Is arthroscopic intervention-assisted fragment-specific fixation technique superior to volar plating in distal radius fractures involving the middle column?
Purpose: In this study, the clinical and radiological results of volar plating and arthroscopic intervention-assisted fragment-specific fixation techniques used in patients operated for AO Type B-C distal radius fracture in which the medial colon is affected were compared. Materials and Methods: X-r...
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| Format: | Article |
| Language: | English |
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Cukurova University
2022-09-01
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| Series: | Cukurova Medical Journal |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/2306801 |
| _version_ | 1797921140015890432 |
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| author | Fırat Fidan Mehmet Ümit Çetin Abdulkadir Polat |
| author_facet | Fırat Fidan Mehmet Ümit Çetin Abdulkadir Polat |
| author_sort | Fırat Fidan |
| collection | DOAJ |
| description | Purpose: In this study, the clinical and radiological results of volar plating and arthroscopic intervention-assisted fragment-specific fixation techniques used in patients operated for AO Type B-C distal radius fracture in which the medial colon is affected were compared.
Materials and Methods: X-ray and clinical records of 98 patients who underwent surgical treatment for radius distal end (DER) fracture between April 2011 and January 2017. The patient groups treated with arthroscopy-assisted fragment-oriented fixation (Group A) and plate screw fixation with a volar approach without arthroscopic intervention (Group B) were compared in terms of joint range of motion, grip strength, and clinical scores. Flexion and extension, ulnar deviation, radial deviation, pronation, and supination angles measured with a standard goniometer were recorded in the joint range of motion measurement. Grip strength was measured with a Jamar dynamometer for power measurement. DASH score was used in clinical evaluation.
Results: When the operated wrists of both patient groups were compared, there was no significant difference between the DASH score, grip strength, palmar flexion, and pronation angles of motion. A statistically significant difference was observed between the mean dorsiflexion angles of 55 degrees in group A and 44 degrees in group B, mean radial deviation angles of 25 and 19 degrees, and the mean supination angles of 87 and 80 degrees, respectively.
Conclusion: Although arthroscopic-assisted fragment-specific fixation is technically a laborious procedure that requires a learning curve in patients with intra-articular distal radius fractures, it may be beneficial to provide better postoperative results, especially in young patients with high range of motion expectations. |
| first_indexed | 2024-04-10T14:11:48Z |
| format | Article |
| id | doaj.art-20bc381d0ff0461693bf4f3fed4ff591 |
| institution | Directory Open Access Journal |
| issn | 2602-3040 |
| language | English |
| last_indexed | 2024-04-10T14:11:48Z |
| publishDate | 2022-09-01 |
| publisher | Cukurova University |
| record_format | Article |
| series | Cukurova Medical Journal |
| spelling | doaj.art-20bc381d0ff0461693bf4f3fed4ff5912023-02-15T16:09:40ZengCukurova UniversityCukurova Medical Journal2602-30402022-09-01473996100410.17826/cumj.108711948Is arthroscopic intervention-assisted fragment-specific fixation technique superior to volar plating in distal radius fractures involving the middle column?Fırat Fidan0Mehmet Ümit Çetin1Abdulkadir Polat2İstanbul Aydın Üniversitesi Tıp FakültesiTEKİRDAĞ NAMIK KEMAL ÜNİVERSİTESİUNIVERSITY OF HEALTH SCIENCES, İSTANBUL GAZİOSMANPAŞA TAKSİM HEALTH RESEARCH CENTERPurpose: In this study, the clinical and radiological results of volar plating and arthroscopic intervention-assisted fragment-specific fixation techniques used in patients operated for AO Type B-C distal radius fracture in which the medial colon is affected were compared. Materials and Methods: X-ray and clinical records of 98 patients who underwent surgical treatment for radius distal end (DER) fracture between April 2011 and January 2017. The patient groups treated with arthroscopy-assisted fragment-oriented fixation (Group A) and plate screw fixation with a volar approach without arthroscopic intervention (Group B) were compared in terms of joint range of motion, grip strength, and clinical scores. Flexion and extension, ulnar deviation, radial deviation, pronation, and supination angles measured with a standard goniometer were recorded in the joint range of motion measurement. Grip strength was measured with a Jamar dynamometer for power measurement. DASH score was used in clinical evaluation. Results: When the operated wrists of both patient groups were compared, there was no significant difference between the DASH score, grip strength, palmar flexion, and pronation angles of motion. A statistically significant difference was observed between the mean dorsiflexion angles of 55 degrees in group A and 44 degrees in group B, mean radial deviation angles of 25 and 19 degrees, and the mean supination angles of 87 and 80 degrees, respectively. Conclusion: Although arthroscopic-assisted fragment-specific fixation is technically a laborious procedure that requires a learning curve in patients with intra-articular distal radius fractures, it may be beneficial to provide better postoperative results, especially in young patients with high range of motion expectations.https://dergipark.org.tr/tr/download/article-file/2306801distal radius fracturewrist arthroscopyfragment specific fixationvolar platingdistal radius kırıklarıel bilek artroskopisifragman spesifik tespitvolar plaklama |
| spellingShingle | Fırat Fidan Mehmet Ümit Çetin Abdulkadir Polat Is arthroscopic intervention-assisted fragment-specific fixation technique superior to volar plating in distal radius fractures involving the middle column? Cukurova Medical Journal distal radius fracture wrist arthroscopy fragment specific fixation volar plating distal radius kırıkları el bilek artroskopisi fragman spesifik tespit volar plaklama |
| title | Is arthroscopic intervention-assisted fragment-specific fixation technique superior to volar plating in distal radius fractures involving the middle column? |
| title_full | Is arthroscopic intervention-assisted fragment-specific fixation technique superior to volar plating in distal radius fractures involving the middle column? |
| title_fullStr | Is arthroscopic intervention-assisted fragment-specific fixation technique superior to volar plating in distal radius fractures involving the middle column? |
| title_full_unstemmed | Is arthroscopic intervention-assisted fragment-specific fixation technique superior to volar plating in distal radius fractures involving the middle column? |
| title_short | Is arthroscopic intervention-assisted fragment-specific fixation technique superior to volar plating in distal radius fractures involving the middle column? |
| title_sort | is arthroscopic intervention assisted fragment specific fixation technique superior to volar plating in distal radius fractures involving the middle column |
| topic | distal radius fracture wrist arthroscopy fragment specific fixation volar plating distal radius kırıkları el bilek artroskopisi fragman spesifik tespit volar plaklama |
| url | https://dergipark.org.tr/tr/download/article-file/2306801 |
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