Fragment-specific fixation for complex intra-articular fractures of the distal radius: results of a prospective single-centre trial
The goal was to evaluate the efficacy of 2.4 mm column-specific plating for intra-articular distal radius fractures. In total, 105 patients with AO type C distal radius fractures were operated on using the locking distal radius system, Synthes. Follow-up assessments including clinical (wrist and for...
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| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2012-10, Vol.37 (8), p.765-771 |
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| creator | Gavaskar, A. S. Muthukumar, S. Chowdary, N. |
| description | The goal was to evaluate the efficacy of 2.4 mm column-specific plating for intra-articular distal radius fractures. In total, 105 patients with AO type C distal radius fractures were operated on using the locking distal radius system, Synthes. Follow-up assessments including clinical (wrist and forearm range of motion, grip strength), radiological (articular step, radial length and inclination, volar tilt, and ulnar variance), and functional scores (Disabilities of the Arm, Shoulder, and Hand; Patient Rated Wrist Evaluation) were made at regular intervals until 1 year. Union was obtained in all patients. Articular surface was anatomically reconstructed in 74 patients (70.5%). Clinical and functional evaluation showed significant continuous improvements over the first year. C1 fractures had a better chance of anatomical reduction compared with C2 and C3 fractures. Fracture type, quality of reduction, and presence of degenerative changes did not show a significant effect on functional outcome scores. Column-specific fixation of the distal radius can achieve satisfactory results in complex intra-articular fractures. |
| doi_str_mv | 10.1177/1753193412439677 |
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C1 fractures had a better chance of anatomical reduction compared with C2 and C3 fractures. Fracture type, quality of reduction, and presence of degenerative changes did not show a significant effect on functional outcome scores. Column-specific fixation of the distal radius can achieve satisfactory results in complex intra-articular fractures.</description><identifier>ISSN: 1753-1934</identifier><identifier>EISSN: 2043-6289</identifier><identifier>DOI: 10.1177/1753193412439677</identifier><identifier>PMID: 22403437</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Bone Plates ; Chi-Square Distribution ; Disability Evaluation ; Diseases of the osteoarticular system ; Female ; Fracture Fixation, Internal - methods ; Hand Strength ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Radius Fractures - surgery ; Range of Motion, Articular ; Reconstructive Surgical Procedures - methods ; Traumas. 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S.</creatorcontrib><creatorcontrib>Muthukumar, S.</creatorcontrib><creatorcontrib>Chowdary, N.</creatorcontrib><title>Fragment-specific fixation for complex intra-articular fractures of the distal radius: results of a prospective single-centre trial</title><title>The Journal of hand surgery, European volume</title><addtitle>J Hand Surg Eur Vol</addtitle><description>The goal was to evaluate the efficacy of 2.4 mm column-specific plating for intra-articular distal radius fractures. In total, 105 patients with AO type C distal radius fractures were operated on using the locking distal radius system, Synthes. Follow-up assessments including clinical (wrist and forearm range of motion, grip strength), radiological (articular step, radial length and inclination, volar tilt, and ulnar variance), and functional scores (Disabilities of the Arm, Shoulder, and Hand; Patient Rated Wrist Evaluation) were made at regular intervals until 1 year. Union was obtained in all patients. Articular surface was anatomically reconstructed in 74 patients (70.5%). Clinical and functional evaluation showed significant continuous improvements over the first year. C1 fractures had a better chance of anatomical reduction compared with C2 and C3 fractures. Fracture type, quality of reduction, and presence of degenerative changes did not show a significant effect on functional outcome scores. Column-specific fixation of the distal radius can achieve satisfactory results in complex intra-articular fractures.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Bone Plates</subject><subject>Chi-Square Distribution</subject><subject>Disability Evaluation</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Radius Fractures - surgery</subject><subject>Range of Motion, Articular</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>1753-1934</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1LHDEYh4NUdGu9e5JcCr1E8zWTTW8iblsQvNjz8E4-1khmZptkip79x812ty0IngL5Pe_vfXkQOmP0gjGlLplqBNNCMi6FbpU6QAtOpSAtX-oPaLGNyTY_Rh9zfqS0WWrWHqFjziUVUqgFelklWA9uLCRvnAk-GOzDE5QwjdhPCZtp2ET3hMNYEhBIJZg5QsI-gSlzchlPHpcHh23IBSJOYMOcv-KazLH8SQFv0rRtL-G3wzmM6-iIqSuTwyUFiJ_QoYeY3en-PUE_Vzf319_J7d23H9dXt8SIVhXCGsmXgnLfWgOt975RvQVVf1jbW2o1a4xkvZWKWS-sEU6ABsM5k1qpXokT9GXXW-_5NbtcuiFk42KE0U1z7hjVjWy40suK0h1q6uk5Od9tUhggPVeo26rv3qqvI-f79rkfnP038Nd1BT7vAcgGYjU4mpD_c63kVDBZObLjMqxd9zjNaaxW3l_8Ckb9msk</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Gavaskar, A. S.</creator><creator>Muthukumar, S.</creator><creator>Chowdary, N.</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20121001</creationdate><title>Fragment-specific fixation for complex intra-articular fractures of the distal radius: results of a prospective single-centre trial</title><author>Gavaskar, A. S. ; Muthukumar, S. ; Chowdary, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c367t-15428302f6dca6fff57bda730216bd0d915c41bd471df3dc3e3a9ac2214977b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Bone Plates</topic><topic>Chi-Square Distribution</topic><topic>Disability Evaluation</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Radius Fractures - surgery</topic><topic>Range of Motion, Articular</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gavaskar, A. S.</creatorcontrib><creatorcontrib>Muthukumar, S.</creatorcontrib><creatorcontrib>Chowdary, N.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery, European volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gavaskar, A. S.</au><au>Muthukumar, S.</au><au>Chowdary, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fragment-specific fixation for complex intra-articular fractures of the distal radius: results of a prospective single-centre trial</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2012-10-01</date><risdate>2012</risdate><volume>37</volume><issue>8</issue><spage>765</spage><epage>771</epage><pages>765-771</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>The goal was to evaluate the efficacy of 2.4 mm column-specific plating for intra-articular distal radius fractures. In total, 105 patients with AO type C distal radius fractures were operated on using the locking distal radius system, Synthes. Follow-up assessments including clinical (wrist and forearm range of motion, grip strength), radiological (articular step, radial length and inclination, volar tilt, and ulnar variance), and functional scores (Disabilities of the Arm, Shoulder, and Hand; Patient Rated Wrist Evaluation) were made at regular intervals until 1 year. Union was obtained in all patients. Articular surface was anatomically reconstructed in 74 patients (70.5%). Clinical and functional evaluation showed significant continuous improvements over the first year. C1 fractures had a better chance of anatomical reduction compared with C2 and C3 fractures. Fracture type, quality of reduction, and presence of degenerative changes did not show a significant effect on functional outcome scores. Column-specific fixation of the distal radius can achieve satisfactory results in complex intra-articular fractures.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>22403437</pmid><doi>10.1177/1753193412439677</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Bone Plates Chi-Square Distribution Disability Evaluation Diseases of the osteoarticular system Female Fracture Fixation, Internal - methods Hand Strength Humans Injuries of the limb. Injuries of the spine Male Medical sciences Middle Aged Prospective Studies Radius Fractures - surgery Range of Motion, Articular Reconstructive Surgical Procedures - methods Traumas. Diseases due to physical agents Treatment Outcome |
| title | Fragment-specific fixation for complex intra-articular fractures of the distal radius: results of a prospective single-centre trial |
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