Polat Oktay, Toy Serdar, Özbay Hakan
Sultanbeyli State Hospital, Department of Orthopedics and Traumatology, İstanbul, Turkey.
Basaksehir Pine and Sakura City Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
Acta Ortop Bras. 2023 Apr 17;31(spe1):e252977. doi: 10.1590/1413-785220233101e252977. eCollection 2023.
This study aimed to compare the functional and radiological results of patients who had intra-articular comminuted distal radius fractures and were operated on with external fixation percutaneous pinning or the volar-dorsal combined plate osteosynthesis.
In this study, 49 patients operated on and followed up for the comminuted distal radius fractures between May 2015 and January 2019 were retrospectively evaluated. The surgical outcomes of the patients, who were operated on with combined dorsal-volar plate osteosynthesis or external fixation percutaneous pinning, were compared in this study. Functional and radiological scores were evaluated and analyzed statistically.
There was no statistical difference between external fixation and volar-dorsal combined plate groups regarding the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, the Visual Analog Scale (VAS), the Mayo scoring system, range of motion, and grip strength values.
Although the combined volar-dorsal plate osteosynthesis technique had a longer operation time and a more complicated surgical procedure, the combined volar-dorsal plate osteosynthesis had lower complication rates and permitted early mobilization. The combined volar-dorsal plate osteosynthesis could be an alternative to external fixation percutaneous pinning.
本研究旨在比较关节内粉碎性桡骨远端骨折患者采用外固定经皮穿针或掌背联合钢板内固定手术的功能和影像学结果。
本研究回顾性评估了2015年5月至2019年1月期间接受手术并随访的49例粉碎性桡骨远端骨折患者。本研究比较了采用掌背联合钢板内固定或外固定经皮穿针手术的患者的手术结果。对功能和影像学评分进行评估并进行统计学分析。
在外固定组和掌背联合钢板组之间，上肢、肩部和手部功能障碍（DASH）问卷、视觉模拟量表（VAS）、梅奥评分系统、活动范围和握力值方面没有统计学差异。
尽管掌背联合钢板内固定技术手术时间较长且手术过程更复杂，但掌背联合钢板内固定并发症发生率较低，并允许早期活动。掌背联合钢板内固定可作为外固定经皮穿针的替代方法。
