External Fixation Versus Volar Locking Plate for Unstable Dorsally Displaced Distal Radius Fractures-A 3-Year Follow-Up of a Randomized Controlled Study
| Autor: | Sari Ponzer, Jenny Saving, Cecilia Mellstrand Navarro, Anders Enocson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Joint Instability
Male Reoperation Wrist Joint medicine.medical_specialty External Fixators medicine.medical_treatment Osteoarthritis 030230 surgery Wrist Locking plate law.invention 03 medical and health sciences External fixation Grip strength Disability Evaluation Fracture Fixation Internal 0302 clinical medicine Randomized controlled trial law Dash medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Aged 030222 orthopedics Hand Strength business.industry Middle Aged medicine.disease Surgery medicine.anatomical_structure Quality of Life Female Range of motion business Radius Fractures Bone Plates Follow-Up Studies |
| Zdroj: | The Journal of hand surgery. 44(1) |
| ISSN: | 1531-6564 |
| Popis: | Purpose To determine if a volar locking plate (VLP) is superior to external fixation (EF) 3 years after surgery for unstable, dorsally displaced, distal radius fractures caused by low-energy injury in patients 50 to 74 years of age. Methods During 2009 to 2013, 140 patients with an unstable dorsally displaced distal radius fracture were randomized to either VLP or EF. One hundred eighteen patients (EF 56, VLP 62) were available for a 3-year follow-up. The primary outcome was the Disabilities of the Arm, Shoulder, and Hand (DASH) score at 3 years. Secondary outcomes were Patient-Related Wrist Evaluation (PRWE) score, EuroQol-5 Dimensions (EQ-5D) score, range of motion (ROM), grip strength, and radiological signs of osteoarthritis (OA) at 3 years. Moreover, reoperations and minor complications during the first 3 years were recorded. Results There were no differences regarding DASH, PRWE, EQ-5D, ROM or grip strength. The reoperation rate was 21% (13 of 62) in the VLP group compared with 14% (8 of 56) in the EF group. The OA rate was 42% (25 of 59) in the VLP group compared with 28% (15 of 53) in the EF group. Conclusions Three years after surgery for unstable dorsally displaced distal radius fractures, the clinical and radiological results for VLP and EF were comparable. Type of study/level of evidence Therapeutic II. |
| Databáze: | OpenAIRE |
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