Repair of the pronator quadratus after volar plate fixation in distal radius fractures: a systematic review

Strategies in Trauma and Limb Reconstruction
M A M MuldersJ Carel Goslings

Abstract

To position the volar plate on the distal radius fracture site, the pronator quadratus muscle needs to be detached from its distal and radial side and lifted for optimal exposure to the fracture site. Although the conventional approach involves repair of the pronator quadratus, controversy surrounds the merits of this repair. The purpose of this study was to compare the functional outcomes of patients with distal radius fractures treated with pronator quadratus repair after volar plate fixation versus no pronator quadratus repair. A systematic search was conducted in Medline, EMBASE and the Cochrane Central Register of Controlled Trials, on 23 July 2015. All studies comparing pronator quadratus repair with no pronator quadratus repair in adult patients undergoing volar plate fixation for distal radius fractures were included. The primary outcome was the Disability of the Arm, Shoulder and Hand (DASH) score at 12 months. Secondary outcomes included range of motion, grip strength, post-operative pain and complications. A total of 169 patients were included, of which 95 underwent pronator quadratus repair, while 74 patients underwent no pronator quadratus repair. At 12 months follow-up no statistically significant differences in D...Continue Reading

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Citations

Aug 30, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Terri Lynn CarlsonPetros Konofaos
Mar 21, 2020·Archives of Orthopaedic and Trauma Surgery·M LeixneringS Quadlbauer
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Dec 20, 2019·The Journal of International Medical Research·Jun ZhangJi Wu
Jan 20, 2020·BMC Musculoskeletal Disorders·Geon LeeKwang-Hyun Lee
Oct 31, 2020·Techniques in Hand & Upper Extremity Surgery·Monica B Pecache, Henry M Calleja

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