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Evaluating the necessity of bone augmentation for distal radius fracture fixed with a volar locking plate: a retrospective study

BACKGROUND: Multiple approaches for fixation of distal radius fractures exist; nonetheless, there is no consensus on the optimal treatment for these injuries. Although using volar locking plates has become increasingly common as a surgical intervention, the usefulness of bone augmentation remains de...

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Autores principales: Chang, Feng-Shuo, Chen, Chih-Hui, Lee, Cheng-Hung, Lee, Kun-Tsan, Cho, Yi-Cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082908/
https://www.ncbi.nlm.nih.gov/pubmed/32192479
http://dx.doi.org/10.1186/s12891-020-03203-7
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author Chang, Feng-Shuo
Chen, Chih-Hui
Lee, Cheng-Hung
Lee, Kun-Tsan
Cho, Yi-Cheng
author_facet Chang, Feng-Shuo
Chen, Chih-Hui
Lee, Cheng-Hung
Lee, Kun-Tsan
Cho, Yi-Cheng
author_sort Chang, Feng-Shuo
collection PubMed
description BACKGROUND: Multiple approaches for fixation of distal radius fractures exist; nonetheless, there is no consensus on the optimal treatment for these injuries. Although using volar locking plates has become increasingly common as a surgical intervention, the usefulness of bone augmentation remains debatable. Therefore, this study aimed to evaluate the necessity of bone augmentation for distal radius fractures fixed with a volar locking plate. METHODS: This retrospective study enrolled patients with a single distal radius fracture treated with a volar locking plate between January 2014 and December 2016. Overall, 105 fractures were included and divided into two groups (non-bone augmentation: group 1, n = 88; bone augmentation: group 2, n = 17). Images were reviewed, and dorsal cortex collapse, volar tilting, and radial height and inclination were measured immediately after surgery and at the 6-month follow-up. RESULTS: Both groups exhibited significant differences in dorsal collapse (p < 0.001 and p = 0.001, respectively) and radial height shortening (p < 0.001 and p = 0.039, respectively); volar tilting and radial inclination did not differ significantly. There was no difference in the degree of dorsal collapse (p = 0.715) and radial height shortening (p = 0.651) between the two groups. Of the 105 fractures, 54 were identified as comminuted type according to the AO classification (A3, C2, and C3), and similar radiographic outcomes were noted. CONCLUSIONS: Volar locking plates for the treatment of distal radius fractures with or without bone augmentation do not affect the radiographic outcomes. In comminuted fractures, additional bone augmentation is unnecessary if intraoperative anatomical reduction and fixation are performed when possible.
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spelling pubmed-70829082020-03-23 Evaluating the necessity of bone augmentation for distal radius fracture fixed with a volar locking plate: a retrospective study Chang, Feng-Shuo Chen, Chih-Hui Lee, Cheng-Hung Lee, Kun-Tsan Cho, Yi-Cheng BMC Musculoskelet Disord Research Article BACKGROUND: Multiple approaches for fixation of distal radius fractures exist; nonetheless, there is no consensus on the optimal treatment for these injuries. Although using volar locking plates has become increasingly common as a surgical intervention, the usefulness of bone augmentation remains debatable. Therefore, this study aimed to evaluate the necessity of bone augmentation for distal radius fractures fixed with a volar locking plate. METHODS: This retrospective study enrolled patients with a single distal radius fracture treated with a volar locking plate between January 2014 and December 2016. Overall, 105 fractures were included and divided into two groups (non-bone augmentation: group 1, n = 88; bone augmentation: group 2, n = 17). Images were reviewed, and dorsal cortex collapse, volar tilting, and radial height and inclination were measured immediately after surgery and at the 6-month follow-up. RESULTS: Both groups exhibited significant differences in dorsal collapse (p < 0.001 and p = 0.001, respectively) and radial height shortening (p < 0.001 and p = 0.039, respectively); volar tilting and radial inclination did not differ significantly. There was no difference in the degree of dorsal collapse (p = 0.715) and radial height shortening (p = 0.651) between the two groups. Of the 105 fractures, 54 were identified as comminuted type according to the AO classification (A3, C2, and C3), and similar radiographic outcomes were noted. CONCLUSIONS: Volar locking plates for the treatment of distal radius fractures with or without bone augmentation do not affect the radiographic outcomes. In comminuted fractures, additional bone augmentation is unnecessary if intraoperative anatomical reduction and fixation are performed when possible. BioMed Central 2020-03-19 /pmc/articles/PMC7082908/ /pubmed/32192479 http://dx.doi.org/10.1186/s12891-020-03203-7 Text en © The Author(s) 2020 Open AccessThis 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/. The Creative Commons Public Domain Dedication waiver (http://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 Article
Chang, Feng-Shuo
Chen, Chih-Hui
Lee, Cheng-Hung
Lee, Kun-Tsan
Cho, Yi-Cheng
Evaluating the necessity of bone augmentation for distal radius fracture fixed with a volar locking plate: a retrospective study
title Evaluating the necessity of bone augmentation for distal radius fracture fixed with a volar locking plate: a retrospective study
title_full Evaluating the necessity of bone augmentation for distal radius fracture fixed with a volar locking plate: a retrospective study
title_fullStr Evaluating the necessity of bone augmentation for distal radius fracture fixed with a volar locking plate: a retrospective study
title_full_unstemmed Evaluating the necessity of bone augmentation for distal radius fracture fixed with a volar locking plate: a retrospective study
title_short Evaluating the necessity of bone augmentation for distal radius fracture fixed with a volar locking plate: a retrospective study
title_sort evaluating the necessity of bone augmentation for distal radius fracture fixed with a volar locking plate: a retrospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082908/
https://www.ncbi.nlm.nih.gov/pubmed/32192479
http://dx.doi.org/10.1186/s12891-020-03203-7
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