关键词: 10 mm approach Distal radius fractures conventional incision minimally invasive plate osteosynthesis volar locking plates

来  源:   DOI:10.13107/jocr.2024.v14.i06.4546   PDF(Pubmed)

Abstract:
UNASSIGNED: The aim of this study was to investigate whether surgery with a 10 mm approach for volar locking plate fixation provides equivalent early post-operative outcomes to conventional incision surgery for distal radius fractures.
UNASSIGNED: The subjects were divided into a conventional incision group (mean age: 59.1 years, 8 males and 23 females) and a 10 mm approach group (mean age: 59.9 years of age, 6 males and 20 females). The wrist range of motion; grip strength; visual analog scale (VAS); quick disabilities of the arm, shoulder, and hand (Q-DASH) score; and modified Mayo score were assessed at 3 months after surgery. In addition, radial inclination, ulnar variance, and volar tilt were evaluated on post-operative radiography.
UNASSIGNED: There was no significant difference between the groups in the wrist range of motion, grip strength, VAS, Q-DASH score, modified Mayo wrist score, and three parameters of post-operative radiography. All patients in both groups had no complications during the perioperative period.
UNASSIGNED: We found that a 10 mm approach obtained early post-operative outcomes and alignment comparable to conventional incision surgery for patients with dorsal displaced distal radius fractures.
摘要:
本研究的目的是探讨对于桡骨远端骨折,采用10mm入路的掌侧锁定钢板内固定手术是否能提供与传统切口手术相同的早期术后结果。
将受试者分为常规切口组(平均年龄:59.1岁,8名男性和23名女性)和10毫米入路组(平均年龄:59.9岁,6名男性和20名女性)。手腕的运动范围;握力;视觉模拟量表(VAS);手臂的快速残疾,肩膀,和手(Q-DASH)评分;在手术后3个月评估改良的Mayo评分。此外,径向倾角,尺骨方差,和掌侧倾斜在术后X线照相术中进行评估。
在腕关节的活动范围上,两组之间没有显着差异,握力,VAS,Q-DASH得分,改良梅奥手腕评分,和术后X线摄影的三个参数。两组患者围手术期均无并发症发生。
我们发现,对于背侧移位的桡骨远端骨折患者,10mm入路可获得与常规切口手术相当的早期术后结果和对准。
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