Are external fixators as effective as volar plates in multi-fragmented radius distal intra-articular fractures (AO type C)?
Introduction This study aimed to compare the radiological and clinical results of VP and EF applications in multi-fragmented radius distal intra-articular fractures (AO type C) in our clinic. Methods We retrospectively analysed 80 patients who underwent surgery for radius distal fracture (AO type C)...
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| Published in | European journal of orthopaedic surgery & traumatology Vol. 33; no. 5; pp. 1757 - 1765 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Paris
Springer Paris
01.07.2023
Springer Nature B.V |
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| Online Access | Get full text |
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| Abstract | Introduction
This study aimed to compare the radiological and clinical results of VP and EF applications in multi-fragmented radius distal intra-articular fractures (AO type C) in our clinic.
Methods
We retrospectively analysed 80 patients who underwent surgery for radius distal fracture (AO type C) between 2014 and 2020. Group 1 comprised patients who were treated with VP, and Group 2 comprised patients who were treated with EF. Radiological evaluation was performed by measuring radial inclination, radial length, volar tilt, intra-articular step-off and ulnar variance by two-way radiography. The clinical findings were evaluated using the Gartland and Werley scoring system, and complications were noted.
Results
There were no statistically significant differences between the two groups in terms of age, gender, side, fracture subtypes and follow-up time (
p
> 0.05). There were no statistically significant differences between the two groups in radiological parameters (based on cut-off values) (
p
> 0.05). The clinical evaluation did not reveal a statistically significant difference between the two groups (
p
= 0.613).
Conclusion
EF is as successful as VP in providing radiological cut-off values. EF treatment can be used as an effective and safe alternative method for multi-fragmented radius distal intra-articular fractures. |
|---|---|
| AbstractList | IntroductionThis study aimed to compare the radiological and clinical results of VP and EF applications in multi-fragmented radius distal intra-articular fractures (AO type C) in our clinic.MethodsWe retrospectively analysed 80 patients who underwent surgery for radius distal fracture (AO type C) between 2014 and 2020. Group 1 comprised patients who were treated with VP, and Group 2 comprised patients who were treated with EF. Radiological evaluation was performed by measuring radial inclination, radial length, volar tilt, intra-articular step-off and ulnar variance by two-way radiography. The clinical findings were evaluated using the Gartland and Werley scoring system, and complications were noted.ResultsThere were no statistically significant differences between the two groups in terms of age, gender, side, fracture subtypes and follow-up time (p > 0.05). There were no statistically significant differences between the two groups in radiological parameters (based on cut-off values) (p > 0.05). The clinical evaluation did not reveal a statistically significant difference between the two groups (p = 0.613).ConclusionEF is as successful as VP in providing radiological cut-off values. EF treatment can be used as an effective and safe alternative method for multi-fragmented radius distal intra-articular fractures. Introduction This study aimed to compare the radiological and clinical results of VP and EF applications in multi-fragmented radius distal intra-articular fractures (AO type C) in our clinic. Methods We retrospectively analysed 80 patients who underwent surgery for radius distal fracture (AO type C) between 2014 and 2020. Group 1 comprised patients who were treated with VP, and Group 2 comprised patients who were treated with EF. Radiological evaluation was performed by measuring radial inclination, radial length, volar tilt, intra-articular step-off and ulnar variance by two-way radiography. The clinical findings were evaluated using the Gartland and Werley scoring system, and complications were noted. Results There were no statistically significant differences between the two groups in terms of age, gender, side, fracture subtypes and follow-up time ( p > 0.05). There were no statistically significant differences between the two groups in radiological parameters (based on cut-off values) ( p > 0.05). The clinical evaluation did not reveal a statistically significant difference between the two groups ( p = 0.613). Conclusion EF is as successful as VP in providing radiological cut-off values. EF treatment can be used as an effective and safe alternative method for multi-fragmented radius distal intra-articular fractures. This study aimed to compare the radiological and clinical results of VP and EF applications in multi-fragmented radius distal intra-articular fractures (AO type C) in our clinic. We retrospectively analysed 80 patients who underwent surgery for radius distal fracture (AO type C) between 2014 and 2020. Group 1 comprised patients who were treated with VP, and Group 2 comprised patients who were treated with EF. Radiological evaluation was performed by measuring radial inclination, radial length, volar tilt, intra-articular step-off and ulnar variance by two-way radiography. The clinical findings were evaluated using the Gartland and Werley scoring system, and complications were noted. There were no statistically significant differences between the two groups in terms of age, gender, side, fracture subtypes and follow-up time (p > 0.05). There were no statistically significant differences between the two groups in radiological parameters (based on cut-off values) (p > 0.05). The clinical evaluation did not reveal a statistically significant difference between the two groups (p = 0.613). EF is as successful as VP in providing radiological cut-off values. EF treatment can be used as an effective and safe alternative method for multi-fragmented radius distal intra-articular fractures. |
| Author | Ertürk, Cemil Doğan, Necati Çalışkan, Gürkan Genç, Yasin Şahin, Adem Büyükdoğan, Halil |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35945390$$D View this record in MEDLINE/PubMed |
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| Keywords | Ligamentotaxis Volar plate Distal radius intra-articular fracture External fixator |
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This study aimed to compare the radiological and clinical results of VP and EF applications in multi-fragmented radius distal intra-articular... This study aimed to compare the radiological and clinical results of VP and EF applications in multi-fragmented radius distal intra-articular fractures (AO... IntroductionThis study aimed to compare the radiological and clinical results of VP and EF applications in multi-fragmented radius distal intra-articular... INTRODUCTIONThis study aimed to compare the radiological and clinical results of VP and EF applications in multi-fragmented radius distal intra-articular... |
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| Title | Are external fixators as effective as volar plates in multi-fragmented radius distal intra-articular fractures (AO type C)? |
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