Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study
Abstract Background Distal radius fracture (DRF) is one of the most common orthopaedic-related traumas. DRF patients with die-punch fractures have a higher risk of loss of reduction, poorer functional outcomes, and increased risk of complications even after open reduction and internal fixation (ORIF...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-023-02047-x |
| _version_ | 1797795882968547328 |
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| author | Zisheng Xu Yuqing Liang Guobo Geng Weidong Mu Peng Xu |
| author_facet | Zisheng Xu Yuqing Liang Guobo Geng Weidong Mu Peng Xu |
| author_sort | Zisheng Xu |
| collection | DOAJ |
| description | Abstract Background Distal radius fracture (DRF) is one of the most common orthopaedic-related traumas. DRF patients with die-punch fractures have a higher risk of loss of reduction, poorer functional outcomes, and increased risk of complications even after open reduction and internal fixation (ORIF). According to the three-column theory, the lunate fossa is an important part of the intermediate column for load bearing. When the distal radius fracture involves the lunate fossa, adequate anatomical reduction can have an important impact on the prognosis of wrist function. Herein, we used the combined volar and dorsal approach, and the dorsal approach was used to assist in bone grafting or dorsal plate fixation in reducing fractures. We compare the combined approach versus the Henry approach for the fixation of die-punch distal radius fractures. Methods We reviewed patients who were admitted for surgery for die-punch fractures from January 2016 to June 2021. The patients were followed-up after surgery to measure and evaluate their Gartland–Werley wrist score, wrist range of motion (ROM), and follow-up imaging data. Results There were 21 patients in the volar locking plate (VLP) group and 10 patients in the combined approach group. The majority of fractures in the VLP and combined approach groups were AO B and C fractures, respectively. The cause of injury and AO fracture classification showed significant differences between the two groups, and there was no difference in age or sex between the two groups. There was no significant difference in ROM between the two groups, but the VLP group presented a better Gartland–Werley score and volar tilt angle, and the combined group presented better maintenance in radial height and articular congruity. Conclusions Reduction through the combined palmar and dorsal approach supplemented by bone grafting or dorsal plate fixation is an effective method for the treatment of die-punch distal radius fractures, which provides a new option for the treatment of die-punch fractures. |
| first_indexed | 2024-03-13T03:24:45Z |
| format | Article |
| id | doaj.art-e585d37c5e3640878bc192fb6053774d |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-03-13T03:24:45Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-e585d37c5e3640878bc192fb6053774d2023-06-25T11:07:41ZengBMCBMC Surgery1471-24822023-06-012311910.1186/s12893-023-02047-xCombined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective studyZisheng Xu0Yuqing Liang1Guobo Geng2Weidong Mu3Peng Xu4Shandong Provincial Hospital, Shandong UniversityShandong Provincial Hospital Affiliated to Shandong First Medical UniversityShandong Provincial Hospital Affiliated to Shandong First Medical UniversityShandong Provincial Hospital Affiliated to Shandong First Medical UniversityShandong Provincial Hospital Affiliated to Shandong First Medical UniversityAbstract Background Distal radius fracture (DRF) is one of the most common orthopaedic-related traumas. DRF patients with die-punch fractures have a higher risk of loss of reduction, poorer functional outcomes, and increased risk of complications even after open reduction and internal fixation (ORIF). According to the three-column theory, the lunate fossa is an important part of the intermediate column for load bearing. When the distal radius fracture involves the lunate fossa, adequate anatomical reduction can have an important impact on the prognosis of wrist function. Herein, we used the combined volar and dorsal approach, and the dorsal approach was used to assist in bone grafting or dorsal plate fixation in reducing fractures. We compare the combined approach versus the Henry approach for the fixation of die-punch distal radius fractures. Methods We reviewed patients who were admitted for surgery for die-punch fractures from January 2016 to June 2021. The patients were followed-up after surgery to measure and evaluate their Gartland–Werley wrist score, wrist range of motion (ROM), and follow-up imaging data. Results There were 21 patients in the volar locking plate (VLP) group and 10 patients in the combined approach group. The majority of fractures in the VLP and combined approach groups were AO B and C fractures, respectively. The cause of injury and AO fracture classification showed significant differences between the two groups, and there was no difference in age or sex between the two groups. There was no significant difference in ROM between the two groups, but the VLP group presented a better Gartland–Werley score and volar tilt angle, and the combined group presented better maintenance in radial height and articular congruity. Conclusions Reduction through the combined palmar and dorsal approach supplemented by bone grafting or dorsal plate fixation is an effective method for the treatment of die-punch distal radius fractures, which provides a new option for the treatment of die-punch fractures.https://doi.org/10.1186/s12893-023-02047-xDistal radius fractureDie-punch fractureVolar locking plateCombined volar and dorsal approach |
| spellingShingle | Zisheng Xu Yuqing Liang Guobo Geng Weidong Mu Peng Xu Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study BMC Surgery Distal radius fracture Die-punch fracture Volar locking plate Combined volar and dorsal approach |
| title | Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study |
| title_full | Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study |
| title_fullStr | Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study |
| title_full_unstemmed | Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study |
| title_short | Combined approach versus single Henry approach for fixation of die-punch distal radius fractures: a retrospective study |
| title_sort | combined approach versus single henry approach for fixation of die punch distal radius fractures a retrospective study |
| topic | Distal radius fracture Die-punch fracture Volar locking plate Combined volar and dorsal approach |
| url | https://doi.org/10.1186/s12893-023-02047-x |
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