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KMID : 0950120090080020115
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Jouranl of Korean Orthopaedic Sports Medicine
2009 Volume.8 No. 2 p.115 ~ p.120
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Comparison of Three Surgical Method Outcomes for Dorsal Communition Distal Radial Fractures: External Fixation, External Fixation with Allogenous Bone Graft (DBM) and Volar Locking Plate Fixation
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Choi Jun-Cheol
Na Hwa-Yeop
Lee Young-Sang
Kim Woo-Sung
Oh Kyung-Soo
Song Woo-Suk
Kim Se-Jun
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Abstract
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Purpose: To evaluate the outcomes of three different surgical approaches in treating a distal radius fracture with dorsal communition.
Materials and Methods: From April, 2006 to May, 2009, 49 patients over age of 60years old with unstable dorsal communition distal radius fracture were analyzed. We compared maintainability of reduction by radiological follow-up observations and clinical outcomes using Mayo wrist scores. One-Way ANOVA test was performed to examine the statistical correlation between the methods.
Results: All three approaches provided satisfactory post-op reduction results. However, follow-up observations showed significant loss of reduction in the external fixation only group compared to the added bone graft group and the volar anatomical locking plate group (P<0.05). Mayo wrist score was indifferent between the three groups.
Conslusion: Treatment of a distal radius fracture with severe dorsal communition using an external fixation only appears to be insufficient in maintaining reduction of a cancellous bone defect.
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KEYWORD
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Distal radius fracture, External fixation, Allogenous bone graft, Volar locking compression plate
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