TREATMENT WITH OR WITHOUT INTERNAL FIXATION FOR ULNAR STYLOID BASE FRACTURES ACCOMPANIED BY DISTAL RADIUS FRACTURES FIXED WITH VOLAR LOCKING PLATE

The purpose of this study was to evaluate the treatment results, with and without internal fixation of ulnar styloid base fractures associated with acute distal radius fractures. A total of 48 patients were enrolled, including 20 patients treated by internal fixation (fixation group) and 28 treated...

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Bibliographic Details
Published inHand surgery Vol. 17; no. 2; pp. 181 - 190
Main Authors Zenke, Yukichi, Sakai, Akinori, Oshige, Toshihisa, Moritani, Shiro, Nakamura, Toshitaka
Format Journal Article
LanguageEnglish
Published Singapore World Scientific Publishing Company 2012
Subjects
Adult
Aged
Aged, 80 and over
Chi-Square Distribution
Disability Evaluation
Female
Fracture Fixation - methods
Fracture Fixation, Internal - methods
Hand Strength
Humans
Male
Middle Aged
Palmar Plate - surgery
Radius Fractures - surgery
Range of Motion, Articular
Recovery of Function
Statistics, Nonparametric
Treatment Outcome
Ulna Fractures - surgery
Wrist Ulnar Side Pain
Ulnar Styloid Fracture
Volar Locking Plate
Distal Radius Fracture
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Summary:The purpose of this study was to evaluate the treatment results, with and without internal fixation of ulnar styloid base fractures associated with acute distal radius fractures. A total of 48 patients were enrolled, including 20 patients treated by internal fixation (fixation group) and 28 treated without internal fixation (non-fixation group). The evaluated parameters were postoperative range of motion, grip strength, DASH score, and the presence or absence of ulnar wrist pain over time. The outcome was assessed as "excellent" in 15 patients of the fixation group and 21 patients of the non-fixation group, and "good" in five patients of the fixation group and seven patients of the non-fixation group. There were no significant differences in the clinical outcomes or any of the parameters at the final evaluation between the two groups. However, the grip strength was significantly better in the non-fixation group than in the fixation group until 12 weeks postoperatively. The overall clinical outcome was good in both groups, with no significant difference between the groups.
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ISSN:0218-8104
1793-6535
DOI:10.1142/S0218810412500177