Outcomes of Pin and Plaster Versus Locking Plate in Distal Radius Intraarticular Fractures

BACKGROUND: Distal radius fractures are among the most prevalent fractures predictive of probable occurrence of other osteoporotic fractures. They are treated via a variety of methods, but the best treatment has not been defined yet. OBJECTIVES: This study was performed to compare the results of ope...

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Detalles Bibliográficos
Autores principales: Bahari-Kashani, Mahmoud, Taraz-Jamshidy, Mohammad Hosein, Rahimi, Hassan, Ashraf, Hami, Mirkazemy, Masoud, Fatehi, Amirreza, Asadian, Mariam, Rezazade, Jafar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2013
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860657/
https://www.ncbi.nlm.nih.gov/pubmed/24350132
http://dx.doi.org/10.5812/traumamon.7951
Descripción
Sumario:BACKGROUND: Distal radius fractures are among the most prevalent fractures predictive of probable occurrence of other osteoporotic fractures. They are treated via a variety of methods, but the best treatment has not been defined yet. OBJECTIVES: This study was performed to compare the results of open reduction and internal fixation with locking plates versus the pin and plaster method. MATERIALS AND METHODS: In this prospective study, 114 patients aged 40 to 60 years with Fernandez type III fracture referring to Imam-Reza and Mehr hospitals of Mashhad from 2009 to 2011, were selected randomly; after obtaining informed consent, they were treated with pin and plaster fixation (n = 57) or internal fixation with the volar locking plate (n = 57). They were compared at the one year follow up. Demographic features and standard radiographic indices were recorded and MAYO, DASH and SF - 36 tests were performed. Data was analyzed by SPSS software version 13, with descriptive indices, Mann-Whitney and Chi-square tests. RESULTS: SF-36 test demonstrated a better general health (P < 0.001), mental health (P = 0.006), physical functioning (P < 0.001), social functioning (P < 0.001) and energy/fatigue (P < 0.001) in LCP group. However, pain (P = 0.647) was not significantly different between the groups. Physical limitation (P < 0.001) and emotional limitation (P < 0.001) were greater in the pin and plaster group. Also, in the LCP group mean MAYO score (P < 0.001) was more than pin and plaster group. Mean DASH score was not different between the groups (P = 0.218). The rate of acceptable results of radiographic indices (P < 0.001), grip strength (P < 0.001) and range of motion in supination-pronation (P < 0.001) in LCP method were better than the pin and plaster method. CONCLUSIONS: In treatment of intra-articular distal radius fractures in middle-aged patients internal fixation with locking plates may be prefered to pin and plaster as the treatment of choice.

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