Comparison of Locked Volar Plating and Percutaneous Pinning without External Fixation in the Treatment of Unstable Extra-articular Distal Radius Fractures: A Single-Blind Randomized Controlled Trial
Background: Distal radius fracture is one of the most common fractures with different treatment options. This study compared closed reduction and percutaneous pinning with cast immobilization to open reduction and locked volar plating in the treatment of adult patients aged 60 years or younger with...
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| Format: | Article |
| Language: | fas |
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Isfahan University of Medical Sciences
2017-07-01
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| Series: | مجله دانشکده پزشکی اصفهان |
| Subjects: | |
| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/8296 |
| _version_ | 1797719127611146240 |
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| author | Mohammad Ali Tahririan Seyed Hamid Mousavi Ali Dehghan Sajad Badiei Ali Andalib |
| author_facet | Mohammad Ali Tahririan Seyed Hamid Mousavi Ali Dehghan Sajad Badiei Ali Andalib |
| author_sort | Mohammad Ali Tahririan |
| collection | DOAJ |
| description | Background: Distal radius fracture is one of the most common fractures with different treatment options. This study compared closed reduction and percutaneous pinning with cast immobilization to open reduction and locked volar plating in the treatment of adult patients aged 60 years or younger with isolated, unstable, closed extra-articular, distal radius fractures.
Methods: In a single-blind controlled study, eighty eight patients were randomly divided into two groups; namely, the plating and pinning groups. Primary outcome was the severity of pain in the wrist joint which was measured via visual analog scale (VAS). The wrist range of movement, radiologic parameters, and ability in daily activities were also recorded as secondary outcomes and evaluated 3 and 12 months after the surgery.
Findings: The severity of pain was significantly lower in plating group after 3 (P = 0.001) and 12 (P = 0.040) months. The range of movements was significantly better in the plating group after 3 (P = 0.001) and 12 (P = 0.001) months. No significant difference was observed in the ability to perform daily activities between the two groups 3 months after the treatment. Twelve months after the surgery, limitations in daily activities were significantly higher in the pinning group.
Conclusion: Bone fixation, using locked volar plating, can be a better modality with regard to postsurgical pain and also the wrist range of motion than percutaneous pinning with cast immobilization in patients younger than 60 years sustaining unstable, closed extra-articular, distal radius fractures. |
| first_indexed | 2024-03-12T09:00:17Z |
| format | Article |
| id | doaj.art-fae2376acc484ef58c45553c476a7ba3 |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T09:00:17Z |
| publishDate | 2017-07-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-fae2376acc484ef58c45553c476a7ba32023-09-02T15:45:33ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2017-07-01354336626702566Comparison of Locked Volar Plating and Percutaneous Pinning without External Fixation in the Treatment of Unstable Extra-articular Distal Radius Fractures: A Single-Blind Randomized Controlled TrialMohammad Ali Tahririan0Seyed Hamid Mousavi1Ali Dehghan2Sajad Badiei3Ali Andalib4Assistant Professor, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranAssistant Professor, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranResident, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, School of Medicine, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, IranAssistant Professor, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBackground: Distal radius fracture is one of the most common fractures with different treatment options. This study compared closed reduction and percutaneous pinning with cast immobilization to open reduction and locked volar plating in the treatment of adult patients aged 60 years or younger with isolated, unstable, closed extra-articular, distal radius fractures. Methods: In a single-blind controlled study, eighty eight patients were randomly divided into two groups; namely, the plating and pinning groups. Primary outcome was the severity of pain in the wrist joint which was measured via visual analog scale (VAS). The wrist range of movement, radiologic parameters, and ability in daily activities were also recorded as secondary outcomes and evaluated 3 and 12 months after the surgery. Findings: The severity of pain was significantly lower in plating group after 3 (P = 0.001) and 12 (P = 0.040) months. The range of movements was significantly better in the plating group after 3 (P = 0.001) and 12 (P = 0.001) months. No significant difference was observed in the ability to perform daily activities between the two groups 3 months after the treatment. Twelve months after the surgery, limitations in daily activities were significantly higher in the pinning group. Conclusion: Bone fixation, using locked volar plating, can be a better modality with regard to postsurgical pain and also the wrist range of motion than percutaneous pinning with cast immobilization in patients younger than 60 years sustaining unstable, closed extra-articular, distal radius fractures.http://jims.mui.ac.ir/index.php/jims/article/view/8296Fracture fixationRadius fracturesSurgical procedures |
| spellingShingle | Mohammad Ali Tahririan Seyed Hamid Mousavi Ali Dehghan Sajad Badiei Ali Andalib Comparison of Locked Volar Plating and Percutaneous Pinning without External Fixation in the Treatment of Unstable Extra-articular Distal Radius Fractures: A Single-Blind Randomized Controlled Trial مجله دانشکده پزشکی اصفهان Fracture fixation Radius fractures Surgical procedures |
| title | Comparison of Locked Volar Plating and Percutaneous Pinning without External Fixation in the Treatment of Unstable Extra-articular Distal Radius Fractures: A Single-Blind Randomized Controlled Trial |
| title_full | Comparison of Locked Volar Plating and Percutaneous Pinning without External Fixation in the Treatment of Unstable Extra-articular Distal Radius Fractures: A Single-Blind Randomized Controlled Trial |
| title_fullStr | Comparison of Locked Volar Plating and Percutaneous Pinning without External Fixation in the Treatment of Unstable Extra-articular Distal Radius Fractures: A Single-Blind Randomized Controlled Trial |
| title_full_unstemmed | Comparison of Locked Volar Plating and Percutaneous Pinning without External Fixation in the Treatment of Unstable Extra-articular Distal Radius Fractures: A Single-Blind Randomized Controlled Trial |
| title_short | Comparison of Locked Volar Plating and Percutaneous Pinning without External Fixation in the Treatment of Unstable Extra-articular Distal Radius Fractures: A Single-Blind Randomized Controlled Trial |
| title_sort | comparison of locked volar plating and percutaneous pinning without external fixation in the treatment of unstable extra articular distal radius fractures a single blind randomized controlled trial |
| topic | Fracture fixation Radius fractures Surgical procedures |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/8296 |
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