Comparison of external fixation, locking and non-locking palmar plating for unstable distal radius fractures in the elderly

International Orthopaedics
N Schmelzer-SchmiedW Daecke

Abstract

This study compares the effectiveness of locking and non-locking palmar plating and external fixation for unstable distal radius fractures in the elderly. In a retrospective match-paired study, 45 patients aged 50 to 70 years who underwent surgery for C1/C2 distal radius fractures were evaluated. The surgical procedures were external fixation or plating with locking or non-locking palmar plates. Radiological and functional outcomes were assessed. Outcomes according to Gartland and Werley, Martini and the Disability of the Arm, Shoulder and Hand (DASH) questionnaire were compared. The locking palmar plate fixation method demonstrated significantly better radiological and functional results in comparison to external fixation and the non-locking palmar plating methods. The subjective assessment of plate fixation proved to be better than that of external fixation. Complications and reoperations were fewer for both plate fixation groups. Our data indicates that most displaced intra-articular distal radius fractures can be treated successfully with the locking palmar plate.

References

Jan 1, 1992·Archives of Orthopaedic and Trauma Surgery·P M RommensP L Broos
Mar 1, 1991·The Journal of Bone and Joint Surgery. British Volume·I JakimM B Sweet
Jul 27, 1999·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·A K Martini
Feb 28, 2002·The Journal of Bone and Joint Surgery. American Volume·Frank G HunsakerBeth Caughlin
Feb 28, 2002·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Joy C MacDermidUNKNOWN American Hand Therapy Foundation Board of Directors
Mar 20, 2002·The Journal of Hand Surgery·Jorge L Orbay, Diego L Fernandez
Feb 4, 2003·The Journal of Hand Surgery·Denju OsadaRita M Patterson
Feb 13, 2003·International Orthopaedics·H Drobetz, E Kutscha-Lissberg
Jun 18, 2003·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·F LeungS P Chow
Aug 19, 2003·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·H C LeeC O Low
Nov 8, 2003·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·K-H ThielkeV Echtermeyer
Jan 17, 2004·Der Unfallchirurg·R MeierH Krimmer
Jan 31, 2004·The Journal of Hand Surgery·Jorge L Orbay, Diego L Fernandez
Dec 23, 2004·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·David Ring, Jesse B Jupiter
Jul 26, 2005·The Journal of Hand Surgery·Masayuki KamanoKenichi Kazuki
Aug 3, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M KoshimuneH Ohashi
Sep 24, 2005·Archives of Orthopaedic and Trauma Surgery·Thomas WestphalStephan Winckler

❮ Previous
Next ❯

Citations

Mar 23, 2013·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·M A C Van SonB L Den Oudsten
Sep 4, 2012·Hand : Official Journal of the American Association for Hand Surgery·Louis F AmorosaRobert A Kaufmann
Nov 7, 2012·Orthopedics·Michael OstiKarl Peter Benedetto
Feb 19, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Mert KumbaraciErhan Coskunol
Jul 31, 2013·Strategies in Trauma and Limb Reconstruction·Monique M J WalenkampNiels W L Schep
Sep 24, 2015·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Huan-Li ZhaoHong-Mei Liu
Apr 22, 2015·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·François LoiselLaurent Obert
Mar 26, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·J WangX Ma
May 6, 2015·American Journal of Therapeutics·Guang-Yue XuHai-Jun Mao
Aug 8, 2015·Geriatric Orthopaedic Surgery & Rehabilitation·Simon C Mears, Stephen L Kates
Jan 1, 2011·Geriatric Orthopaedic Surgery & Rehabilitation·Susan V BukataWakenda K Tyler
Nov 2, 2014·Geriatric Orthopaedic Surgery & Rehabilitation·Daniel J Lee, John C Elfar
Apr 8, 2018·International Orthopaedics·Daniel Martinez-MendezJoaquin de Juan-Herrero
Feb 16, 2017·The Journal of the American Academy of Orthopaedic Surgeons·L Scott LevinNicholas Pulos
May 24, 2019·Journal of Orthopaedic Surgery and Research·Hao-Ming ChangPo-Ting Wu
Feb 13, 2021·The Journal of Hand Surgery·Austin B FaresJohn C Dunn
Dec 8, 2020·Geriatric Orthopaedic Surgery & Rehabilitation·Edwin G RosadoChristian A Foy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.