Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Gruber, G; Gruber, K; Giessauf, C; Clar, H; Zacherl, M; Fuerst, F; Bernhardt, GA.
Volar plate fixation of AO type C2 and C3 distal radius fractures, a single-center study of 55 patients.
J Orthop Trauma. 2008; 22(7):467-472
Doi: 10.1097/BOT.0b013e318180db09
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Gruber Gerald
- Co-Autor*innen der Med Uni Graz
- Bernhardt Gerwin
- Clar Heimo
- Moazedi-Fürst Florentine
- Zacherl Maximilian
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- Abstract:
- Objectives: We hypothesized that volar locked plate fixation of AO type C2 or C3 fractures could effectively maintain radiographic reduction as shown by comparison of immediate postoperative alignment and that seen after mote than 12 months' follow-up. Design: Prospective cohort study. Setting: Level II trauma center located in a suburban area. Patients: Fifty-five adult patients with intra-articular fractures of the distal radius. Intervention: Open reduction and internal fixation with a locked volar plate and screws. Main Outcome Measurements: Volar tilt, radial inclination, radial length, and articular incongruity were radiologically assessed immediately postoperatively and at the time of final follow-up (mean follow-up: 29 +/- 7 months). Results: At final radiographic examination, the average loss of volar tilt was 1.9 +/- 3.3 degrees (P < 0.001) and the average loss of radial inclination was 1.4 +/- 2.8 degrees (P < 0.001). Four patients had more than 5 degrees loss of radial inclination (7.8%), and 22 patients (43.1%) had more than 5 degrees loss of volar tilt. Radial shortening was not statistically significant (P > 0.05). Conclusions: The treatment of intra-articular fractures of the distal radius with a volar locked plating system is associated with a small but statistically significant loss of volar tilt and radial inclination upon comparison of immediate postoperative alignment with that seen after more than 12 months' follow-up.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Bone Plates -
- Cohort Studies -
- Female -
- Fracture Fixation, Internal - instrumentation
- Fracture Healing -
- Humans -
- Male -
- Middle Aged -
- Radius Fractures - radiography Radius Fractures - surgery
- Treatment Outcome -
- Volar Plate - radiography Volar Plate - surgery
- Wrist Injuries - radiography Wrist Injuries - surgery
- Find related publications in this database (Keywords)
- distal radius fracture
- intra-articular
- volar plating