Clinical and Radiological Results in Young Patients with Complete Articular Distal Radius Fractures Treated with Volar Locked Plate.

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Published: Feb 19, 2016
DOI: https://doi.org/10.15417/496
Keywords:
articular fracture, distal radius, volar locking plate, young.

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Pablo De Carli
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0002-9474-8129
Ezequiel Ernesto Zaidenberg
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0002-1535-0586
Gerardo Gallucci
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0002-0612-320X
Nicolas Santiago Piuzzi
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0003-3007-7538
Jorge Guillermo Boretto
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0001-7701-3852

Abstract

Introduction: the complete articular distal radius fractures (type C of the AO classification) in young patients represent a challenge for the high functional demands that this subgroup of patients have and the need for proper articular reduction to prevent posttraumatic arthritis. The aim of the study is to evaluate the clinical and radiological results of patients under 65 with fractures of the distal radius (FDR) type C treated with volar locked plate (VLP).Materials and methods: 292 patients with FDR, of which 71 met the inclusion criteria (age between 18-65 years, minimum follow-up of 6 months and FDR type C treated with VLP) were analyzed. 45 patients were women and 26 men; mean age 51 years (20-64 years). The average follow-up was 28 months (6-71 months). Both an objective clinical evaluation (range of motion) and opinion of the function (Quick DASH and functional visual analogue scale) and pain (VAS rest and scale Swanson) was conducted, and a radiological assessment. Results: In the subjective functional assessment, Quick -DASH average was 8.7 (0-60) with a functional EVA 8.9 (3 -10). The objective functional assessment, and comparative average end mobility with the healthy side was: 91 % flexion and extension, supination 97 %, 90% radial - ulnar deviation. Regarding the pain scale Swanson (55 patients without pain, mild pain 13, 3 moderate pain and 2 permanent) with average resting EVA 0.4 (0-10). Recovery of extra-articular all cases, correction of 26 of the 29 joint steps preoperative radiological parameters.Conclusion: The treatment of distal radius fractures type C in young patients with locked volar plate shows favorable clinical and radiological results corrected most of articular steps.

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How to Cite
De Carli, P., Zaidenberg, E. E., Gallucci, G., Piuzzi, N. S., & Boretto, J. G. (2016). Clinical and Radiological Results in Young Patients with Complete Articular Distal Radius Fractures Treated with Volar Locked Plate. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 81(1), 42-46. https://doi.org/10.15417/496
Issue
Vol 81 No 1 (2016)
Section
Clinical Research
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