Yıl: 2021 Cilt: 27 Sayı: 2 Sayfa Aralığı: 238 - 242 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.28934 İndeks Tarihi: 19-05-2022

Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results

Öz:
BACKGROUND: This study was performed to compare the results of closed reduction percutaneous pinning (CRPP) versus open reduction internal fixation with a volar locking plate (ORIF) in the treatment of intraarticular distal radius fractures (IDRF) average four-year follow-up. METHODS: In this study, 43 patients had unilateral intraarticular distal radius fractures (type B and C) treated with CRPP (n=19; 11 males and eight females) and ORIF (n=24; 14 males and 10 females) were retrospectively evaluated. The mean follow-up was 50.3 months (12–74) at the CRPP group and 45.2 months (40–65) at the ORIF group. The mean age was 50.8 years (29–73) in the CRPP group and 51.5 (19–75) in the ORIF group. The patients were evaluated functionally and radiologically at the last follow-up. RESULTS: There was no statistically significant difference between the groups concerning follow-up, age, and gender. However, there was no statistical difference concerning grip power and the range of motion. The Disabilities of the Arm, Shoulder and Hand Score (Q-DASH) was better in the ORIF group. Voler tilt and radial height measurements were statistically significantly better in the ORIF group. Degenerative arthritis was 63% in the CRPP group and 41% in the ORIF group, and there was no statistically significant difference. CONCLUSION: ORIF with a volar locking plate has better functional and radiological results than CRPP in IDRF patients’ average four-year follow-up
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Garcia-Elias M, Folgar MA. The management of wrist injuries: an international perspective. Injury 2006;37:1049−56.
  • 2. Zengin EC, Ozcan C, Aslan C, Bulut T, Sener M. Cast immobilization versus volar locking plate fixation of AO type C distal radial fractures in patients aged 60 years and older. Acta Orthop Traumatol Turc 2019;53:15−8.
  • 3. Chen CE, Juhn RJ, Ko JY. Treatment of distal radius fractures with percutaneous pinning and pin-in-plaster. Hand (N Y) 2008;3:245−50.
  • 4. Gereli A, Nalbantoğlu U, Kocaoğlu B, Türkmen M. Comparison of palmar locking plate and K-wire augmented external fixation for intra-articular and comminuted distal radius fractures. Acta Orthop Traumatol Turc 2010;44:212−9.
  • 5. Jakubietz MG, Gruenert JG, Jakubietz RG. Palmar and dorsal fixed-angle plates in AO C-type fractures of the distal radius: is there an advantage of palmar plates in the long term?. J Orthop Surg Res 2012;7:8.
  • 6. Kreder HJ, Hanel DP, Agel J, McKee M, Schemitsch EH, Trumble TE, et al. Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: a randomised, controlled trial. J Bone Joint Surg Br 2005;87:829−36.
  • 7. Catalano LW 3rd, Cole RJ, Gelberman RH, Evanoff BA, Gilula LA, Borrelli J Jr. Displaced intra-articular fractures of the distal aspect of the radius. Long-term results in young adults after open reduction and internal fixation. J Bone Joint Surg Am 1997;79:1290−302.
  • 8. Leung F, Tu YK, Chew WY, Chow SP. Comparison of external and percutaneous pin fixation with plate fixation for intra-articular distal radial fractures. A randomized study. J Bone Joint Surg Am 2008;90:16−22.
  • 9. Bahari-Kashani M, Taraz-Jamshidy MH, Rahimi H, Ashraf H, Mirkazemy M, Fatehi A, et al. Outcomes of pin and plaster versus locking plate in distal radius intraarticular fractures. Trauma Mon 2013;17:380−5.
  • 10. Rozental TD, Blazar PE, Franko OI, Chacko AT, Earp BE, Day CS. Functional outcomes for unstable distal radial fractures treated with open reduction and internal fixation or closed reduction and percutaneous fixation. A prospective randomized trial. J Bone Joint Surg Am 2009;91:1837−46.
  • 11. Yoon JO, You SL, Kim JK. Intra-articular comminution worsens outcomes of distal radial fractures treated by open reduction and palmar locking plate fixation. J Hand Surg Eur Vol 2017;42:260−5.
  • 12. Egol K, Walsh M, Tejwani N, McLaurin T, Wynn C, Paksima N. Bridging external fixation and supplementary Kirschner-wire fixation versus volar locked plating for unstable fractures of the distal radius: a randomised, prospective trial. J Bone Joint Surg Br 2008;90:1214−21.
  • 13. Brennan SA, Kiernan C, Beecher S, O’Reilly RT, Devitt BM, Kearns SR, et al. Volar plate versus k-wire fixation of distal radius fractures. Injury 2016;47:372−6.
  • 14. Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg Am 1986;68:647−59.
  • 15. Lutz M, Arora R, Krappinger D, Wambacher M, Rieger M, Pechlaner S. Arthritis predicting factors in distal intraarticular radius fractures. Arch Orthop Trauma Surg 2011;131:1121−6.
  • 16. Chaudhry H, Kleinlugtenbelt YV, Mundi R, Ristevski B, Goslings JC, Bhandari M. Are Volar Locking Plates Superior to Percutaneous K-wires for Distal Radius Fractures? A Meta-analysis. Clin Orthop Relat Res 2015;473:3017−27.
APA SARUHAN S, davulcu c (2021). Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. , 238 - 242. 10.14744/tjtes.2020.28934
Chicago SARUHAN SERTAC,davulcu cumhur deniz Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. (2021): 238 - 242. 10.14744/tjtes.2020.28934
MLA SARUHAN SERTAC,davulcu cumhur deniz Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. , 2021, ss.238 - 242. 10.14744/tjtes.2020.28934
AMA SARUHAN S,davulcu c Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. . 2021; 238 - 242. 10.14744/tjtes.2020.28934
Vancouver SARUHAN S,davulcu c Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. . 2021; 238 - 242. 10.14744/tjtes.2020.28934
IEEE SARUHAN S,davulcu c "Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results." , ss.238 - 242, 2021. 10.14744/tjtes.2020.28934
ISNAD SARUHAN, SERTAC - davulcu, cumhur deniz. "Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results". (2021), 238-242. https://doi.org/10.14744/tjtes.2020.28934
APA SARUHAN S, davulcu c (2021). Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. Ulusal Travma ve Acil Cerrahi Dergisi, 27(2), 238 - 242. 10.14744/tjtes.2020.28934
Chicago SARUHAN SERTAC,davulcu cumhur deniz Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. Ulusal Travma ve Acil Cerrahi Dergisi 27, no.2 (2021): 238 - 242. 10.14744/tjtes.2020.28934
MLA SARUHAN SERTAC,davulcu cumhur deniz Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. Ulusal Travma ve Acil Cerrahi Dergisi, vol.27, no.2, 2021, ss.238 - 242. 10.14744/tjtes.2020.28934
AMA SARUHAN S,davulcu c Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. Ulusal Travma ve Acil Cerrahi Dergisi. 2021; 27(2): 238 - 242. 10.14744/tjtes.2020.28934
Vancouver SARUHAN S,davulcu c Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. Ulusal Travma ve Acil Cerrahi Dergisi. 2021; 27(2): 238 - 242. 10.14744/tjtes.2020.28934
IEEE SARUHAN S,davulcu c "Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results." Ulusal Travma ve Acil Cerrahi Dergisi, 27, ss.238 - 242, 2021. 10.14744/tjtes.2020.28934
ISNAD SARUHAN, SERTAC - davulcu, cumhur deniz. "Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results". Ulusal Travma ve Acil Cerrahi Dergisi 27/2 (2021), 238-242. https://doi.org/10.14744/tjtes.2020.28934