KOWSAR Outcomes of Pin and Plaster Versus Locking Plate in Distal Radius Intraar- ticular Fractures
نویسندگان
چکیده
Background: Distal radius fractures are among the most prevalent fractures predictive of probable occurrence of other osteoporotic fractures. They are treated via a variety of methods, but the best treatment has not been defined yet. Objectives: This study was performed to compare the results of open reduction and internal fixation with locking plates versus the pin and plaster method. Materials and Methods: In this prospective study, 114 patients aged 40 to 60 years with Fernandez type III fracture referring to Imam-Reza and Mehr hospitals of Mashhad from 2009 to 2011, were selected randomly; after obtaining informed consent, they were treated with pin and plaster fixation (n = 57) or internal fixation with the volar locking plate (n = 57). They were compared at the one year follow up. Demographic features and standard radiographic indices were recorded and MAYO, DASH and SF 36 tests were performed. Data was analyzed by SPSS software version 13, with descriptive indices, Mann-Whitney and Chi-square tests. Results: SF-36 test demonstrated a better general health (P < 0.001), mental health (P = 0.006), physical functioning (P < 0.001), social functioning (P < 0.001) and energy/fatigue (P < 0.001) in LCP group. However, pain (P = 0.647) was not significantly different between the groups. Physical limitation (P < 0.001) and emotional limitation (P < 0.001) were greater in the pin and plaster group. Also, in the LCP group mean MAYO score (P < 0.001) was more than pin and plaster group. Mean DASH score was not different between the groups (P = 0.218). The rate of acceptable results of radiographic indices (P < 0.001), grip strength (P < 0.001) and range of motion in supination-pronation (P < 0.001) in LCP method were better than the pin and plaster method. Conclusions: In treatment of intra-articular distal radius fractures in middle-aged patients internal fixation with locking plates may be prefered to pin and plaster as the treatment of choice.
منابع مشابه
Percutaneous pinning versus pin-in-plaster for treatment of distal radius fractures
Background: Distal radius fractures constitute 17% of all fractures and 75% of forearm fractures in adults. Due to the vital role of the hands in a wide range of daily tasks, quick recovery and fewer complications for the patients are important. The purpose of this study was to compare the two common treatments of distal radius fractures namely, percutaneous pinning and pin-in-plaster. Methods...
متن کاملOutcomes of Pin and Plaster Versus Locking Plate in Distal Radius Intraarticular Fractures
BACKGROUND Distal radius fractures are among the most prevalent fractures predictive of probable occurrence of other osteoporotic fractures. They are treated via a variety of methods, but the best treatment has not been defined yet. OBJECTIVES This study was performed to compare the results of open reduction and internal fixation with locking plates versus the pin and plaster method. MATERI...
متن کاملAcomparison of percutaneous and pin-and-plaster techniques in distal radius fracture
Abstract Background: Distal Radial fracture is one of the most common fractures of the skeletal system. Although it has been believed to be a simple fracture with excellent outcomes, practical operations’ results have always been undesirable and even poor. The goal of this study was to compare two methods of treatment “pin and plaster and precautious pin fixation in patients with unstable extr...
متن کاملSurgery versus conservative treatment in patients with type A distal radius fractures, a randomized controlled trial
BACKGROUND Fractures of the distal radius are common and account for an estimated 17% of all fractures diagnosed. Two-thirds of these fractures are displaced and require reduction. Although distal radius fractures, especially extra-articular fractures, are considered to be relatively harmless, inadequate treatment may result in impaired function of the wrist. Initial treatment according to Dutc...
متن کاملComplications and Plate Removal Surgeries after Performing Volar Plating of Unstable Distal Radius Fractures
Complications have often been reported in the literature after distal radius fractures treated conservatively or operatively [1-3]. Previously, the main indication for volar plating was a volar Barton or Smith fracture, but now volar locking plates are the most commonly used treatment for unstable distal radius fractures and during the last decade this method has become increasingly popular [4]...
متن کامل