Intramedullary nail versus volar plate fixation of extra-articular distal radius fractures. Two year results of a prospective randomized trial

Gradl, Gertraud; Mielsch, Nadja; Wendt, Matthias; Falk, Steffi; Mittlmeier, Thomas; Gierer, Philip; Gradl, Georg

doi:10.1016/j.injury.2013.10.045

Cited by 49 publications

(42 citation statements)

References 18 publications

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“…Such complications have been reported with other forms of internal fixation, ranging from 14% to 22%. 9e13, 18,34,35 Although there were no device removals in this study, there have been cases in which the implant has been removed. In Germany, health care practitioners routinely remove metallic and other implants if they are of no additional benefit to the patient.…”

Section: Discussionmentioning

confidence: 87%

Distal Radial Fracture Management With an Intramedullary Cage and Fragment Fixation

Strassmair

Jonas

Schäfer

et al. 2016

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 87%

Distal Radial Fracture Management With an Intramedullary Cage and Fragment Fixation

Strassmair

Jonas

Schäfer

et al. 2016

The Journal of Hand Surgery

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“…Recent studies regarding other types of intramedullary nail fixation devices reported satisfactory results. Gradi et al [15] reported in a prospective randomized trial that they achieved similar clinical outcomes in patients who received either volar locking plates or Targon DR intramedullary fixation device for treatment of distal radius fractures. Postoperative complications occurred rarely and the authors could not draw a definitive conclusion within this context.…”

Section: Discussionmentioning

confidence: 98%

“…Safi et al [16] encountered this complication in one out of 31 patients they treated using the MICRONAIL device whereas Gradi et al [15] found it in seven out of 55 patients they treated using the Targon DR device. We experienced that this complication would be prevented with increasing familiarity with the technique.…”

Section: Discussionmentioning

confidence: 99%

Intramedullary repair device against volar plating in the reconstruction of extra-articular and simple articular distal radius fractures; a randomized pilot study

Zehir

Çalbıyık

Zehi̇r³

et al. 2014

International Orthopaedics (SICOT)

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Purpose This prospective randomized pilot study reports our institutional experience and early results using Sonoma Wrx (Sonoma Orthopedic Products, Santa Rosa, CA) in the treatment of extra-articular and simple intra-articular distal radius fractures. Material and methods A total of 64 patients, were enrolled in the study. They were considered eligible if they had; unstable extra-articular distal radius fractures and simple intraarticular distal radius fractures suitable for closed reduction (AO types; A2.2, A2.3, A3

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“…Also, no differences were seen in pain, complication and mobility limitation. Gradl et al (9) In 2014, found that intramedullary nail and volar plate fixation pinning did not differ significantly in terms of radiologic and functional factors. Li-hai et al, (10) performed meta-analysis in 2015 and reported that both volar locking plate and external fixation methods are similar in terms of side effects and patient performance.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Radiographic Results between Three Crossed Pinning and Four-Pin Radioulnar Transfixation Methods in the Treatment of Unstable Distal Radius Fracture

Hosseinzadeh¹,

Janmohammadi²,

Esmaeilnejad-Ganji³

et al. 2019

jemds

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A B S T R A C T BACKGROUNDDistal radius fractures are about one-sixth of the total referral fractures to the emergency department. With increase in distal radius fracture cases, especially in Iran, where many cases of trauma are reported, it seems necessary to determine a better treatment for distal radius fracture. This study was designed to compare radiographic results and side effects between three crossed pinning and four-pin radioulnar transfixation methods in the treatment of patients with unstable distal radius fracture. METHODSThis randomized controlled trial study was conducted on the patients, with distal radius facture, aged 18-65 years, who were referred to the Emergency Department of Shahid Beheshti Hospital in Babol, Northern Iran. Patients with a history of bone surgery in the wrists were excluded from the study. Fifty patients were randomly assigned to the two groups of operation: three crossed pinning (n=25) and four-pin radioulnar transfixation (n=25). Radial length, palmar tilt, radial inclination and ulnar variance were evaluated immediately after surgery and at weeks 6, 12 and 24 of surgery. RESULTSNo significant differences were found between the groups in age and gender. Radiographic results between the two groups showed no any significant differences in various follow-ups. Regarding the post-operative side-effects, pain was similar in 4 patients in each group. Also, pin tract infection was observed only in 1 patient in group of four-pin radioulnar transfixation. There were no significant differences between the two surgeries in the complications. CONCLUSIONSBased on the findings, similar outcomes were seen between three crossed pinning and four-pin radioulnar transfixation methods.

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Intramedullary nail versus volar plate fixation of extra-articular distal radius fractures. Two year results of a prospective randomized trial

Cited by 49 publications

References 18 publications

Distal Radial Fracture Management With an Intramedullary Cage and Fragment Fixation

Distal Radial Fracture Management With an Intramedullary Cage and Fragment Fixation

Intramedullary repair device against volar plating in the reconstruction of extra-articular and simple articular distal radius fractures; a randomized pilot study

Comparison of Radiographic Results between Three Crossed Pinning and Four-Pin Radioulnar Transfixation Methods in the Treatment of Unstable Distal Radius Fracture

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