Abstract：
Volar plate malpositioning in the treatment of distal radial fracture can lead to tendinitis or even tendon tear, especially when the plate position is very distal. We studied the impact of design on plate position in the distal radius. The primary aim was to compare the position of six volar wrist plates relative to the watershed line using the Soong classification. The secondary objectives were to assess the epidemiology of volar locking plate fixation within the administrative Département of Finistère (northwestern France) and to study whether the type of fracture played a role in plate position.
The plate design itself influences positioning relative to the watershed line on the Soong classification.
A total of 2723 volar locking plate fixation cases were analyzed and categorized according to the Soong classification. Plates used were divided into six groups based on design: Zimmer Biomet®, Newclip Technics®, Stryker®, Synthes®, Medartis® and Medartis® Footprint. The number of Soong 0 + 1 plates (i.e., plates graded 0 and 1 taken together) was determined for each design, then compared using the Marascuilo procedure with a significance level of α = 0.05.
On the Marascuilo procedure, we found significant differences in the number of Soong grade 0 + 1 plates. The Zimmer Biomet and Newclip Technics® plates were significantly more often proximal to the watershed line than the Synthes and Medartis Footprint plates. Plate position with the Medartis® design was significantly more proximal to the watershed line than for its companion design, the Medartis® Footprint plate. The rate of volar locking plate fixation of distal radial fractures over the past 10 years increased in Finistère. Also, the type of fracture affected the choice of plate when different designs were available within a hospital center (Medartis® Footprint plate used in 2R3A fractures).
Our study highlights a significant difference in volar locking plate position relative to the watershed line between the various models available. Plate design is a deciding factor when treating distal radial fracture, to avoid impingement when implant removal is not routinely planned.
The plate design itself influences positioning relative to the watershed line on the Soong classification.
A total of 2723 volar locking plate fixation cases were analyzed and categorized according to the Soong classification. Plates used were divided into six groups based on design: Zimmer Biomet®, Newclip Technics®, Stryker®, Synthes®, Medartis® and Medartis® Footprint. The number of Soong 0 + 1 plates (i.e., plates graded 0 and 1 taken together) was determined for each design, then compared using the Marascuilo procedure with a significance level of α = 0.05.
On the Marascuilo procedure, we found significant differences in the number of Soong grade 0 + 1 plates. The Zimmer Biomet and Newclip Technics® plates were significantly more often proximal to the watershed line than the Synthes and Medartis Footprint plates. Plate position with the Medartis® design was significantly more proximal to the watershed line than for its companion design, the Medartis® Footprint plate. The rate of volar locking plate fixation of distal radial fractures over the past 10 years increased in Finistère. Also, the type of fracture affected the choice of plate when different designs were available within a hospital center (Medartis® Footprint plate used in 2R3A fractures).
Our study highlights a significant difference in volar locking plate position relative to the watershed line between the various models available. Plate design is a deciding factor when treating distal radial fracture, to avoid impingement when implant removal is not routinely planned.
摘要：
背景：掌侧钢板错位治疗桡骨远端骨折可导致肌腱炎甚至肌腱撕裂，特别是当板的位置非常远。我们研究了设计对桡骨远端钢板位置的影响。主要目的是使用Soong分类比较六个掌侧腕板相对于分水岭线的位置。次要目标是评估Finistère行政部门（法国西北部）内掌侧锁定钢板固定的流行病学，并研究骨折类型是否在钢板位置中起作用。
目的：板设计本身会影响相对于Soong分类分水岭线的定位。
方法：对2,723例掌侧锁定钢板内固定病例进行分析，并按照宋氏分类进行分类。使用的平板根据设计分为六组：ZimmerBiomet®，NewclipTechnics®,Stryker®,Synthes®,Medartis®和Medartis®足迹。宋代0+1板的数量(即等级为0和1的板放在一起)为每个设计确定，然后使用Marascuilo程序进行比较，显著性水平为α=0.05。
结果：关于Marascuilo程序，我们发现宋氏0+1级板块的数量存在显著差异。与Synthes和Medartis足迹板相比，ZimmerBiomet和NewclipTechnics®板更容易接近分水岭线。Medartis®设计的板位置比其配套设计更接近分水岭线。Medartis®足迹板。过去10年，Finistère掌侧锁定钢板固定桡骨远端骨折的比率增加。此外，当医院中心有不同设计时,骨折类型会影响钢板的选择(Medartis®Footprint钢板用于2R3A骨折).
结论：我们的研究突出了可用的各种模型之间相对于分水岭线的掌侧锁定板位置的显着差异。钢板设计是治疗桡骨远端骨折的决定性因素,以避免当植入物移除不是常规计划时的撞击。
方法：
目的：板设计本身会影响相对于Soong分类分水岭线的定位。
方法：对2,723例掌侧锁定钢板内固定病例进行分析，并按照宋氏分类进行分类。使用的平板根据设计分为六组：ZimmerBiomet®，NewclipTechnics®,Stryker®,Synthes®,Medartis®和Medartis®足迹。宋代0+1板的数量(即等级为0和1的板放在一起)为每个设计确定，然后使用Marascuilo程序进行比较，显著性水平为α=0.05。
结果：关于Marascuilo程序，我们发现宋氏0+1级板块的数量存在显著差异。与Synthes和Medartis足迹板相比，ZimmerBiomet和NewclipTechnics®板更容易接近分水岭线。Medartis®设计的板位置比其配套设计更接近分水岭线。Medartis®足迹板。过去10年，Finistère掌侧锁定钢板固定桡骨远端骨折的比率增加。此外，当医院中心有不同设计时,骨折类型会影响钢板的选择(Medartis®Footprint钢板用于2R3A骨折).
结论：我们的研究突出了可用的各种模型之间相对于分水岭线的掌侧锁定板位置的显着差异。钢板设计是治疗桡骨远端骨折的决定性因素,以避免当植入物移除不是常规计划时的撞击。
方法：
