Barton fractures treated by π-shaped locking compression plates
- VernacularTitle:π型锁定加压接骨板治疗Barton骨折
- Author:
Tao WANG
;
Hui SUN
;
Chaoyin JIANG
- Publication Type:Journal Article
- Keywords:
Radius;
Fractures;
Fracture fixation,internal;
Plate
- From:
Chinese Journal of Orthopaedic Trauma
2008;10(11):1024-1027
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effects, indications and methods of π-shaped locking com-pression plates plus open reduction for Barton fractures. Methods From January 2006 to January 2007, 21 cases of Barton fractures were treated by open reduction from dorsal incision and fixation by π-shaped locking compression plates. Of them, 14 also had bone grafting and 6 had protection by a plaster brace. Results Follow-ups for 6 to 18 (average, 10) months showed all the patients got bone union. The differences between preoperative and postoperative measurements in palmar inclination, ulnar deviation and relative length of distal radius were statistically significant (P < 0.05). At the last follow-up, the affected wrist showed no significant difference from the opposite side in dorsal extension, palmar flexion and ulnar deviation (P > 0.05) except in ulnar deviation (P < 0.05). According to the improved Gartland and Werkey grading system, the wrist function was evaluated as excellent in 15 eases, good in 4, and fair in 2. The good to excellent rate was 90. 5%. Conclusion Open reduction from dorsal incision and fixation by π-shaped locking compression plate is an effective treatment for Barton fractures.
