West Virginia University, Morgantown, USA.
Union Surgical LLC, Doylestown, PA, USA.
Hand (N Y). 2022 Nov;17(6):1170-1176. doi: 10.1177/1558944720975135. Epub 2020 Dec 20.
The purpose of this study was to examine the outcomes and return to play with early rehabilitation in athletes who sustained unstable extra-articular distal radius fractures treated with a purpose-designed threaded pin technique.
This prospective study examined athletes with displaced and unstable distal radius fractures treated surgically with purpose-designed threaded pins. Patients were enrolled in an early rehabilitation protocol, with formal therapy initiated on postoperative days 1 to 3. Range of motion and strength measurements were documented throughout the postoperative period, noting the time until return to athletic competition. These results were compared with historical values using other forms of fixation.
Nineteen athletes, average age of 35 years, were treated with threaded pin technique with early rehabilitation; all had complete healing and maintained alignment based on radiographic evaluation. The average time span between surgery and release to competition was 8 weeks, with all but 1 patient returning to sport within 12 weeks of injury. Average postoperative flexion measured 58°, extension was 57°, pronation was 81°, and supination was 74°. JAMAR grip strength in position 3 measured 25.22 kg, which equated to 73% of the uninjured side's grip strength at the time of release to play.
Surgical fixation using a purpose-designed threaded pin is a useful alternative to volar plating for isolated radial styloid and extra-articular distal radius fractures in athletes. The purpose-designed threaded pin may afford athletes rapid recovery during the early postoperative period, preserving strength and dexterity and minimizing time lost before return to play.
本研究旨在探讨采用特定设计的螺纹钉技术治疗不稳定的关节外远端桡骨骨折的运动员的早期康复治疗结果和重返运动情况。
本前瞻性研究检查了接受特定设计的螺纹钉手术治疗的有移位和不稳定的远端桡骨骨折的运动员。患者采用早期康复方案，术后第 1 至 3 天开始进行正式治疗。在整个术后期间记录了运动范围和力量测量值，并记录了重返竞技运动的时间。将这些结果与使用其他固定形式的历史值进行比较。
19 名运动员，平均年龄 35 岁，采用螺纹钉技术和早期康复治疗；所有患者均完全愈合，并且根据放射学评估保持对线。手术和释放到比赛之间的平均时间间隔为 8 周，除 1 例患者外，所有患者均在受伤后 12 周内重返运动。平均术后屈曲度为 58°，伸展度为 57°，旋前度为 81°，旋后度为 74°。在第 3 位时 JAMAR 握力为 25.22 千克，相当于释放到比赛时未受伤侧握力的 73%。
对于运动员孤立性桡骨茎突和关节外远端桡骨骨折，使用特定设计的螺纹钉进行手术固定是掌侧钢板固定的一种有效替代方法。特定设计的螺纹钉可在术后早期为运动员提供快速康复，保留力量和灵活性，并最大程度减少重返运动前的时间损失。
