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Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study

BACKGROUND: Distal radius fracture (DRF) is one of the most common orthopaedic-related traumas. DRF patients with die-punch fractures have a higher risk of loss of reduction, poorer functional outcomes, and increased risk of complications even after open reduction and internal fixation (ORIF). Accor...

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Autores principales: Xu, Zisheng, Liang, Yuqing, Geng, Guobo, Mu, Weidong, Xu, Peng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10290794/
https://www.ncbi.nlm.nih.gov/pubmed/37355595
http://dx.doi.org/10.1186/s12893-023-02047-x
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author Xu, Zisheng
Liang, Yuqing
Geng, Guobo
Mu, Weidong
Xu, Peng
author_facet Xu, Zisheng
Liang, Yuqing
Geng, Guobo
Mu, Weidong
Xu, Peng
author_sort Xu, Zisheng
collection PubMed
description BACKGROUND: Distal radius fracture (DRF) is one of the most common orthopaedic-related traumas. DRF patients with die-punch fractures have a higher risk of loss of reduction, poorer functional outcomes, and increased risk of complications even after open reduction and internal fixation (ORIF). According to the three-column theory, the lunate fossa is an important part of the intermediate column for load bearing. When the distal radius fracture involves the lunate fossa, adequate anatomical reduction can have an important impact on the prognosis of wrist function. Herein, we used the combined volar and dorsal approach, and the dorsal approach was used to assist in bone grafting or dorsal plate fixation in reducing fractures. We compare the combined approach versus the Henry approach for the fixation of die-punch distal radius fractures. METHODS: We reviewed patients who were admitted for surgery for die-punch fractures from January 2016 to June 2021. The patients were followed-up after surgery to measure and evaluate their Gartland–Werley wrist score, wrist range of motion (ROM), and follow-up imaging data. RESULTS: There were 21 patients in the volar locking plate (VLP) group and 10 patients in the combined approach group. The majority of fractures in the VLP and combined approach groups were AO B and C fractures, respectively. The cause of injury and AO fracture classification showed significant differences between the two groups, and there was no difference in age or sex between the two groups. There was no significant difference in ROM between the two groups, but the VLP group presented a better Gartland–Werley score and volar tilt angle, and the combined group presented better maintenance in radial height and articular congruity. CONCLUSIONS: Reduction through the combined palmar and dorsal approach supplemented by bone grafting or dorsal plate fixation is an effective method for the treatment of die-punch distal radius fractures, which provides a new option for the treatment of die-punch fractures.
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spelling pubmed-102907942023-06-26 Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study Xu, Zisheng Liang, Yuqing Geng, Guobo Mu, Weidong Xu, Peng BMC Surg Research BACKGROUND: Distal radius fracture (DRF) is one of the most common orthopaedic-related traumas. DRF patients with die-punch fractures have a higher risk of loss of reduction, poorer functional outcomes, and increased risk of complications even after open reduction and internal fixation (ORIF). According to the three-column theory, the lunate fossa is an important part of the intermediate column for load bearing. When the distal radius fracture involves the lunate fossa, adequate anatomical reduction can have an important impact on the prognosis of wrist function. Herein, we used the combined volar and dorsal approach, and the dorsal approach was used to assist in bone grafting or dorsal plate fixation in reducing fractures. We compare the combined approach versus the Henry approach for the fixation of die-punch distal radius fractures. METHODS: We reviewed patients who were admitted for surgery for die-punch fractures from January 2016 to June 2021. The patients were followed-up after surgery to measure and evaluate their Gartland–Werley wrist score, wrist range of motion (ROM), and follow-up imaging data. RESULTS: There were 21 patients in the volar locking plate (VLP) group and 10 patients in the combined approach group. The majority of fractures in the VLP and combined approach groups were AO B and C fractures, respectively. The cause of injury and AO fracture classification showed significant differences between the two groups, and there was no difference in age or sex between the two groups. There was no significant difference in ROM between the two groups, but the VLP group presented a better Gartland–Werley score and volar tilt angle, and the combined group presented better maintenance in radial height and articular congruity. CONCLUSIONS: Reduction through the combined palmar and dorsal approach supplemented by bone grafting or dorsal plate fixation is an effective method for the treatment of die-punch distal radius fractures, which provides a new option for the treatment of die-punch fractures. BioMed Central 2023-06-24 /pmc/articles/PMC10290794/ /pubmed/37355595 http://dx.doi.org/10.1186/s12893-023-02047-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Xu, Zisheng
Liang, Yuqing
Geng, Guobo
Mu, Weidong
Xu, Peng
Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study
title Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study
title_full Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study
title_fullStr Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study
title_full_unstemmed Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study
title_short Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study
title_sort combined approach versus single henry approach for fixation of die-punch distal radius fractures: a retrospective study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10290794/
https://www.ncbi.nlm.nih.gov/pubmed/37355595
http://dx.doi.org/10.1186/s12893-023-02047-x
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