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KMID : 0386420110240020151
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Journal of the Korean Fracture Society
2011 Volume.24 No. 2 p.151 ~ p.155
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2.4 mm Volar Locking Compression Plate for Treatment of Unstable Distal Radius Fractures
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Kim Sung-Jin
Cho Chul-Hyun
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Abstract
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Purpose: To evaluate outcomes 2.4 mm volar locking compression plate for treatment of unstable distal radius fractures.
Materials and Methods : We retrospectively analyzed the results in 22 cases, which were treated by 2.4 mm volar locking compression plate. We evaluated the clinical results according to the Mayo wrist performance scoring system and radiographic results.
Results: All cases had bony union. The mean Mayo wrist performance score was 85.23. Between preoperative and immediate postoperative radiographic measurements, the mean radial length was improved from 6.04 mm to 9.68 mm, radial inclination from 15.61o to 19.61o, volar tilt from ?13.73o to 7.66o and intraarticular step-off from 0.79 mm to 0.33 mm (p＜0.05). Between immediate postoperative and latest follow-up radiographic measurements, the mean loss of radial length measured 0.86 mm, radial inclination 0.41o, volar tilt 0.54o and intraarticular step-off 0.02 mm (p＞0.05). Postoperative complication included that flexor pollicis longus and 2nd flexor digitorum profundus were ruptured in 1 case.
Conclusion: Treatment of unstable distal radius fractures using a 2.4 mm volar locking compression plate showed satisfactory outcomes. It is a good option to obtain stable fixation without significant loss of reduction.
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KEYWORD
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Distal radius, Unstable fracture, 2.4 mm locking compression plate, Volar approach
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