A Randomized Comparison of Locking and Non-Locking Palmar Plating for Unstable Colles’ Fractures in the Elderly

Abstract

This study compared the effectiveness of locking and non-locking palmar plating for unstable Colles' fractures in the elderly. The patients treated with locking plates included 4 men and 18 women with a mean age of 68 years (Group A) and those treated with non-locking plates included 3 men and 28 women with a mean age of 74 years (Group B). Radiographic parameters, including palmar tilt, radial inclination and radial length were measured before surgery, after surgery and at final followup. There were no significant differences in respect of any of the radiographic parameters between the two groups pre-operatively. After surgery, all of the radiographic parameters were improved in both groups and there were no significant differences between the two groups at final followup.

Locking versus non-locking neutralization plates for treatment of lateral malleolar fractures: a randomized controlled trial

“…Koshimune et al conducted a randomized control trial to compare locking and non-locking plate by investigating the clinical results of unstable radial end fractures. In this study 22 patients treated using a locking plate had similar clinical results to that of 31 patients treated using non-locking plate in terms of bone union rate, palmar tilt, radial length, radial inclination, range of motion and Gartland and Werley score [6]. These results were similar to that of our study; our study could not reveal the clinical advantage of the locking plate.…”

“…Comparison with other studies To our best knowledge, there was only one randomized controlled trial comparing locking and non-locking plates for the treatment of long bone fractures [6]. Koshimune et al conducted a randomized control trial to compare locking and non-locking plate by investigating the clinical results of unstable radial end fractures.…”

“…Therefore, the reduction of periosteal compression may improve the rate of bone union. Although many types of plates were developed, which do not interfere with the cortical blood flow, no clinical effectiveness of these plates has been clearly proven [4][5][6].…”

Orthopedic Apparatus

“…19,25 An additional Level II comparative study, 33 which did not compare outcomes between patients receiving locking plates and patients receiving non-locking plates, was excluded along with three Level III comparative studies 24,39,48 and seven Level IV case series studies. 1,2,6,7,22,32,38 Proximal humerus fractures were addressed with a single Level III comparative study 20 and nine Level IV case series studies.…”

Ergebnisse der palmaren winkelstabilen Plattenosteosynthese am distalen Radius

“…Wurden nach einer Umfrage von Schupp et al [9] 2002 noch die Mehrheit der Radiusfrakturen konservativ oder mit Kirschner-Draht-Osteosynthese bzw. Fixateur externe behandelt [4,9], wird heute die palmare winkelstabile Plattenosteosynthese zunehmend als Verfahren der Wahl propagiert [6,7,10]. In der Literatur gibt es bislang keine validen Daten, die die klinisch evidente Über-legenheit dieser Plattensysteme gegenü-ber herkömmlichen Versorgungsstrategien belegen könnten [8].…”