• Acta Orthop Traumato · Nov 2008

    Comparative Study

    [Comparison between fixation with dorsal T plate and palmar locking plate in the treatment of unstable displaced distal radius fractures].

    • Ufuk Nalbantoğlu, Arel Gereli, Yavuz Uçar, and Metin Türkmen.
    • Department of Orthopedics and Traumatology, Hand and Upper Extremity Surgery (Ortopedi ve Travmatoloji Bölümü, El ve Ust Ekstremite Cerrahisi Servisi), Acibadem Kadiköy Hospital, Istanbul, Turkey.
    • Acta Orthop Traumato. 2008 Nov 1;42(5):365-72.

    ObjectivesWe compared the results of fixation with dorsal T plate and palmar locking plate in the treatment of unstable displaced distal radius fractures.MethodsSixty-three patients (64 radii) with distal radius fractures were treated with dorsal T plate (n=41) or palmar locking plate (n=23). The mean age was 46+/-14 years (range 21 to 82 years) in the dorsal and 47+/-14 years (range 18 to 69 years) in the palmar plate groups. The fractures were classified according to the AO/ASIF system. Objective and subjective functional assessments were made using the Gartland-Werley and Quick-DASH scales, respectively. The mean follow-up was 78+/-19 months (range 12 to 101 months) and 18+/-5 months (range 12 to 28 months) with dorsal and palmar plating, respectively.ResultsThe mean Gartland-Werley and Quick-DASH scores were 2.3+/-2.1 (range 0 to 9) and 2.0+/-2.2 (range 0 to 9) with dorsal plating, and 2.0+/-2.1 (range 0 to 6) and 1.9+/-2.7 (range 0 to 9) with palmar plating, respectively. The two groups did not differ with respect to the Gartland-Werley and Quick-DASH scores (p>0.05). Time to return to work or daily activities was also similar (1.9+/-0.3 months vs 1.8+/-0.4 months). However, patients treated with dorsal plating exhibited significantly greater values in the following parameters measured on early and late postoperative radiograms: loss of palmar tilt (p=0.001), radial height (p=0.001), radial inclination (p=0.049), and change in ulnar variance (p=0.049). Moreover, complications were seen in eight patients (19.5%) with dorsal plating, whereas no complications occurred with palmar locking plate (p=0.024).ConclusionAlthough the two fixation methods do not differ with respect to functional results, palmar locking plating seems to provide a more rigid fixation resulting in significantly reduced collapse and a very low complication rate.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…