (all, p<0.05). Radiographic measurements obtained immediately after surgery and at the final follow-up revealed insignificant decreases in radial length (0.6 mm), radial inclination (0.4°), and volar tilt (0.9°) (all, p>0.05). Conclusion: Miniplate fixation can be an effective treatment option as a reduction plate for the treatment of distal radial fractures, which is challenging to reduce and maintain due to severely comminuted metadiaphysis fractures with the intra-articular fracture.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Kapoor H / 2000 / Displaced intra-articular fractures of distal radius: a comparative evaluation of results following closed reduction, external fixation and open reduction with internal fixation / Injury 31:75~79
Harley BJ / 2004 / Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius--a prospective randomized trial / J Hand Surg Am 29:815~824
Gruber G / 2006 / Surgical treatment of distal radius fractures with an angle fixed bar palmar plating system: a single center study of 102 patients over a 2-year period / Arch Orthop Trauma Surg 126:680~685
Figl M / 2009 / Volar fixed-angle plate osteosynthesis of unstable distal radius fractures:12 months results / Arch Orthop Trauma Surg 129:661~669
Chung KC / 2006 / Treatment of unstable distal radial fractures with the volar locking plating system / J Bone Joint Surg Am 88:2687~2694
Harley BJ / 2004 / Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius--a prospective randomized trial / J Hand Surg Am 29:815~824
Gruber G / 2006 / Surgical treatment of distal radius fractures with an angle fixed bar palmar plating system: a single center study of 102 patients over a 2-year period / Arch Orthop Trauma Surg 126:680~685
Figl M / 2009 / Volar fixed-angle plate osteosynthesis of unstable distal radius fractures:12 months results / Arch Orthop Trauma Surg 129:661~669
Chung KC / 2006 / Treatment of unstable distal radial fractures with the volar locking plating system / J Bone Joint Surg Am 88:2687~2694
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