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Three-Dimensional Anatomically Pre-Contoured Locking Plate for Isolated Weber B Type Fracture

We aimed to evaluate the functional and radiographic outcomes of a three-dimensionally (3D) pre-contoured lateral locking plate fixation for isolated Weber B type fractures and to evaluate the necessity of an interfragmentary lag screw in the use of the plate. Patients who underwent surgery for isol...

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Autores principales: Kim, Jahyung, Chun, Dong-Il, Won, Sung-Hun, Min, Tae-Hong, Yi, Young, Park, Suyeon, Cho, Min-Soo, Cho, Jaeho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8268111/
https://www.ncbi.nlm.nih.gov/pubmed/34279460
http://dx.doi.org/10.3390/jcm10132976
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author Kim, Jahyung
Chun, Dong-Il
Won, Sung-Hun
Min, Tae-Hong
Yi, Young
Park, Suyeon
Cho, Min-Soo
Cho, Jaeho
author_facet Kim, Jahyung
Chun, Dong-Il
Won, Sung-Hun
Min, Tae-Hong
Yi, Young
Park, Suyeon
Cho, Min-Soo
Cho, Jaeho
author_sort Kim, Jahyung
collection PubMed
description We aimed to evaluate the functional and radiographic outcomes of a three-dimensionally (3D) pre-contoured lateral locking plate fixation for isolated Weber B type fractures and to evaluate the necessity of an interfragmentary lag screw in the use of the plate. Patients who underwent surgery for isolated Weber B type fracture were divided into two groups: 41 patients treated with the 3D plate and lag screw (Group A) and 31 patients treated with the 3D plate only (Group B). The included patients were evaluated regarding the functional and radiographic outcomes. According to the McLennan and Ungersma criteria, the majority of patients showed good or fair outcomes in both groups. Comparing the two groups, Group B showed better functional outcomes (p < 0.0046), while no difference between the two groups was found in terms of the radiographic outcomes (p = 0.143). The operation time was significantly shorter in Group B (p < 0.001) and the time to bony union was within 14 months in all patients with no significant difference between the two groups (p = 0.0821). No postoperative complication was observed in both groups. In conclusion, the use of a 3D pre-contoured lateral locking plate fixation for isolated Weber B type fractures demonstrated satisfactory functional and radiographic outcomes, regardless of lag screw insertion.
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spelling pubmed-82681112021-07-10 Three-Dimensional Anatomically Pre-Contoured Locking Plate for Isolated Weber B Type Fracture Kim, Jahyung Chun, Dong-Il Won, Sung-Hun Min, Tae-Hong Yi, Young Park, Suyeon Cho, Min-Soo Cho, Jaeho J Clin Med Article We aimed to evaluate the functional and radiographic outcomes of a three-dimensionally (3D) pre-contoured lateral locking plate fixation for isolated Weber B type fractures and to evaluate the necessity of an interfragmentary lag screw in the use of the plate. Patients who underwent surgery for isolated Weber B type fracture were divided into two groups: 41 patients treated with the 3D plate and lag screw (Group A) and 31 patients treated with the 3D plate only (Group B). The included patients were evaluated regarding the functional and radiographic outcomes. According to the McLennan and Ungersma criteria, the majority of patients showed good or fair outcomes in both groups. Comparing the two groups, Group B showed better functional outcomes (p < 0.0046), while no difference between the two groups was found in terms of the radiographic outcomes (p = 0.143). The operation time was significantly shorter in Group B (p < 0.001) and the time to bony union was within 14 months in all patients with no significant difference between the two groups (p = 0.0821). No postoperative complication was observed in both groups. In conclusion, the use of a 3D pre-contoured lateral locking plate fixation for isolated Weber B type fractures demonstrated satisfactory functional and radiographic outcomes, regardless of lag screw insertion. MDPI 2021-07-02 /pmc/articles/PMC8268111/ /pubmed/34279460 http://dx.doi.org/10.3390/jcm10132976 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Jahyung
Chun, Dong-Il
Won, Sung-Hun
Min, Tae-Hong
Yi, Young
Park, Suyeon
Cho, Min-Soo
Cho, Jaeho
Three-Dimensional Anatomically Pre-Contoured Locking Plate for Isolated Weber B Type Fracture
title Three-Dimensional Anatomically Pre-Contoured Locking Plate for Isolated Weber B Type Fracture
title_full Three-Dimensional Anatomically Pre-Contoured Locking Plate for Isolated Weber B Type Fracture
title_fullStr Three-Dimensional Anatomically Pre-Contoured Locking Plate for Isolated Weber B Type Fracture
title_full_unstemmed Three-Dimensional Anatomically Pre-Contoured Locking Plate for Isolated Weber B Type Fracture
title_short Three-Dimensional Anatomically Pre-Contoured Locking Plate for Isolated Weber B Type Fracture
title_sort three-dimensional anatomically pre-contoured locking plate for isolated weber b type fracture
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8268111/
https://www.ncbi.nlm.nih.gov/pubmed/34279460
http://dx.doi.org/10.3390/jcm10132976
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