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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi |
2021, Cilt 35, Sayı 2, Sayfa(lar) 127-133 |
[ Turkish ] [ Tam Metin ] [ PDF ] |
Comparison of the Mid-Term Results of Patients Who Underwent Wrist Fixators and Open Reduction Plate Screws in Radius Distal Intraarticular Fractures |
Ömer Kays ÜNAL, Mirza Zafer DAĞTAŞ |
Maltepe Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, TÜRKİYE |
Keywords: Radius distal intraarticular fracture, internal fixation, volar plate, external fixation |
Objective: The aim of this study is to compare the clinical features and mid-term results of patients who underwent external fixator and volar plate in the surgical treatment of distal radius fractures.
Materials and Methods: The study was carried out by retrospectively examining the files of patients who were underwent external fixator or volar plate due to distal radius intra-articular fracture between May 2014 and December 2019 in Maltepe University Faculty of Medicine orthopedics clinic. Demographic data, fracture classification, operation time, duration of hospitalization, follow-up time, complications, number of revisions, and MAYO wrist score of patients were recorded and the results were compared according to the surgical technique applied. Results: Of the 60 cases evaluated in the study, 32 were in the volar plate group and 28 were in the external fixator group. The mean follow-up period was 28.08±4.64 months, and the mean age was 50.20±14.69. Compared to the external fixation group, the operation time (P<0.001) and the duration of hospitalization in the volar plate group was statistically significantly longer (P=0.002). While the MAYO wrist score was excellent/good (88.94±3.13) in all patients in the volar plate group, it was excellent/good in 57.1% of the patients in the external fixation group (80.43±6,12). The MAYO wrist score of the cases with volar plate was statistically significantly better (P<0.001). Conclusion: Compared to external fixation in distal intraarticular radius fractures, the surgical operation time and duration of hospitalization were longer in the volar plate approach, but the mid-term follow-up results were more successful. |
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