Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator

TALMAC, MEHMET ALİ; tok, okan; GÖRGEL, MEHMET AKİF; KANAR, MUHARREM; ÖZDEMİR, HACI MUSTAFA

doi:10.5606/ehc.2019.66955

Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator

Mehmet Ali TALMAÇ, (Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Mehmet Akif GÖRGEL, (Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Muharrem KANAR, (Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Okan TOK, (Altunizade Acıbadem Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Hacı Mustafa ÖZDEMİR (Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.)

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Yıl: 2019 Cilt: 30 Sayı: 3 Sayfa Aralığı: 224 - 232 Metin Dili: İngilizce DOI: 10.5606/ehc.2019.66955 İndeks Tarihi: 20-11-2020

Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator

Öz:

Objectives: The aim of this study was to evaluate bothclinical and radiological results of intraarticular comminuteddistal radius fractures treated with volar locking plate (VLP),non-bridging external fixator (NbEF), and bridging externalfixator (BEF).Patients and methods: 95 patients (44 males, 51 females;median age 49 years; interquartile range (IQR), 37 to 60years) who were treated with VLP, NbEF, or BEF due tointraarticular comminuted distal radius fractures betweenJanuary 2010 and April 2014 were evaluated retrospectively.34 of these patients were treated with a VLP (VLP group),30 with a NbEF (NbEF group) and 31 with a BEF (BEFgroup). In the final follow-up, all patients were evaluatedaccording to clinical and radiological parameters.Results: The median follow-up was 5 (IQR, 4 to 6) years. TheVLP and NbEF groups had better results than the BEF groupin terms of wrist range of motion, loss of grip strength, GreenO’Brien, Mayo Modified Wrist, The Quick Disabilities of theArm, Shoulder, and Hand (QuickDASH) and VAS scores. TheVLP group had the most significant radiological improvement.Conclusion: Although clinical and radiological results forintraarticular comminuted distal radius fractures are moresignificantly improved in patients treated with VLP, favorableresults close to VLP can be also obtained with NbEF. TheBEF seems to be the least effective treatment option amongthe three surgical methods.

Anahtar Kelime:

Parçalı eklem içi distal radius kırıklarının tedavisinde üç cerrahi yöntemin karşılaştırılması: Volar kilitli plak, köprüsüz eksternal fiksatör ve köprülü eksternal fiksatör

Öz:

Amaç: Bu çalışmada, volar kilitli plak (VLP), el bileğini köprülemeyen eksternal fiksatör (NbEF) ve köprüleyen eksternal fiksatör (BEF) ile tedavi edilen parçalı eklem içi distal radius kırıklarının klinik ve radyolojik sonuçları değerlendirildi. Hastalar ve yöntemler: Ocak 2010 - Nisan 2014 arasında parçalı eklem içi distal radius kırığı nedeniyle VLP, NbEF veya BEF ile tedavi edilen toplam 95 hasta (44 erkek, 51 kadın; ortanca yaş 49; çeyrekler arası aralık (IQR) 37-60 years) yıl) retrospektif olarak değerlendirildi. Bu hastaların 34’ü VLP (VLP Grubu), 30’u NbEF (NbEF Grubu) ve 31’i BEF (BEF Grubu) ile tedavi edildi. Son kontrol vizitinde, tüm hastalar klinik ve radyolojik parametrelere göre değerlendirildi. Bulgular: Takip süresinin ortanca değeri 5 (IQR, 4-6) yıl idi. El bilek eklemi hareket açıklığı, kavrama kuvveti kaybı, Green O'Brien, Mayo Modifiye El Bileği, QuickDASH ve VAS skorlarına göre VLP ve NbEF grupları, BEF grubuna kıyasla, daha iyi sonuçlara sahipti. Radyolojik parametrelerde en anlamlı iyileşme VLP grubunda görüldü. Sonuç: Her ne kadar parçalı eklem içi distal radius kırıklarının klinik ve radyolojik sonuçlarında en anlamlı iyileşme VLP ile tedavi edilen erişkinlerde görülse de, NbEF ile de VLP’ye yakın olumlu sonuçlar elde edilebilir. Üç cerrahi tedavi yöntemi arasında BEF’in en az etkili seçenek olduğu görülmektedir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	TALMAC M, GÖRGEL M, KANAR M, tok o, ÖZDEMİR H (2019). Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator. , 224 - 232. 10.5606/ehc.2019.66955
Chicago	TALMAC MEHMET ALİ,GÖRGEL MEHMET AKİF,KANAR MUHARREM,tok okan,ÖZDEMİR HACI MUSTAFA Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator. (2019): 224 - 232. 10.5606/ehc.2019.66955
MLA	TALMAC MEHMET ALİ,GÖRGEL MEHMET AKİF,KANAR MUHARREM,tok okan,ÖZDEMİR HACI MUSTAFA Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator. , 2019, ss.224 - 232. 10.5606/ehc.2019.66955
AMA	TALMAC M,GÖRGEL M,KANAR M,tok o,ÖZDEMİR H Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator. . 2019; 224 - 232. 10.5606/ehc.2019.66955
Vancouver	TALMAC M,GÖRGEL M,KANAR M,tok o,ÖZDEMİR H Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator. . 2019; 224 - 232. 10.5606/ehc.2019.66955
IEEE	TALMAC M,GÖRGEL M,KANAR M,tok o,ÖZDEMİR H "Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator." , ss.224 - 232, 2019. 10.5606/ehc.2019.66955
ISNAD	TALMAC, MEHMET ALİ vd. "Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator". (2019), 224-232. https://doi.org/10.5606/ehc.2019.66955

APA	TALMAC M, GÖRGEL M, KANAR M, tok o, ÖZDEMİR H (2019). Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30(3), 224 - 232. 10.5606/ehc.2019.66955
Chicago	TALMAC MEHMET ALİ,GÖRGEL MEHMET AKİF,KANAR MUHARREM,tok okan,ÖZDEMİR HACI MUSTAFA Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30, no.3 (2019): 224 - 232. 10.5606/ehc.2019.66955
MLA	TALMAC MEHMET ALİ,GÖRGEL MEHMET AKİF,KANAR MUHARREM,tok okan,ÖZDEMİR HACI MUSTAFA Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.30, no.3, 2019, ss.224 - 232. 10.5606/ehc.2019.66955
AMA	TALMAC M,GÖRGEL M,KANAR M,tok o,ÖZDEMİR H Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 224 - 232. 10.5606/ehc.2019.66955
Vancouver	TALMAC M,GÖRGEL M,KANAR M,tok o,ÖZDEMİR H Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 224 - 232. 10.5606/ehc.2019.66955
IEEE	TALMAC M,GÖRGEL M,KANAR M,tok o,ÖZDEMİR H "Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30, ss.224 - 232, 2019. 10.5606/ehc.2019.66955
ISNAD	TALMAC, MEHMET ALİ vd. "Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30/3 (2019), 224-232. https://doi.org/10.5606/ehc.2019.66955