In:
Handchirurgie · Mikrochirurgie · Plastische Chirurgie, Georg Thieme Verlag KG, Vol. 50, No. 05 ( 2018-09), p. 319-325
Abstract:
The objective of the study was a comparison of the outcomes of K-wire vs plate
fixation for distal radial fractures used according to the proposed institutional algorithm. Fracture configurations A2, A3, B1, B2, C1 and some C2
were operated on with K-wire pinning, whereas B3 and some B2, C3 and some C2 were with locking palmar-plate fixation. Patients and Methods: Four hundred and sixty-seven patients were
non-randomly allocated for either K-wire (n = 363) or palmarplate (n = 104) fixation. The results were assessed at 3 and 12 months by the same outcome
measures. Results: At the 3-month assessment, statistically significant differences
in grip strength and the DASH scores were noted in favour of the plate-fixation group. At the 12-month assessment, statistically significant differences were
observed in the wrist palmar and dorsal flexion, favouring the plate-fixation group. Statistically significant differences were noted in radiological measures
of the palmar tilt and the ulnar variance, both favouring the plate-fixation method. Meaningful secondary dislocations were noted in ten patients, all in the
K-wire-fixation group. Conclusion: We conclude that palmar locking plate fixation in even more
severe fractures leads to better radiological and clinical outcomes than K-wire fixation in less severe fractures.
Type of Medium:
Online Resource
ISSN:
0722-1819
,
1439-3980
Language:
English
Publisher:
Georg Thieme Verlag KG
Publication Date:
2018
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