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THE RESULTS OF VOLAR LOCKING PLATE FIXATION FOR THE FRAGILITY FRACTURE POPULATION WITH DISTAL RADIUS FRACTURE IN JAPANESE WOMEN
The purpose of this study was to determine whether volar locking plate fixation for distal radius fracture benefits the fragility fracture population as much as it benefits the non-fragility fracture population. This matched case-control study was conducted based on a multi-center clinical prospecti...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nagoya University
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345733/ https://www.ncbi.nlm.nih.gov/pubmed/25129996 |
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author | KATO, SHUICHI TATEBE, MASAHIRO YAMAMOTO, MICHIRO IWATSUKI, KATSUYUKI NISHIZUKA, TAKANOBU HIRATA, HITOSHI |
author_facet | KATO, SHUICHI TATEBE, MASAHIRO YAMAMOTO, MICHIRO IWATSUKI, KATSUYUKI NISHIZUKA, TAKANOBU HIRATA, HITOSHI |
author_sort | KATO, SHUICHI |
collection | PubMed |
description | The purpose of this study was to determine whether volar locking plate fixation for distal radius fracture benefits the fragility fracture population as much as it benefits the non-fragility fracture population. This matched case-control study was conducted based on a multi-center clinical prospective cohort. A comparison of treatment outcomes after volar locking plate fixation was made between females 55 years of age and older (fragility fracture population) and males less than 75 years of age (non-fragility fracture population) by evaluating clinical, radiological, and subjective outcomes using Hand20, a validated patient-rated disability instrument. A total of 170 patients were enrolled in this study. The two cohorts were matched in terms of AO fracture type. The fragility fracture population group and the non-fragility fracture population group each consisted of 50 patients. All objective measurements including wrist range of motion and radiological evaluations, but excluding grip strength, were not significantly different between the two groups. However, the Hand20 at 18 months after surgery was worse in the fragility fracture population group than in the non-fragility fracture population group. Carpal tunnel syndrome was the most frequently encountered complication in the fragility fracture population group, with one case (2%) in the non-fragility fracture population group and six cases (12%) in the fragility fracture population group, but the difference was not significant. In conclusion, there was a significant deficit in the improvement in disability despite favorable radiological and functional outcomes in fragility fracture population patients. Therefore, the fragility fracture population, especially middle-aged or older women, needs to be informed about prolonged disability and the higher risk of upper extremity disorders prior to surgery. |
format | Online Article Text |
id | pubmed-4345733 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Nagoya University |
record_format | MEDLINE/PubMed |
spelling | pubmed-43457332015-03-04 THE RESULTS OF VOLAR LOCKING PLATE FIXATION FOR THE FRAGILITY FRACTURE POPULATION WITH DISTAL RADIUS FRACTURE IN JAPANESE WOMEN KATO, SHUICHI TATEBE, MASAHIRO YAMAMOTO, MICHIRO IWATSUKI, KATSUYUKI NISHIZUKA, TAKANOBU HIRATA, HITOSHI Nagoya J Med Sci Original Paper The purpose of this study was to determine whether volar locking plate fixation for distal radius fracture benefits the fragility fracture population as much as it benefits the non-fragility fracture population. This matched case-control study was conducted based on a multi-center clinical prospective cohort. A comparison of treatment outcomes after volar locking plate fixation was made between females 55 years of age and older (fragility fracture population) and males less than 75 years of age (non-fragility fracture population) by evaluating clinical, radiological, and subjective outcomes using Hand20, a validated patient-rated disability instrument. A total of 170 patients were enrolled in this study. The two cohorts were matched in terms of AO fracture type. The fragility fracture population group and the non-fragility fracture population group each consisted of 50 patients. All objective measurements including wrist range of motion and radiological evaluations, but excluding grip strength, were not significantly different between the two groups. However, the Hand20 at 18 months after surgery was worse in the fragility fracture population group than in the non-fragility fracture population group. Carpal tunnel syndrome was the most frequently encountered complication in the fragility fracture population group, with one case (2%) in the non-fragility fracture population group and six cases (12%) in the fragility fracture population group, but the difference was not significant. In conclusion, there was a significant deficit in the improvement in disability despite favorable radiological and functional outcomes in fragility fracture population patients. Therefore, the fragility fracture population, especially middle-aged or older women, needs to be informed about prolonged disability and the higher risk of upper extremity disorders prior to surgery. Nagoya University 2014-02 /pmc/articles/PMC4345733/ /pubmed/25129996 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Paper KATO, SHUICHI TATEBE, MASAHIRO YAMAMOTO, MICHIRO IWATSUKI, KATSUYUKI NISHIZUKA, TAKANOBU HIRATA, HITOSHI THE RESULTS OF VOLAR LOCKING PLATE FIXATION FOR THE FRAGILITY FRACTURE POPULATION WITH DISTAL RADIUS FRACTURE IN JAPANESE WOMEN |
title | THE RESULTS OF VOLAR LOCKING PLATE FIXATION FOR THE FRAGILITY FRACTURE POPULATION WITH DISTAL RADIUS FRACTURE IN JAPANESE WOMEN |
title_full | THE RESULTS OF VOLAR LOCKING PLATE FIXATION FOR THE FRAGILITY FRACTURE POPULATION WITH DISTAL RADIUS FRACTURE IN JAPANESE WOMEN |
title_fullStr | THE RESULTS OF VOLAR LOCKING PLATE FIXATION FOR THE FRAGILITY FRACTURE POPULATION WITH DISTAL RADIUS FRACTURE IN JAPANESE WOMEN |
title_full_unstemmed | THE RESULTS OF VOLAR LOCKING PLATE FIXATION FOR THE FRAGILITY FRACTURE POPULATION WITH DISTAL RADIUS FRACTURE IN JAPANESE WOMEN |
title_short | THE RESULTS OF VOLAR LOCKING PLATE FIXATION FOR THE FRAGILITY FRACTURE POPULATION WITH DISTAL RADIUS FRACTURE IN JAPANESE WOMEN |
title_sort | results of volar locking plate fixation for the fragility fracture population with distal radius fracture in japanese women |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345733/ https://www.ncbi.nlm.nih.gov/pubmed/25129996 |
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