Treatment Effectiveness of Volar Plates in Distal Radius Dorsal Rim Fractures
2024

Effectiveness of Volar Plates in Treating Distal Radius Fractures

Sample size: 22 publication 10 minutes Evidence: moderate

Author Information

Author(s): Bezirgan Uğur, Acar Erdinç, Yoğun Yener, Savran Merve Dursun, Keskin Ömer Halit, Armangil Mehmet

Primary Institution: Faculdade de Medicina, Ankara University

Hypothesis

To assess the efficacy of distal radius volar plates in cases involving dorsal fragments at the Ulnar Corner (UC) and Lister Tubercle (LT).

Conclusion

Volar plates are effective for treating intra-articular distal radius fractures, but displaced dorsal fragments can affect outcomes.

Supporting Evidence

  • Patients achieved significant improvements in grip strength and range of motion post-surgery.
  • 81.82% of patients had normal radiological parameters after treatment.
  • Only 4 out of 22 UC fragments were fixed with screws, indicating challenges in securing dorsal fragments.

Takeaway

Doctors used special plates to fix broken bones in the wrist, and they found that while it usually works well, some broken pieces can still cause problems.

Methodology

A retrospective study analyzing patients with distal radius fractures treated with volar plates, excluding those with certain criteria.

Potential Biases

Potential bias due to the retrospective nature and exclusion of certain patient groups.

Limitations

The study is retrospective and focused on a homogenous group, limiting generalizability, and did not include patients with isolated UC or LT fragments.

Participant Demographics

17 males and 5 females, mean age 39.7 years.

Statistical Information

P-Value

0.0002

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1055/s-00042410

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