Khan Muhammad Shahid, Noordin Shahryar, Hashmi Pervaiz Mehmood
Department of Orthopaedic Surgery, Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2016 Mar;66(3):275-9.
To assess the outcome of volarlocking compression plate fixation for intra-articular distal radius fractures with respect to function of hand and roentgenographic parameters.
The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised patients who underwent locking compression plate fixation for intra-articular distal radius fractures between June 2009 and July 2012. Case notes, radiographic assessment and functional outcomes were noted. Functional outcome was determined with the help of telephone-based quick-dash score questionnaire administered atleast 6 months post-surgery. Radiological assessment of radial inclination, radial height and volar tilt was measured on immediate postoperative radiographs and then again measured at last available follow-up which ranged from 4 to 116 weeks.
The mean age of the 43 patients in the study was 47.31±14.24 years (range: 20-95 years) at the time of injury. Mean Quick Dash score at 6-month follow-up was 17.2±8.8 (range: 4-40). The outcome was very good in 1(2.2%), good in 30(66.7%), satisfactory in 10(22.2%) and poor in 4(8.9%) patients. Mean immediate postoperative radial inclination, volar tilt and radial height were 17.26±3.23°, 7.6±3.87° and 10.2±1.95mm respectively. Corresponding values at the last follow-up were 17±3.89°, 7.67±4.28° and 9.8±1.8mm.
Use of locking compression plate for intra-articular distal radius fracture showed good results comparable with global literature.
评估掌侧锁定加压钢板固定术治疗桡骨远端关节内骨折的手部功能及影像学参数结果。
本回顾性研究在卡拉奇的阿迦汗大学医院进行，纳入2009年6月至2012年7月间接受锁定加压钢板固定术治疗桡骨远端关节内骨折的患者。记录病例资料、影像学评估及功能结果。功能结果通过术后至少6个月采用基于电话的快速残疾评分问卷来确定。在术后即刻X线片上测量桡骨倾斜度、桡骨高度和掌倾角，并在最后一次随访（随访时间为4至116周）时再次测量。
研究中的43例患者受伤时的平均年龄为47.31±14.24岁（范围：20 - 95岁）。6个月随访时的平均快速残疾评分为17.2±8.8（范围：4 - 40）。结果为优的患者1例（2.2%），良的患者30例（66.7%），满意的患者10例（22.2%），差的患者4例（8.9%）。术后即刻桡骨倾斜度、掌倾角和桡骨高度的平均值分别为17.26±3.23°、7.6±3.87°和10.2±1.95mm。最后一次随访时的相应值分别为17±3.89°、7.67±4.28°和9.8±1.8mm。
使用锁定加压钢板治疗桡骨远端关节内骨折显示出良好效果，与全球文献报道相当。
