Comparison of Volar and Dorsal Approach in the Treatment of Distal Radius Fracture with Locking Plate
- VernacularTitle:锁定钢板治疗桡骨远端骨折掌背侧入路的选择
- Author:
Ming CHEN
1
;
Zhengdong CAI
;
YingQi HUA
Author Information
1. 同济大学附属第十人民医院骨科
- Keywords:
Distal radius fracture;
Volar approach;
Dorsal approach;
Internal fixation;
Efficacy
- From:
Chinese Journal of Clinical Medicine
2015;(1):66-68
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy of volar and dorsal approach in the treatment of distal radius fractures by open reduction and internal fixation .Methods :Sixty‐eight patients with distal radius fractures ,who were admitted in Tenth People’s Hospital of Tongji University from 2013 January to 2014 January ,were chosen .The patients were randomly divided in to volar approach group and dorsal approach group ,with 34 cases in each group .The wrist joint function at three months after the operation ,surgical situation ,postoperative complications were compared between the two groups .Results:The excellent and good rate of wrist joint function at three months after the operation in volar approach group was 97 .1% ,while that in dorsal approach group was 70 .6% .The difference was statistically significant (P< 0 .05) .Compared to those in dorsal approach group ,the surgical time and hospitalization time were significantly shorter in volar approach group ,while the time to start the activity was earlier and the amount of bleeding in operation was smaller .American Spinal Injury Association(ASIA) score was higher in volar approach group .All the differences showed statistical significance (P<0 .05) .Conclusions :Volar approach ,in treatment of distal radius fractures with open reduction and internal fixation ,can effectively improve postoperative function of w rist joint .
