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Article: Comparison of intra-articular simple compression and extra-articular distal radial fractures

TitleComparison of intra-articular simple compression and extra-articular distal radial fractures
Authors
Issue Date2011
PublisherJournal of Bone and Joint Surgery. The Journal's web site is located at http://www.jbjs.org
Citation
Journal Of Bone And Joint Surgery - Series A, 2011, v. 93 n. 22, p. 2093-2099 How to Cite?
AbstractBackground: The impact of a single well-reduced or stable intra-articular fracture oriented in the sagittal plane on the outcome of internal fixation of a distal radial fracture is uncertain. We tested the hypothesis that wrist motion and function scores would not differ between patients with an extra-articular fracture and those with a single sagittal intra-articular fracture following open fracture reduction and internal fixation with use of a volar locking plate. Methods: Thirty-seven patients with a single sagittal intra-articular fracture of the distal aspect of the radius and seventyfour age and sex-matched patients with an extra-articular distal radial fracture were retrospectively analyzed with use of data gathered in a cohort study of plate and screw fixation of distal radial fractures. A volar locking plate was used in all patients. The two cohorts were analyzed for differences in motion, grip strength, pain, and Gartland and Werley, DASH (Disabilities of the Arm, Shoulder and Hand), and SF-36 (Short Form-36) scores six, twelve, and twenty-four months after surgery. Differences between the cohorts and differences within each cohort over time were determined with use of regression analysis and the likelihood ratio test. Results: Patients with a single sagittal intra-articular fracture and those an extra-articular fracture did not differ significantly with respect to motion, grip strength, Gartland and Werley score, or DASH score at any time point. However, there was a trend toward less pronation (95% compared with 98% of that in the contralateral arm) and less grip strength (76% compared with 81% of that in the contralateral arm) at six months and toward a smaller flexion-extension arc (118°compared with 128°) at one year after surgery in patients with a single sagittal intra-articular fracture. Conclusions: Open reduction and volar locking plate and screw fixation of extra-articular fractures and of simple intra-articular fractures of the distal aspect of the radius are associated with comparable impairment and disability within two years of surgery. Level of Evidence: Prognostic Level II. See Instructions to Authors for a complete description of levels of evidence. Copyright © 2011 by The Journal of Bone and Joint Surgery, Incorporated.
Persistent Identifierhttp://hdl.handle.net/10722/178246
ISSN
2015 Impact Factor: 5.163
2015 SCImago Journal Rankings: 2.938
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSouer, JSen_US
dc.contributor.authorRing, Den_US
dc.contributor.authorJupiter, Jen_US
dc.contributor.authorMatschke, Sen_US
dc.contributor.authorAudigé, Len_US
dc.contributor.authorMarentHuber, Men_US
dc.contributor.authorHanson, Ben_US
dc.contributor.authorRikli, Den_US
dc.contributor.authorSiebert, HRen_US
dc.contributor.authorCampbell, DAen_US
dc.contributor.authorTeoh, LCen_US
dc.contributor.authorTorretta, Fen_US
dc.contributor.authorLauri, Gen_US
dc.contributor.authorHintriger, Wen_US
dc.contributor.authorDrobetz, Hen_US
dc.contributor.authorPlecko, Men_US
dc.contributor.authorWentzensen, Aen_US
dc.contributor.authorHöntzsch, Den_US
dc.contributor.authorNeugebauer, RHen_US
dc.contributor.authorHaas, NPen_US
dc.contributor.authorRehm, KEen_US
dc.contributor.authorWinker, KHen_US
dc.contributor.authorErtel, Wen_US
dc.contributor.authorSommer, Chren_US
dc.contributor.authorWagner, Men_US
dc.contributor.authorChow, SPen_US
dc.date.accessioned2012-12-19T09:43:54Z-
dc.date.available2012-12-19T09:43:54Z-
dc.date.issued2011en_US
dc.identifier.citationJournal Of Bone And Joint Surgery - Series A, 2011, v. 93 n. 22, p. 2093-2099en_US
dc.identifier.issn0021-9355en_US
dc.identifier.urihttp://hdl.handle.net/10722/178246-
dc.description.abstractBackground: The impact of a single well-reduced or stable intra-articular fracture oriented in the sagittal plane on the outcome of internal fixation of a distal radial fracture is uncertain. We tested the hypothesis that wrist motion and function scores would not differ between patients with an extra-articular fracture and those with a single sagittal intra-articular fracture following open fracture reduction and internal fixation with use of a volar locking plate. Methods: Thirty-seven patients with a single sagittal intra-articular fracture of the distal aspect of the radius and seventyfour age and sex-matched patients with an extra-articular distal radial fracture were retrospectively analyzed with use of data gathered in a cohort study of plate and screw fixation of distal radial fractures. A volar locking plate was used in all patients. The two cohorts were analyzed for differences in motion, grip strength, pain, and Gartland and Werley, DASH (Disabilities of the Arm, Shoulder and Hand), and SF-36 (Short Form-36) scores six, twelve, and twenty-four months after surgery. Differences between the cohorts and differences within each cohort over time were determined with use of regression analysis and the likelihood ratio test. Results: Patients with a single sagittal intra-articular fracture and those an extra-articular fracture did not differ significantly with respect to motion, grip strength, Gartland and Werley score, or DASH score at any time point. However, there was a trend toward less pronation (95% compared with 98% of that in the contralateral arm) and less grip strength (76% compared with 81% of that in the contralateral arm) at six months and toward a smaller flexion-extension arc (118°compared with 128°) at one year after surgery in patients with a single sagittal intra-articular fracture. Conclusions: Open reduction and volar locking plate and screw fixation of extra-articular fractures and of simple intra-articular fractures of the distal aspect of the radius are associated with comparable impairment and disability within two years of surgery. Level of Evidence: Prognostic Level II. See Instructions to Authors for a complete description of levels of evidence. Copyright © 2011 by The Journal of Bone and Joint Surgery, Incorporated.en_US
dc.languageengen_US
dc.publisherJournal of Bone and Joint Surgery. The Journal's web site is located at http://www.jbjs.orgen_US
dc.relation.ispartofJournal of Bone and Joint Surgery - Series Aen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshBone Platesen_US
dc.subject.meshBone Screwsen_US
dc.subject.meshCohort Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshFracture Fixation, Internal - Instrumentation - Methodsen_US
dc.subject.meshFracture Healing - Physiologyen_US
dc.subject.meshFractures, Compression - Radiography - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshIntra-Articular Fractures - Radiography - Surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRadius Fractures - Radiography - Surgeryen_US
dc.subject.meshRange Of Motion, Articular - Physiologyen_US
dc.subject.meshRecovery Of Functionen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshYoung Adulten_US
dc.titleComparison of intra-articular simple compression and extra-articular distal radial fracturesen_US
dc.typeArticleen_US
dc.identifier.emailChow, SP: spchow@hku.hken_US
dc.identifier.authorityChow, SP=rp00064en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.2106/JBJS.J.01069en_US
dc.identifier.pmid22262381-
dc.identifier.scopuseid_2-s2.0-81855189500en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-81855189500&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume93en_US
dc.identifier.issue22en_US
dc.identifier.spage2093en_US
dc.identifier.epage2099en_US
dc.identifier.isiWOS:000297082200007-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridSouer, JS=15760637000en_US
dc.identifier.scopusauthoridRing, D=7102468527en_US
dc.identifier.scopusauthoridJupiter, J=7101870548en_US
dc.identifier.scopusauthoridMatschke, S=36137423200en_US
dc.identifier.scopusauthoridAudigé, L=7006531178en_US
dc.identifier.scopusauthoridMarentHuber, M=26021947200en_US
dc.identifier.scopusauthoridHanson, B=7102036346en_US
dc.identifier.scopusauthoridRikli, D=7004266801en_US
dc.identifier.scopusauthoridSiebert, HR=24788677800en_US
dc.identifier.scopusauthoridCampbell, DA=7404497549en_US
dc.identifier.scopusauthoridTeoh, LC=7007040259en_US
dc.identifier.scopusauthoridTorretta, F=6601985857en_US
dc.identifier.scopusauthoridLauri, G=26024737800en_US
dc.identifier.scopusauthoridHintriger, W=35219829000en_US
dc.identifier.scopusauthoridDrobetz, H=6507652341en_US
dc.identifier.scopusauthoridPlecko, M=16639526900en_US
dc.identifier.scopusauthoridWentzensen, A=7005505052en_US
dc.identifier.scopusauthoridHöntzsch, D=7003380086en_US
dc.identifier.scopusauthoridNeugebauer, RH=7006253802en_US
dc.identifier.scopusauthoridHaas, NP=7103216817en_US
dc.identifier.scopusauthoridRehm, KE=7101963879en_US
dc.identifier.scopusauthoridWinker, KH=7003768969en_US
dc.identifier.scopusauthoridErtel, W=7005083070en_US
dc.identifier.scopusauthoridSommer, Chr=7103256495en_US
dc.identifier.scopusauthoridWagner, M=7404050259en_US
dc.identifier.scopusauthoridChow, SP=7201828376en_US

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