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KMID : 1143020210260020093
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Archives of Hand and Microsurgery
2021 Volume.26 No. 2 p.93 ~ p.99
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The Usefulness of Radial Column Plate in Distal Radius Fracture: Indications and Results
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An Sung-Jin
Lee Sang-Hyun
Kim Dong-Hee
Jang Hyo-Seok
Hong Sung-Min
Kim Hak-Sang
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Abstract
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Purpose: The most common surgical treatment for distal radius fracture is internal fixation using volar locking plates, but it is sometimes difficult to maintain reduction with them. Therefore, this research reports the results of surgical treatment with additional radial column plates.
Methods: We analyzed 12-month follow-up results in 100 cases. The patients had the B or C types of distal radius fractures, in accordance with AO classification, and underwent surgical treatment at our hospital from May 2013 to December 2019. There were 16 cases of B-type and 84 cases of C-type fractures. Out of these, 87 were treated with volar locking plates (V group) and 13 had additional radial column plates (VR group). The results of surgical treatment were examined clinically by measuring the disabilities of the arm, shoulder and hand (DASH) and Mayo wrist score, and radiologically by measuring the radial length, radial inclination, and volar tilt, before and after surgery.
Results: After treatment, the radiographic average in the V group showed a radial length of 12.3 mm, radial inclination of 20.2°, and volar tilt of 5.8°, while the VR group showed 11.6 mm, 22.3°, and 9.0° respectively. A statistically significant difference was found in the DASH score, and the DASH score showed good results in the VR group.
Conclusion: Additional radial column plate fixation is worth considering because it provides clinically and radiologically satisfactory results in treatment of B and C types distal radius fracture involving articular surface.
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KEYWORD
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Distal radius fractures, Radial column plates, Open reduction, DASH score, Intraarticular fractures
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