COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION
Yıl: 2021 Cilt: 23 Sayı: 2 Sayfa Aralığı: 270 - 278 Metin Dili: İngilizce DOI: 10.24938/kutfd.895219 İndeks Tarihi: 29-07-2022
COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION
Öz: Objective: We aimed to compare the radiographic and functionalresults of extra-articular metaphyseal fractures of the distal radiustreated with closed reduction and plaster casting (CRPC) andbridging external fixation (EF).Material and Methods: This retrospective study included 65patients with distal radius fractures. The mean age of the patientswas 55 years. Patients were divided into two groups, which werecalled the CRPC group and bridging EF group. All fractures wereAO/OTA type A3. All patients were evaluated with Green andO'Brien Score modified by Cooney, Mayo Wrist Score and TheDisabilities of the Arm, Shoulder, and Hand (DASH) at the endof the first year.Results: The mean age was 54.32±8.61 years in the CRPC groupand 56.65±8.31 years in the Bridging EF group. The mean followup time was 24.06±8.67 months in the CRPC group and24.88±9.2 months in the bridging EF group. When the fractureswere compared radiologically during the evaluation at the end ofthe first year, radial inclination and radial length results in thebridging EF group were statistically significant compared to theCRPC group. When the range of motions was compared in thefractures during the clinical examination, they were statisticallysignificant in the bridging EF group compared to the CRPCgroup. There was no statistical significance in Green and Mayoscores in terms of the scoring between the groups. DASH scorewas 10.88±2.99 in the CRPC group and 5.73±2.57 in the bridgingEF group, and it was statistically significant (p<0.001).Conclusion: Bridging EF treatment can be recommended as oneof the primary treatment options in AO/OTA type A3 radiusfractures, whose soft tissue does not allow open surgery, becauseit is a less invasive technique and provides successful clinicalresults.
Anahtar Kelime: Açık Redüksiyona Uygun Olmayan Radius Distali Metafiz Kırıklarında Eksternal Fiksasyon ile Alçı Döküm Sonuçlarının Karşılaştırılması
Öz: Amaç: Kapalı redüksiyon ve alçı (KRA) ve köprü eksternal fiksasyon (EF) ile tedavi edilen distal radius eklem dışı metafizer kırıklarının radyografik ve fonksiyonel sonuçlarını karşılaştırmayı amaçladık. Gereç ve Yöntemler: Bu retrospektif çalışmaya distal radius kırığı olan 65 hasta dahil edildi. Hastaların ortalama yaşı 55 idi. Hastalar KRA grubu ve köprü EF grubu olarak adlandırılan iki gruba ayrıldı. Tüm kırıklar AO/OTA tip A3 idi. Tüm hastalar, birinci yılın sonunda Cooney tarafından modifiye edilen Green ve O'Brien Skoru, Mayo Bilek Skoru ve Kol, Omuz ve El Engellilikleri (DASH) ile değerlendirildi. Bulgular: Ortalama yaş KRA grubunda 54.32±8.61 yıl, köprü EF grubunda 56.65±8.31 yıl idi. Ortalama takip süresi KRA grubunda 24.06±8.67 ay, köprü EF grubunda 24.88±9.2 aydı. Birinci yılın sonunda yapılan değerlendirmede kırıklar radyolojik olarak karşılaştırıldığında, köprü oluşturan EF grubunda radyal eğim ve radyal uzunluk sonuçları KRA grubuna göre istatistiksel olarak anlamlı bulundu. Klinik muayene sırasında kırıkların hareket aralığı karşılaştırıldığında, köprü EF grubunda KRA grubuna göre istatistiksel olarak anlamlı bulundu. Green ve Mayo skorlarında gruplar arası skorlama açısından istatistiksel olarak anlamlı bulunmadı. DASH skoru KRA grubunda 10.88±2.99, köprü EF grubunda 5.73±2.57 idi ve istatistiksel olarak anlamlıydı (p<0.001). Sonuç: Daha az invaziv bir teknik olması ve başarılı klinik sonuçlar sağlaması nedeniyle yumuşak dokusu açık cerrahiye izin vermeyen AO/OTA tip A3 radius kırıklarında birincil tedavi seçeneklerinden biri olarak köprüleyici EF tedavisi önerilebilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Talmaç MA, Görgel MA, Kanar M, Tok O, Özdemir HM. 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 Hast ve Cerrahisi. 2019;30(3):224-32.
- 2. Turan S, Çankaya D, Yinolmaz S, Karakuş D, Dündar A, Özdemir G. Effect of ulnar styloid fracture on outcomes after conservative treatment of distal radius fracture. Eklem Hast ve Cerrahisi. 2016;27(2):87-93.
- 3. Ju JH, Jin GZ, Li GX, Hu HY, Hou RX. Comparison of treatment outcomes between nonsurgical and surgical treatment of distal radius fracture in elderly: a systematic review and meta-analysis. Langenbeck’s Arch Surg. 2015;400(7):767-79.
- 4. Schneppendahl J, Windolf J, Kaufmann RA. Distal radius fractures: Current concepts. J Hand Surg Am. 2012;37(8):1718-25.
- 5. Abe Y, Doi K, Kuwata N, Yamamoto H, Sunago K, Kawai S. Surgical options for distal radial fractures: Indications and limitations. Arch Orthop Trauma Surg. 1998;117(4–5):188-92.
- 6. Rodríguez-Merchán EC. Management of comminuted fractures of the distal radius in the adult: Conservative or surgical? Clin Orthop Relat Res. 1998;(353):53-62.
- 7. Cherubino P, Bini A, Marcolli D. Management of distal radius fractures: Treatment protocol and functional results. Injury. 2010;41(11):1120–6.
- 8. Rhee PC, Medoff RJ, Shin AY. Complex distal radius fractures: An anatomic algorithm for surgical management. J Am Acad Orthop Surg. 2017;25(2):77-88.
- 9. Seitz WH, Froimson AI, Leb R, Shapiro JD. Augmented external fixation of unstable distal radius fractures. J Hand Surg Am. 1991;16(6):1010-6.
- 10. Gausepohl T, Pennig D, Mader K. Principles of external fixation and supplementary techniques in distal radius fractures. Injury. 2000;31(Suppl.1):56- 70.
- 11. Aktekin CN, Altay M, Gursoy Z, Aktekin LA, Ozturk AM, Tabak AY. Comparison between external fixation and cast treatment in the management of distal radius fractures in patients aged 65 years and older. J Hand Surg Am. 2010;35(5):736-42.
- 12. Egol KA, Walsh M, Romo-Cardoso S, Dorsky S, Paksima N. Distal radial fractures in the elderly: operative compared with nonoperative treatment J Bone Joint Surg Am. 2010;92(9):1851-7.
- 13. Howard PW, Stewart HD, Hind RE, Burke FD. External fixation or plaster for severely displaced comminuted Colles’ fractures? A prospective study of anatomical and functional results. J Bone Jt Surg - Ser B. 1989;71(1):68-73.
- 14. Moroni A, Vannini F, Faldini C, Pegreffi F, Giannini S. Cast vs external fixation: A comparative study in elderly osteoporotic distal radial fracture patients. Scand J Surg. 2004;93(1):64-7.
- 15. Dario P, Matteo G, Carolina C, Marco G, Cristina D, Daniele F et al. Is it necessary to restore radial anatomic parameters after distal radius fractures? Injury. 2014;45(S6):S21–6.
- 16. Kwok IHY, Leung F, Yuen G. Assessing results after distal radius fracture treatment: a comparison of objective and subjective tools. Geriatr Orthop Surg Rehabil. 2011;2(4):155–60.
- 17. Souer JS, Lozano-Calderon SA, Ring D. Predictors of wrist function and health status after operative treatment of fractures of the distal radius. J Hand Surg Am. 2008;33(2):157.e1-157.e8.
- 18. Kreder HJ, Agel J, McKee MD, Schemitsch EH, Stephen D, Hanel DP. a randomized, controlled trial of distal radius fractures with metaphyseal displacement but without joint incongruity: closed reduction and casting versus closed reduction, spanning external fixation, and optional percutaneous K-wires. J Orthop Trauma. 2006;20(2):115–21.
- 19. Pattee GA, Thompson GH. Anterior and posterior marginal fracture-dislocations of the distal radius. An analysis of the results of treatment. Clin Orthop Relat Res. 1988;(231):183-95.
- 20. McQueen MM, MacLaren A, Chalmers J. The value of remanipulating Colles’ fractures. J Bone Jt Surg - Ser B. 1986;68(2):232-3.
| APA | Öner K, Ayas M (2021). COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION. , 270 - 278. 10.24938/kutfd.895219 |
| Chicago | Öner Kerim,Ayas Muhammet Salih COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION. (2021): 270 - 278. 10.24938/kutfd.895219 |
| MLA | Öner Kerim,Ayas Muhammet Salih COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION. , 2021, ss.270 - 278. 10.24938/kutfd.895219 |
| AMA | Öner K,Ayas M COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION. . 2021; 270 - 278. 10.24938/kutfd.895219 |
| Vancouver | Öner K,Ayas M COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION. . 2021; 270 - 278. 10.24938/kutfd.895219 |
| IEEE | Öner K,Ayas M "COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION." , ss.270 - 278, 2021. 10.24938/kutfd.895219 |
| ISNAD | Öner, Kerim - Ayas, Muhammet Salih. "COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION". (2021), 270-278. https://doi.org/10.24938/kutfd.895219 |
| APA | Öner K, Ayas M (2021). COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 23(2), 270 - 278. 10.24938/kutfd.895219 |
| Chicago | Öner Kerim,Ayas Muhammet Salih COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 23, no.2 (2021): 270 - 278. 10.24938/kutfd.895219 |
| MLA | Öner Kerim,Ayas Muhammet Salih COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, vol.23, no.2, 2021, ss.270 - 278. 10.24938/kutfd.895219 |
| AMA | Öner K,Ayas M COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2021; 23(2): 270 - 278. 10.24938/kutfd.895219 |
| Vancouver | Öner K,Ayas M COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2021; 23(2): 270 - 278. 10.24938/kutfd.895219 |
| IEEE | Öner K,Ayas M "COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION." Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 23, ss.270 - 278, 2021. 10.24938/kutfd.895219 |
| ISNAD | Öner, Kerim - Ayas, Muhammet Salih. "COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION". Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 23/2 (2021), 270-278. https://doi.org/10.24938/kutfd.895219 |
