Volar plating: functional recovery of the pronator quadratus

Purpose The pronator quadratus (PQ) is reflected in the surgical approach to the distal radius. This study explores the functional strength of PQ, 12 months after volar plating without repair of PQ. Methods A total of 135 patients were identified from our prospectively collected database. All volunt...

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Veröffentlicht in:European journal of orthopaedic surgery & traumatology 2022-12, Vol.32 (8), p.1535-1541
Hauptverfasser: Porter, Patrick, MacInnes, Alasdair, Drew, Tim, Wang, Weijie, Abboud, Rami, Nicol, Graeme
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container_end_page 1541
container_issue 8
container_start_page 1535
container_title European journal of orthopaedic surgery & traumatology
container_volume 32
creator Porter, Patrick
MacInnes, Alasdair
Drew, Tim
Wang, Weijie
Abboud, Rami
Nicol, Graeme
description Purpose The pronator quadratus (PQ) is reflected in the surgical approach to the distal radius. This study explores the functional strength of PQ, 12 months after volar plating without repair of PQ. Methods A total of 135 patients were identified from our prospectively collected database. All volunteers had grip strength and pronation power tested in the treated and contralateral forearms at 45, 90 and 135 degrees of elbow flexion using a custom-built torque measuring device and hydraulic hand dynamometer to evaluate forearm pronation. Results Twenty-seven participants were included in the study. No significant difference was identified in mean peak pronation torque between the volar plated and non-treated forearms. Pronation strength was identified as being independent of angle of elbow flexion. Grip strength was correlated with forearm pronation showing no significant difference between groups. Conclusions Our results suggest adequate long-term (15–32 months) functional recovery of the pronator quadratus after volar plating. Level of Evidence III.
doi_str_mv 10.1007/s00590-021-03133-7
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This study explores the functional strength of PQ, 12 months after volar plating without repair of PQ. Methods A total of 135 patients were identified from our prospectively collected database. All volunteers had grip strength and pronation power tested in the treated and contralateral forearms at 45, 90 and 135 degrees of elbow flexion using a custom-built torque measuring device and hydraulic hand dynamometer to evaluate forearm pronation. Results Twenty-seven participants were included in the study. No significant difference was identified in mean peak pronation torque between the volar plated and non-treated forearms. Pronation strength was identified as being independent of angle of elbow flexion. Grip strength was correlated with forearm pronation showing no significant difference between groups. Conclusions Our results suggest adequate long-term (15–32 months) functional recovery of the pronator quadratus after volar plating. 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subjects Elbow
Fractures
Hospitals
Medicine
Medicine & Public Health
Original
Original Article
Orthopedics
Patients
Software
Statistical analysis
Surgery
Surgical Orthopedics
Trauma
Traumatic Surgery
title Volar plating: functional recovery of the pronator quadratus
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