Comparison of fracture healing and long-term patient-reported functional outcome between dorsal and volar plating for AO C3-type distal radius fractures.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Paphon Sa-NgasoongsongFrank J P Beeres

Abstract

This study aimed to evaluate the differences in long-term functional outcome and radiographic fracture healing between volar and dorsally approached comminuted intra-articular distal radius fractures (DRF) (AO C3-type). A retrospective, age-matched, case-control study with a 1:2 allocation ratio was conducted in 84 patients C3-type DRFs patients who underwent either dorsal locking plating (DLP) group (n = 28) or volar locking plating (VLP) group (n = 56). Standardized wrist radiographs (posterior-anterior and 15° lateral) were assessed immediately postoperative and at final follow. To evaluate for loss of reduction standard radiographic measurements were performed. Fracture healing was assessed radiologically. Patient-reported outcomes were assessed with the patient-related wrist evaluation and the EQ-5D-3L for health-related quality of life. Patient satisfaction was assessed with the use of a numeric analog scale ranging from 0 (not satisfied) to 100 (very satisfied). All fractures united within 3 months postoperatively. Average age was 59 ± 12 years. Fifty-five patients (66%) participated in the follow-up survey at an average of 76.6 ± 23.8 months. DLP group showed a significant change in sagittal tilt compared with VLP group...Continue Reading

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Citations

Apr 3, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Annika MüllerFlorian Hess
May 18, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Christopher ChildFlorian Hess
Nov 28, 2020·Operative Orthopädie und Traumatologie·Frank J P BeeresReto Babst
Feb 26, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Robbert Josephus Hendrik van LeeuwenFrank Joseph Paulus Beeres
Apr 27, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Frank J P BeeresRémy Liechti
Jun 30, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Rémy LiechtiFrank J P Beeres

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