Use of Volar Locking Plate Versus Intramedullary Nailing for Fixation of Distal Radius Fractures: A Retrospective Analysis of Clinical and Radiographic Outcomes

Çalbıyık, Murat; İpek, Deniz

doi:10.12659/msm.908762

Cited by 12 publications

(8 citation statements)

References 58 publications

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“…[ 8 ] In clinical surgery, internal fixation was adopted to promote the recovery of the function of the palm joint after surgery. [ 9 , 10 ]…”

Section: Discussionmentioning

confidence: 99%

Comparative analysis of the effects of AO mini-plate and Kirschner wire pinning in the metacarpal fractures

Lv¹,

Nie²,

Guo³

et al. 2021

Medicine

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The aim of this study was to investigate the clinical effect of AO miniplate screw internal fixation and Kirschner wire (KW) in the treatment of metacarpal fractures. We retrospectively analyzed the clinical data of 590 metacarpal fracture patients admitted to our hospital from March 2016 to March 2019. Among them, 290 patients were treated with KWs; 300 were treated with AO microplate internal fixation. The clinical, radiological results, time of surgery, and complications were observed and compared between the 2 groups. The imaging characteristics and preoperative fracture types of the 2 groups were similar and comparable ( P > .05). The operation time, length of hospital stay, and fracture healing time of AO group were shorter than those of KW group, and the differences were statistically significant (41.22 ± 7.23 vs 25.64 ± 6.29; 7.13 ± 2.38 vs 5.26 ± 1.71; 67.43 ± 22.01 vs 52.57 ± 17.46, P < .05). In addition, the incidence of postoperative complications in AO group was lower than that in KW group (8.3% vs 15.2%, P < .05). In terms of surgical knuckle extension, flexion, and total mobility (compared with the uninjured hand), patients in the AO plate group were significantly improved compared with patients in the KW group, and the difference was statistically significant (4 vs 10 degree; 19 vs 10 degree; 14 vs 29 degree, P < .05); The average degree of finger rotation deformity in AO plate group was significantly lower than that in KW group (1 vs 6 degree, P < .05). In terms of grip strength (compared with the healthy hand), the average grip strength of AO plate group was significantly higher than that of KW group (93% vs 83%, P < .05). Patients in the OA plate group had a lower Disabilities of the Arm, Shoulder and Hand score ( P < .05). Compared with KW fixation, AO mini-plate and screw fixation for the metacarpal fracture has a better effect, which can effectively shorten the operation time and reduce the trauma to patients. It can provide patients with better stability and realize the early movement of the palm, promote fracture healing and joint function recovery; it can reduce the incidence of postoperative complications, which has certain safety. In addition, it can effectively reduce the risk of poor finger rotation.

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“…[ 8 ] In clinical surgery, internal fixation was adopted to promote the recovery of the function of the palm joint after surgery. [ 9 , 10 ]…”

Section: Discussionmentioning

confidence: 99%

Comparative analysis of the effects of AO mini-plate and Kirschner wire pinning in the metacarpal fractures

Lv¹,

Nie²,

Guo³

et al. 2021

Medicine

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“…In conclusion, the focus of our study is to compare the novel modified technique with the traditional method for distal screw locking in IM nailing procedures. [13] All patients included in the study provided informed consent before participating.…”

Section: Introductionmentioning

confidence: 99%

Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study

Menekse

2023

Medicine

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Intramedullary nailing is a common orthopedic procedure, but current methods for distal screw locking have several limitations. This study introduces and evaluates a novel technique that aims to overcome these challenges. The findings were statistically significant, with P-values set at .05. Compared to the traditional method, the novel technique demonstrated several advantages. Mean operation times were reduced to 1.2 hours for the new method, in contrast to 1.5 hours for the control group. Hospital stays also favored the new technique, with a mean duration of 2 days, while the control group averaged 3 days. A significant benefit was the marked decrease in radiation exposure, with the new technique eliminating radiation entirely, recording 0.0 mSv compared to the control group’s 2.5 mSv. The procedure’s success, gauged by the accurate positioning of screws, was higher for the new technique at 92% versus the control’s 78%. Furthermore, complication rates were notably lower in the new method, with a 6% incidence compared to 16% in the traditional approach. While the data suggest that the new technique holds promising advantages, such as reduced operation times, decreased radiation exposure, and fewer complications, it is essential to conduct more extensive research for comprehensive validation. Despite the optimistic results, the study acknowledges the need for larger-scale trials to solidify these findings.

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“…So it is ideal for comminuted fractures and intra articular fractures. 6 Definitive treatment of distal femoral fractures requires maintenance or restoration of distal femoral alignment. Aim is to preserve the function of the extremity.…”

Section: Introductionmentioning

confidence: 99%

Locking condylar plate: best device to treat supracondylar fractures of the femur

2019

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Background: Supracondylar fractures of the femur in adults account for only 7% of all femoral fractures. However, these fractures present with numerous complications. The purpose of this study was to assess the outcome of locking condylar plate in supracondylar fractures of femur in adults.Methods: This study was based on 25 patients of supracondylar fracture of the femur treated with locking condylar plate at Srinivas Institute of Medical Sciences and Research Centre, Mukka, Suratkal, Mangalore. The patients were followed up for 1 year.Results: In present study, 84% fractures were sustained due to road traffic accidents. In 23 (92%) patients, full weight bearing was achieved at 20 weeks while only 2 (8%) patients required more than 20 weeks. 80% of cases required less than 16 weeks for union while 20% required more than 16 weeks. Average injury to surgery time was 3.62 days in the present series. Superficial stitch infection occurred in two cases. Deep infection occurred in a grade 2 compound fracture in a male who was treated initially with debridement and antibiotics.Conclusions: Good results are seen by distal femur locking condylar plate alone. It is the main implant of choice for distal femur fractures of all varieties. Best outcome is expected if fracture fixation is done following all the basic principles of fracture fixation. Advantage of the mechanical properties of a locking plate is definitely useful.

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Use of Volar Locking Plate Versus Intramedullary Nailing for Fixation of Distal Radius Fractures: A Retrospective Analysis of Clinical and Radiographic Outcomes

Cited by 12 publications

References 58 publications

Comparative analysis of the effects of AO mini-plate and Kirschner wire pinning in the metacarpal fractures

Comparative analysis of the effects of AO mini-plate and Kirschner wire pinning in the metacarpal fractures

Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study

Locking condylar plate: best device to treat supracondylar fractures of the femur

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