Dorsal double locking compression plate for treatment of stretched unstable distal radial fractures
10.3760/cma.j.issn.1001-8050.2013.06.015
- VernacularTitle:背侧双锁定加压钢板治疗桡骨远端伸直型不稳定骨折
- Author:
Zhiguo FU
;
Xi ZHANG
;
Qirong DONG
;
Yonghua SHENG
;
Jun GAO
- Publication Type:Journal Article
- Keywords:
Radius fractures;
Fracture fixation,internal;
Joint instability;
Bone plates
- From:
Chinese Journal of Trauma
2013;(6):532-535
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the outcome of dorsal double locking compression plate (LCP) in treatment of stretched unstable distal radial fractures.Methods Fourteen cases of stretched unstable distal radial fractures were treated by reduction and internal fixation using straight or L-shaped anatomic LCP via dorsal approach.Wrist functional exercise was conducted immediately after operation.Follow up was made after operation to assess motion pain,functional score of wrist,and complication incidence at postoperative 12 weeks,24 weeks,and 1 year.Results Follow-up was lasted for 5-24 months.At postoperative 12 weeks,24 weeks and 1 year,mean visual analogue scale (VAS) was (1.88 ±0.26) points,(0.87 ± 0.14) points and (0.37 ± 0.06) points respectively and wrist functional score (Gartland-Werley score) was (6.45 ± 1.72) points,(2.73 ± 0.52) points and (2.10 ± 0.31) points respectively.According to Garfland-Werley score in the latest follow-up,the results were excellent in 10 cases,good in two,and fair in two.Besides,one case was combined with myotenositis of extensor pollicis longus muscle tendon and another case with myotenositis of extensor tendon.Conclusion Dorsal double LCP is one of the effective methods for stretched unstable distal radial fractures that can reconstruct anatomical structure of the wrist efficiently and attain satisfactory functional recovery,with no obvious pain.
