Is pronator quadratus muscle repair required after anterior plate fixation for distal radial fractures? A prospective randomized comparative study
In this prospective, randomized comparative study in patients with distal radial fractures, we aimed to determine whether surgical repair of the superficial head after anterior locking plate fixation of the radius improves clinical or functional outcomes or both, and distal radioulnar joint stabilit...
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| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2024-03, Vol.49 (3), p.334-340 |
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| container_title | The Journal of hand surgery, European volume |
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| creator | Lamas, Claudia Arenas, Javier Almenara, Marta Rojas, Roger Fa-Binefa, Manel Toro-Aguilera, Alvaro |
| description | In this prospective, randomized comparative study in patients with distal radial fractures, we aimed to determine whether surgical repair of the superficial head after anterior locking plate fixation of the radius improves clinical or functional outcomes or both, and distal radioulnar joint stability. One hundred patients were randomized to undergo distal radial fixation with or without repair of the superficial head. Twenty-one patients were lost to follow-up, leaving a final sample of 79 patients. No differences were observed between the groups in functional scores or complication after operation. Surgical repair of the superficial head of the pronator quadratus muscle after osteosynthesis with an anterior locking plate for distal radial fractures does not appear to substantially contribute to preserving distal radioulnar joint stability or improving the consolidation process.
Level of evidence: II |
| doi_str_mv | 10.1177/17531934231192337 |
| format | Article |
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Level of evidence: II</description><subject>Bone Plates</subject><subject>Forearm</subject><subject>Fracture Fixation, Internal</subject><subject>Humans</subject><subject>Muscle, Skeletal - surgery</subject><subject>Prospective Studies</subject><subject>Radius Fractures - surgery</subject><subject>Treatment Outcome</subject><subject>Upper Extremity</subject><issn>1753-1934</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kclqHDEQhkVwyIydPEAuRkdf2tbSrW6dzDA48YDBl-TcVGsJGnobLSbjx8gTW52xfQnkoh-qvvqrSoXQV0quKa3rG1pXnEpeMk6pZJzXH9CakZIXgjXyDK2XfLEAK3Qewp6QqpFUfEIrXoumJIyv0Z9dwLOfRoiTx4cE2kNMAQ8pqN5gb2ZwPsshOW80BhuNxzDm12V-7iEabN1viG4asc0h7UKEHnvQLov1oGLyJtzizdImzEZF95SNYdTT4J6zp5qGGXLXJRxi0sfP6KOFPpgvr3qBfn67-7G9Lx4ev--2m4dC8ZLEQjZUVCCpLWVlK8ka0mjSca44sUSVklSss4zVOaO6iuiOCdpI2wltCOdE8At0dfLNgx2SCbEdXFCm72E0UwotawRnUpR_UXpCVd4heGPb2bsB_LGlpF1O0f5zilxz-WqfusHo94q3v8_A9QkI8Mu0-yn5Ma_7H8cX9ZuTow</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Lamas, Claudia</creator><creator>Arenas, Javier</creator><creator>Almenara, Marta</creator><creator>Rojas, Roger</creator><creator>Fa-Binefa, Manel</creator><creator>Toro-Aguilera, Alvaro</creator><general>SAGE Publications</general><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><orcidid>https://orcid.org/0000-0001-7073-039X</orcidid></search><sort><creationdate>202403</creationdate><title>Is pronator quadratus muscle repair required after anterior plate fixation for distal radial fractures? A prospective randomized comparative study</title><author>Lamas, Claudia ; Arenas, Javier ; Almenara, Marta ; Rojas, Roger ; Fa-Binefa, Manel ; Toro-Aguilera, Alvaro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c340t-98165a91f495f592808d0b33c30f0c49052bf227928cb50db26189fb6de033063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Bone Plates</topic><topic>Forearm</topic><topic>Fracture Fixation, Internal</topic><topic>Humans</topic><topic>Muscle, Skeletal - surgery</topic><topic>Prospective Studies</topic><topic>Radius Fractures - surgery</topic><topic>Treatment Outcome</topic><topic>Upper Extremity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lamas, Claudia</creatorcontrib><creatorcontrib>Arenas, Javier</creatorcontrib><creatorcontrib>Almenara, Marta</creatorcontrib><creatorcontrib>Rojas, Roger</creatorcontrib><creatorcontrib>Fa-Binefa, Manel</creatorcontrib><creatorcontrib>Toro-Aguilera, Alvaro</creatorcontrib><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>Lamas, Claudia</au><au>Arenas, Javier</au><au>Almenara, Marta</au><au>Rojas, Roger</au><au>Fa-Binefa, Manel</au><au>Toro-Aguilera, Alvaro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is pronator quadratus muscle repair required after anterior plate fixation for distal radial fractures? A prospective randomized comparative study</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2024-03</date><risdate>2024</risdate><volume>49</volume><issue>3</issue><spage>334</spage><epage>340</epage><pages>334-340</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>In this prospective, randomized comparative study in patients with distal radial fractures, we aimed to determine whether surgical repair of the superficial head after anterior locking plate fixation of the radius improves clinical or functional outcomes or both, and distal radioulnar joint stability. One hundred patients were randomized to undergo distal radial fixation with or without repair of the superficial head. Twenty-one patients were lost to follow-up, leaving a final sample of 79 patients. No differences were observed between the groups in functional scores or complication after operation. Surgical repair of the superficial head of the pronator quadratus muscle after osteosynthesis with an anterior locking plate for distal radial fractures does not appear to substantially contribute to preserving distal radioulnar joint stability or improving the consolidation process.
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| identifier | ISSN: 1753-1934 |
| ispartof | The Journal of hand surgery, European volume, 2024-03, Vol.49 (3), p.334-340 |
| issn | 1753-1934 2043-6289 |
| language | eng |
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| source | SAGE Complete A-Z List; MEDLINE; Alma/SFX Local Collection |
| subjects | Bone Plates Forearm Fracture Fixation, Internal Humans Muscle, Skeletal - surgery Prospective Studies Radius Fractures - surgery Treatment Outcome Upper Extremity |
| title | Is pronator quadratus muscle repair required after anterior plate fixation for distal radial fractures? A prospective randomized comparative study |
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