Yıl: 2018 Cilt: 24 Sayı: 3 Sayfa Aralığı: 255 - 262 Metin Dili: İngilizce DOI: 10.5505/tjtes.2017.35837 İndeks Tarihi: 07-03-2019

Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes

Öz:
BACKGROUND: The aim of this study was to compare the functional and radiological outcomes of K-wire-supported bridgingexternal fixation (KW-EF) and volar locking plate (VLP) in the treatment of comminuted intra-articular distal radius fractures.METHODS: Patients treated for complex intra-articular distal radius fractures between February 2010 and April 2013 were retrospectivelyinvestigated. A total of 114 patients (42 females and 72 males) with a mean age of 44.9±15.4 (range: 18–86) years wereevaluated. Wrist ranges of motion were measured using a universal goniometer, and hand grip strength was determined using handdynamometers. The results were evaluated with Gartland–Werley score. QuickDASH questionnaire was administered in subjectivefunctional assessment. Radiological evaluations were performed, with wrist radiographs obtained on the 3rd month and 2nd year.RESULTS: Wrist flexion, extension, pronation, and supination were all significantly better in the VLP group than in the KW-EF groupat last control (p=0.001). Gartland–Werley, QuickDASH, and Visual Analog Scale were significantly better in the VLP than group thanin the KW-EF group (p=0.003, p=0.003, and p=0.001, respectively). At the last follow-up, loss of grip strength compared with that onthe uninjured side was 4% in the VLP group and 7% in the KW-EF group.CONCLUSION: VLP is a safe method with low complication rates. It is superior to KW-EF as it facilitates early return to daily activitiesand shows better functional and radiological outcomes in the 2nd year of treatment
Anahtar Kelime:

Konular: Adli Tıp Acil Tıp Yoğun Bakım, Tıp Cerrahi Ortopedi

AO/ASIF tip C distal radius kırıklarının tedavisinde volar kilitli plak mı? K-teli destekli eksternal fiksatör mü? Fonksiyonel ve radyolojik sonuçların karşılaştırılması

Öz:
AMAÇ: Eklem içi ve parçalı distal radius kırıklarının tedavisinde volar kilitli plak uygulaması ile K teli destekli eksternal fiksatör uygulamasının fonksiyonel ve radyolojik sonuçlarının karşılaştırılması amaçlandı. GEREÇ VE YÖNTEM: Şubat 2010–Nisan 2013 tarihleri arasında kompleks intraartiküler distal radius kırığı için tedavi edilmiş hastalar geriye dönük olarak tarandı. Dâhil edilme kriterlerini karşılayan 18 ile 86 yaş arasında (ortalama yaş, 44.9±15.4) 114 hasta değerlendirildi. Hastaların fonksiyonel değerlendirmelerinde gonyometre ile eklem hareket açıklıkları ve el dinamometresi ile kavrama güçleri ölçüldü. Sonuçlar Gartland–Werley ölçeği ile değerlendirildi. Subjektif fonksiyonel değerlendirmede Quick DASH ölçeği kullanıldı. Radyolojik değerlendirme hastaların ameliyat sonrası üçüncü ay ve ikinci yılda el bileği grafileri ile yapıldı. BULGULAR: Son kontroldeki fonksiyonel değerlendirmede volar kilitli plakta (VLP) fleksiyon, ekstansiyon, pronasyon ve supinasyon eksternal fiksatörden (EF) anlamlı düzeyde yüksekti (p=0.001). Volar kilitli plağın Gartland-Werley skoru, QuickDASH skoru ve vizüel analog skoru (VAS), EF’den iyiydi (p=0.003, p=0.003 ve p=0.001, sırasıyla). VLP’de ameliyat sonrası son kontrolde sağlam tarafa göre kavrama gücü kaybı ortalama %4, EF’de ise %7 oranındaydı. TARTIŞMA: Volar kilitli plağın güvenli ve komplikasyondan uzak bir yöntem olduğu görülmüştür. Volar kilitli plak günlük yaşam aktivitelerine erken dönüş, fonksiyonel ve radyolojik sonuçlar açısından tedavinin ikinci yılında eksternal fiksatörden daha üstün bir yöntemdir. Anahtar sözcükler: Fonksiyonel sonuçlar; intraartiküler distal radius kırığı; köprü eksternal fiksatör; volar kilitli plak.
Anahtar Kelime:

Konular: Adli Tıp Acil Tıp Yoğun Bakım, Tıp Cerrahi Ortopedi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA duramaz a, BİLGİLİ M, karaali e, BAYRAM B, Ziroglu N, KURAL C (2018). Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes. , 255 - 262. 10.5505/tjtes.2017.35837
Chicago duramaz altuğ,BİLGİLİ Mustafa Gökhan,karaali evren,BAYRAM Berhan,Ziroglu Nezih,KURAL CEMAL Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes. (2018): 255 - 262. 10.5505/tjtes.2017.35837
MLA duramaz altuğ,BİLGİLİ Mustafa Gökhan,karaali evren,BAYRAM Berhan,Ziroglu Nezih,KURAL CEMAL Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes. , 2018, ss.255 - 262. 10.5505/tjtes.2017.35837
AMA duramaz a,BİLGİLİ M,karaali e,BAYRAM B,Ziroglu N,KURAL C Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes. . 2018; 255 - 262. 10.5505/tjtes.2017.35837
Vancouver duramaz a,BİLGİLİ M,karaali e,BAYRAM B,Ziroglu N,KURAL C Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes. . 2018; 255 - 262. 10.5505/tjtes.2017.35837
IEEE duramaz a,BİLGİLİ M,karaali e,BAYRAM B,Ziroglu N,KURAL C "Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes." , ss.255 - 262, 2018. 10.5505/tjtes.2017.35837
ISNAD duramaz, altuğ vd. "Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes". (2018), 255-262. https://doi.org/10.5505/tjtes.2017.35837
APA duramaz a, BİLGİLİ M, karaali e, BAYRAM B, Ziroglu N, KURAL C (2018). Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes. Ulusal Travma ve Acil Cerrahi Dergisi, 24(3), 255 - 262. 10.5505/tjtes.2017.35837
Chicago duramaz altuğ,BİLGİLİ Mustafa Gökhan,karaali evren,BAYRAM Berhan,Ziroglu Nezih,KURAL CEMAL Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes. Ulusal Travma ve Acil Cerrahi Dergisi 24, no.3 (2018): 255 - 262. 10.5505/tjtes.2017.35837
MLA duramaz altuğ,BİLGİLİ Mustafa Gökhan,karaali evren,BAYRAM Berhan,Ziroglu Nezih,KURAL CEMAL Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes. Ulusal Travma ve Acil Cerrahi Dergisi, vol.24, no.3, 2018, ss.255 - 262. 10.5505/tjtes.2017.35837
AMA duramaz a,BİLGİLİ M,karaali e,BAYRAM B,Ziroglu N,KURAL C Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(3): 255 - 262. 10.5505/tjtes.2017.35837
Vancouver duramaz a,BİLGİLİ M,karaali e,BAYRAM B,Ziroglu N,KURAL C Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(3): 255 - 262. 10.5505/tjtes.2017.35837
IEEE duramaz a,BİLGİLİ M,karaali e,BAYRAM B,Ziroglu N,KURAL C "Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes." Ulusal Travma ve Acil Cerrahi Dergisi, 24, ss.255 - 262, 2018. 10.5505/tjtes.2017.35837
ISNAD duramaz, altuğ vd. "Volar locking plate versus K-wire-supported external fixation in the treatment of AO/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes". Ulusal Travma ve Acil Cerrahi Dergisi 24/3 (2018), 255-262. https://doi.org/10.5505/tjtes.2017.35837