Fragment-Specific Fixation Versus Volar Locking Plates in Primarily Nonreducible or Secondarily Redisplaced Distal Radius Fractures : A Randomized Controlled Study
(2017) In The Journal of Hand Surgery 42(3). p.1-165- Abstract
Purpose: To compare the patient-reported, clinical, and radiographic outcome of 2 methods of internal fixation in distal radius fractures. Methods: Fifty patients, mean age 56 years (range, 21-69 years) with primarily nonreducible or secondarily redisplaced distal radius fractures were randomized to open reduction internal fixation using volar locking plates (n = 25) or fragment-specific fixation (n = 25). The patients were assessed on grip strength, range of motion, patient-reported outcome (Quick Disabilities of the Arm, Shoulder, and Hand), pain (visual analog scale), health-related quality of life (Short Form-12 [SF-12]), and radiographic evaluation. Grip strength at 12 months was the primary outcome measure. Results: At 12 months,... (More)
Purpose: To compare the patient-reported, clinical, and radiographic outcome of 2 methods of internal fixation in distal radius fractures. Methods: Fifty patients, mean age 56 years (range, 21-69 years) with primarily nonreducible or secondarily redisplaced distal radius fractures were randomized to open reduction internal fixation using volar locking plates (n = 25) or fragment-specific fixation (n = 25). The patients were assessed on grip strength, range of motion, patient-reported outcome (Quick Disabilities of the Arm, Shoulder, and Hand), pain (visual analog scale), health-related quality of life (Short Form-12 [SF-12]), and radiographic evaluation. Grip strength at 12 months was the primary outcome measure. Results: At 12 months, no difference was found in grip strength, which was 90% of the uninjured side in the volar plate group and 87% in the fragment-specific fixation group. No differences were found in range of motion and the median Quick Disabilities of the Arm, Shoulder, and Hand score was 5 in both groups. The overall complication rate was significant, 21% in the volar locking plate group, compared with 52% in the fragment-specific group. Conclusions: In treatment of primarily nonreducible or secondarily redisplaced distal radius fractures, volar locking plates and fragment-specific fixation both achieve good and similar patient-reported outcomes, although more complications were recorded in the fragment-specific group. Type of study/level of evidence: Therapeutic II.
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- author
- Landgren, Marcus LU ; Abramo, Antonio LU ; Geijer, Mats LU ; Kopylov, Philippe LU and Tägil, Magnus LU
- organization
- publishing date
- 2017
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Distal radius fracture, Fragment-specific fixation, Open reduction internal fixation, Randomized trial, Volar locking plate
- in
- The Journal of Hand Surgery
- volume
- 42
- issue
- 3
- pages
- 1 - 165
- publisher
- Elsevier
- external identifiers
-
- scopus:85009480693
- pmid:28089163
- wos:000396639600002
- ISSN
- 0363-5023
- DOI
- 10.1016/j.jhsa.2016.12.001
- language
- English
- LU publication?
- yes
- id
- d7742097-69e2-4749-840f-2f210a2a4069
- date added to LUP
- 2017-02-10 12:36:01
- date last changed
- 2025-01-07 06:27:15
@article{d7742097-69e2-4749-840f-2f210a2a4069,
abstract = {{<p>Purpose: To compare the patient-reported, clinical, and radiographic outcome of 2 methods of internal fixation in distal radius fractures. Methods: Fifty patients, mean age 56 years (range, 21-69 years) with primarily nonreducible or secondarily redisplaced distal radius fractures were randomized to open reduction internal fixation using volar locking plates (n = 25) or fragment-specific fixation (n = 25). The patients were assessed on grip strength, range of motion, patient-reported outcome (Quick Disabilities of the Arm, Shoulder, and Hand), pain (visual analog scale), health-related quality of life (Short Form-12 [SF-12]), and radiographic evaluation. Grip strength at 12 months was the primary outcome measure. Results: At 12 months, no difference was found in grip strength, which was 90% of the uninjured side in the volar plate group and 87% in the fragment-specific fixation group. No differences were found in range of motion and the median Quick Disabilities of the Arm, Shoulder, and Hand score was 5 in both groups. The overall complication rate was significant, 21% in the volar locking plate group, compared with 52% in the fragment-specific group. Conclusions: In treatment of primarily nonreducible or secondarily redisplaced distal radius fractures, volar locking plates and fragment-specific fixation both achieve good and similar patient-reported outcomes, although more complications were recorded in the fragment-specific group. Type of study/level of evidence: Therapeutic II.</p>}},
author = {{Landgren, Marcus and Abramo, Antonio and Geijer, Mats and Kopylov, Philippe and Tägil, Magnus}},
issn = {{0363-5023}},
keywords = {{Distal radius fracture; Fragment-specific fixation; Open reduction internal fixation; Randomized trial; Volar locking plate}},
language = {{eng}},
number = {{3}},
pages = {{1--165}},
publisher = {{Elsevier}},
series = {{The Journal of Hand Surgery}},
title = {{Fragment-Specific Fixation Versus Volar Locking Plates in Primarily Nonreducible or Secondarily Redisplaced Distal Radius Fractures : A Randomized Controlled Study}},
url = {{http://dx.doi.org/10.1016/j.jhsa.2016.12.001}},
doi = {{10.1016/j.jhsa.2016.12.001}},
volume = {{42}},
year = {{2017}},
}