[Unidirectional versus multidirectional palmar locking osteosynthesis of unstable distal radius fractures: comparative analysis with LDR 2.4 mm versus 2.7 mm matrix-Smartlock]. / Unidirektionale vs. multidirektionale palmare winkelstabile Osteosynthese bei instabilen distalen Radiusfrakturen : Vergleichende Analyse mit der 2,4-mm-LDR- vs. 2,7-mm-Matrix-Smartlock-Platte.
Unfallchirurg
; 113(3): 210-6, 2010 Mar.
Article
em De
| MEDLINE
| ID: mdl-19967335
ABSTRACT
INTRODUCTION:
Due to advances in the development of the unidirectional locking plates there is now an increased use of multidirectional palmar locking plates in the treatment of distal radius factures. The purpose of this study was to evaluate a possible improvement of the treatment and results. PATIENTS ANDMETHODS:
This prospective cohort study investigated 40 patients with C1 and C2 Colles' fractures who had been treated with unidirectional and multidirectional locking plates. The average time for the follow-up examinations was 12.3 months (range 12-15 months) after surgery. The intra-operative functional (neutral-zero method), radiological and subjective (DASH score, VAS) results were evaluated.RESULTS:
The intra-operative fluoroscopy time of the unidirectional group was 58 s shorter compared to the multidirectional group. All fractures healed without any complication. The radiological, subjective (DASH score) and objective results for both groups were good and showed no differences.CONCLUSION:
Unidirectional palmar locking plates are equally suited for the therapy of C1 and C2 fractures as multidirectional palmar locking plates but multidirectional plates require a longer fluoroscopy time.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fraturas do Rádio
/
Traumatismos do Punho
/
Placas Ósseas
/
Fixação Interna de Fraturas
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
De
Revista:
Unfallchirurg
Assunto da revista:
TRAUMATOLOGIA
Ano de publicação:
2010
Tipo de documento:
Article