Comparison of clinical outcomes with and without volar lunate facet fragments in dorsal displaced distal radius fractures
Introduction: Although many clinical studies about distal radius fracture (DRF) accompanied by volar lunate facet fragments (VLFF) have recently been reported, none focus on the direction of displacement of distal fragments. Many previous cases with difficulty in treating DRF with VLFF were volar-di...
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EDP Sciences
2021-01-01
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| Series: | SICOT-J |
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| Online Access: | https://www.sicot-j.org/articles/sicotj/full_html/2021/01/sicotj200090/sicotj200090.html |
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| author | Obata Hiroyuki Naito Kiyohito Sugiyama Yoichi Nagura Nana Goto Kenji Kaneko Ayaka Kawakita So Kaneko Kazuo |
| author_facet | Obata Hiroyuki Naito Kiyohito Sugiyama Yoichi Nagura Nana Goto Kenji Kaneko Ayaka Kawakita So Kaneko Kazuo |
| author_sort | Obata Hiroyuki |
| collection | DOAJ |
| description | Introduction: Although many clinical studies about distal radius fracture (DRF) accompanied by volar lunate facet fragments (VLFF) have recently been reported, none focus on the direction of displacement of distal fragments. Many previous cases with difficulty in treating DRF with VLFF were volar-displaced fractures. Thus, the postoperative risk for re-displacement is different between volar- and dorsal-displaced fractures with VLFF. The aim of this study is to compare the outcome of dorsal-displaced fractures treated using proximal volar locking plates (PVLP) between those with VLFF and those without, in order to reconsider the indications of distal volar locking plates (DVLP) and investigate the possibility of treating dorsal-displaced DRF with VLFF using PVLP. Methods: The subjects were 122 patients with dorsal-displaced DRFs treated using PVLP (42 males and 80 females, mean age: 59.2 years old). The patients were divided into 13 patients with VLFF group and 109 patients without VLFF group, and the clinical outcomes at 12 months after surgery were compared. Results: No significant difference was noted on any evaluation between the groups. In addition, no postoperative re-displacement of VLFF was observed and bone union was confirmed. Furthermore, no osteoarthritic change was noted in all patients. Conclusions: We confirmed that surgical treatment for dorsal-displaced DRF using PVLP is possible even in cases of DRF with VLFF. In addition, DVLP is an implant with a high complication risk; therefore, it may be necessary to reconsider the use of DVLP for dorsal-displaced DRF with VLFF treatable by PVLP. |
| first_indexed | 2024-12-14T15:32:58Z |
| format | Article |
| id | doaj.art-eeb8670a000d46be8b76c1ecfd4743eb |
| institution | Directory Open Access Journal |
| issn | 2426-8887 |
| language | English |
| last_indexed | 2024-12-14T15:32:58Z |
| publishDate | 2021-01-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | SICOT-J |
| spelling | doaj.art-eeb8670a000d46be8b76c1ecfd4743eb2022-12-21T22:55:50ZengEDP SciencesSICOT-J2426-88872021-01-017110.1051/sicotj/2020047sicotj200090Comparison of clinical outcomes with and without volar lunate facet fragments in dorsal displaced distal radius fracturesObata Hiroyuki0Naito Kiyohito1https://orcid.org/0000-0001-8064-5965Sugiyama Yoichi2Nagura Nana3Goto Kenji4Kaneko Ayaka5Kawakita So6Kaneko Kazuo7Department of Orthopaedics, Juntendo University School of MedicineDepartment of Orthopaedics, Juntendo University School of MedicineDepartment of Orthopaedics, Juntendo University School of MedicineDepartment of Orthopaedics, Juntendo University School of MedicineDepartment of Orthopaedics, Juntendo University School of MedicineDepartment of Orthopaedics, Juntendo University School of MedicineDepartment of Orthopaedics, Juntendo University School of MedicineDepartment of Orthopaedics, Juntendo University School of MedicineIntroduction: Although many clinical studies about distal radius fracture (DRF) accompanied by volar lunate facet fragments (VLFF) have recently been reported, none focus on the direction of displacement of distal fragments. Many previous cases with difficulty in treating DRF with VLFF were volar-displaced fractures. Thus, the postoperative risk for re-displacement is different between volar- and dorsal-displaced fractures with VLFF. The aim of this study is to compare the outcome of dorsal-displaced fractures treated using proximal volar locking plates (PVLP) between those with VLFF and those without, in order to reconsider the indications of distal volar locking plates (DVLP) and investigate the possibility of treating dorsal-displaced DRF with VLFF using PVLP. Methods: The subjects were 122 patients with dorsal-displaced DRFs treated using PVLP (42 males and 80 females, mean age: 59.2 years old). The patients were divided into 13 patients with VLFF group and 109 patients without VLFF group, and the clinical outcomes at 12 months after surgery were compared. Results: No significant difference was noted on any evaluation between the groups. In addition, no postoperative re-displacement of VLFF was observed and bone union was confirmed. Furthermore, no osteoarthritic change was noted in all patients. Conclusions: We confirmed that surgical treatment for dorsal-displaced DRF using PVLP is possible even in cases of DRF with VLFF. In addition, DVLP is an implant with a high complication risk; therefore, it may be necessary to reconsider the use of DVLP for dorsal-displaced DRF with VLFF treatable by PVLP.https://www.sicot-j.org/articles/sicotj/full_html/2021/01/sicotj200090/sicotj200090.htmldistal radius fracturesvolar lunate facet fragmentsdorsal displaced fracturesproximal volar locking plates |
| spellingShingle | Obata Hiroyuki Naito Kiyohito Sugiyama Yoichi Nagura Nana Goto Kenji Kaneko Ayaka Kawakita So Kaneko Kazuo Comparison of clinical outcomes with and without volar lunate facet fragments in dorsal displaced distal radius fractures SICOT-J distal radius fractures volar lunate facet fragments dorsal displaced fractures proximal volar locking plates |
| title | Comparison of clinical outcomes with and without volar lunate facet fragments in dorsal displaced distal radius fractures |
| title_full | Comparison of clinical outcomes with and without volar lunate facet fragments in dorsal displaced distal radius fractures |
| title_fullStr | Comparison of clinical outcomes with and without volar lunate facet fragments in dorsal displaced distal radius fractures |
| title_full_unstemmed | Comparison of clinical outcomes with and without volar lunate facet fragments in dorsal displaced distal radius fractures |
| title_short | Comparison of clinical outcomes with and without volar lunate facet fragments in dorsal displaced distal radius fractures |
| title_sort | comparison of clinical outcomes with and without volar lunate facet fragments in dorsal displaced distal radius fractures |
| topic | distal radius fractures volar lunate facet fragments dorsal displaced fractures proximal volar locking plates |
| url | https://www.sicot-j.org/articles/sicotj/full_html/2021/01/sicotj200090/sicotj200090.html |
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