Martinez Frank A, Labott Joshua R, Yuan Brandon J, Shin Alexander Y, Pulos Nicholas A
Mayo Clinic School of Medicine, Mayo Clinic, Rochester, MN.
Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN.
J Hand Surg Glob Online. 2024 Jul 31;6(5):665-669. doi: 10.1016/j.jhsg.2024.06.009. eCollection 2024 Sep.
Our objective was to determine if patients with a distal radius fracture and concomitant lower-extremity fracture benefit from bridge plating when compared with volar plating.
We conducted a retrospective cohort study evaluating distal radius fractures fixated by bridge or volar plating in orthopedic trauma patients with a concomitant lower-extremity fracture. Patients were prescribed a platform walker and followed for gait aid use and both upper and lower-extremity fracture-related outcomes.
Differences in platform walker use, radiographic findings, and rates of complications for both distal radius and lower-extremity fractures were comparable between groups.
Although more studies are needed, it appears that this cohort of patient's ability to mobilize using a gait aid is similar, regardless of the distal radius fracture fixation method. A concomitant lower-extremity fracture should not necessarily indicate bridge plating over volar plate fixation.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic Study IV.
我们的目的是确定与掌侧钢板固定相比，桡骨远端骨折合并下肢骨折的患者采用桥接钢板固定是否有益。
我们进行了一项回顾性队列研究，评估在伴有下肢骨折的骨科创伤患者中，采用桥接或掌侧钢板固定桡骨远端骨折的情况。为患者配备平台助行器，并随访其助行器使用情况以及上下肢骨折相关的结果。
两组之间在平台助行器使用、影像学表现以及桡骨远端和下肢骨折的并发症发生率方面的差异具有可比性。
尽管需要更多的研究，但似乎无论桡骨远端骨折的固定方法如何，该队列患者使用助行器活动的能力相似。合并下肢骨折不一定意味着应采用桥接钢板而非掌侧钢板固定。
研究类型/证据水平：治疗性研究IV级。
