Dergiler / Acta Orthopaedica et Traumatologica Turcica / 2017 / Cilt: 51 - Sayı: 2

A comparison of minimally invasive approach vs conventional approach for volar plating of distal radial fractures

Sayfa
110–117
DOI
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This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Background: The aim of this study was to introduce and to evaluate the functional results of volar platingof distal radial fractures through a longitudinal minimally invasive approach.Methods: From January 2010 to January 2013, 157 patients with distal radial fractures were randomlyallocated to group A (n¼ 83; 49 men, 34 women; mean age: 42 (18e67)) and B (n ¼ 74; 46 men, 28women; mean age: 41 (22e65)), including type A2, A3, B3, C1, and C2 fractures, based on AO Foundationand Orthopaedic Trauma Association ClassiŞcation.
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Temel Bulgular & Veri:Patients in group A were treated through a 1.5- to 2cm longitudinal incision, and patients in group B were treated through the conventionalflexor carpiradialis approach.
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Sonuç & Katkı:This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
🔬Tür:Araştırma Makalesi
📍Kapsam:2010 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Background: The aim of this study was to introduce and to evaluate the functional results of volar platingof distal radial fractures through a longitudinal minimally invasive approach.Methods: From January 2010 to January 2013, 157 patients with distal radial fractures were randomlyallocated to group A (n¼ 83; 49 men, 34 women; mean age: 42 (18e67)) and B (n ¼ 74; 46 men, 28women; mean age: 41 (22e65)), including type A2, A3, B3, C1, and C2 fractures, based on AO Foundationand Orthopaedic Trauma Association ClassiŞcation. Patients in group A were treated through a 1.5- to 2cm longitudinal incision, and patients in group B were treated through the conventionalflexor carpiradialis approach. All fractures were treated with a locking volar plate. The functional results werecompared with range of motion, grip and pronation strengths for each fracture type.Results: After a follow-up of 2 years, similar measurements were noted on range of motion and gripstrength in both groups. Regarding pronation strength, group A was superior to group B (p< 0.05).Conclusions: Minimally invasive volar plating of distal radial fractures is a safe and reliable technique,resulting in better pronation function and appearance.Level of Evidence: Level I, Therapeutic study© 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Bu Makaleye Atıf Yap

ZHANG, X., HUANG, X., SHAO, X., ZHU, H., SUN, J., WANG, X. (2017). A comparison of minimally invasive approach vs conventional approach for volar plating of distal radial fractures. Acta Orthopaedica et Traumatologica Turcica, Cilt: 51 - Sayı: 2, 110–117. https://ajindex.com/articles/166118

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