Volar locking plate &lt;em&gt;versus&lt;/em&gt; external fixation in distal radius fractures: A meta-analysis

Maccagnano, Giuseppe; Noia, Giovanni; Vicenti, Giovanni; Baglioni, Marco; Masciale, Maria Rosa; Cassano, Giuseppe Danilo; Vitiello, Raffaele; Moretti, Biagio; Pesce, Vito

doi:10.4081/or.2021.9147

Cited by 8 publications

(5 citation statements)

References 39 publications

(34 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nowadays the most common techniques to reduce the need for transfusion in the orthopedic surgery are based on the use of the tourniquet, 1 minimally invasive surgery, 2,3 diathermo-coagulation and the use of antifibrinolytic agents. 4 In particular a great effort was made to reduce the need for blood transfusion in total knee arthroplasty (TKA) that remain the best surgical treatment for severe knee arthritis.…”

Section: Introductionmentioning

confidence: 99%

The effects of a new protocol on blood loss in total knee arthroplasty

et al. 2022

Self Cite

View full text Add to dashboard Cite

The aim of study was to evaluate the efficacy of blood loss prevention with Tranexamic acid in patients undergoing total knee arthroplasty (TKA). The Authors defined a new protocol that foresees the use of Tranexamic acid both pre-intra and post-operatively. Seventy patients indicated for TKA were enrolled. Thirty-five patients (control group) followed standard protocol without Tranexamic acid and the other 35 patients (study group) followed standard protocol with Tranexamic acid. We analyzed the values of hemoglobin (Hb), hematocrit (HCT) and red blood cells (RBCs) both pre-operatively (T0) and post-operatively: immediately after surgery (T1), at one day (T2) and three days post-op (T3). We observed statistical differences at T0 and T3 regarding the Hb, HT and RBCs value between the two groups. Moreover, 11.4% in the study and 28.5% in the control group required blood transfusion. No thrombotic or thrombo-embolic events were reported. We conclude that Tranexamic acid use, as in our protocol, reduces postoperative bleeding in primary knee arthroplasty, with the absence of thrombo-embolic events.

show abstract

Section: Introductionmentioning

confidence: 99%

The effects of a new protocol on blood loss in total knee arthroplasty

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…In one meta-analysis, the authors found, no difference in terms of functional results at least 1 year follow-up between EF and plate. [ 22 ] Internal and external fixation treatment methods can be applied for the distal radial fractures of types C. The outcomes of these treatment methods have been compared in this study and we found that these methods showed almost no difference of outcome in the long term between EF and VLP; however, VLP showed slightly better results in the earlier period. Considering fracture types, removal times of the EF in our study were similar to those reported in previous studies.…”

Section: Discussionmentioning

confidence: 93%

Volar-locking plate versus external fixator in the management of distal radius fractures: an isokinetic study

Dündar¹

2021

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: The aim of this study was to compare the clinical and isokinetic evaluation of distal radius fractures treated by volar locking plate (VLP) and external fixator. METHODS: The study included fifty patients with distal radius fracture type C1/C2/C3. Twenty-seven patients (12 men, 15 women; mean age 49.5±4.42) underwent open reduction and VLP fixation, and 23 patients (10 men, 13 women; 52.1±4.6) underwent closed reduction and external fixation. The follow-up period was at least 12 months and the mean following time was 13.5±1.02 (12–15) months. The functional parameters measured were range of motion (ROM) and grip strength. Radiographic parameters (radial inclination, palmar tilt, and radial height) and isokinetic evaluation were measured at the 6 months and at the final follow-up after surgery. The isokinetic test was done at the speed of 60º/s. The non-fractured arm was tested first and all results were also expressed as a percentage of that on the normal side. Wrist scores according to the disability of the arm, shoulder, and hand (DASH) questionnaire were used. RESULTS: The DASH scores, grip strength, and palmar flexion were better in VLP group at the 6 months (p<0.05). However, there were no differences between two groups at the one year (p=0.79). Isokinetıc evaluation of the VLP showed that peak pronatıon torque and total pronation work were better than external fıxatıon at the 6 month (p<0.05). At the final of follow-up was seen no significant differences between two groups (p=0.11). CONCLUSION: We looked at external fixation and locked volar plates in a prospective study and we found an improved range of movement and isokinetic evaluation outcome at 6 months after locked plating, but there were no differences between two groups at the final of follow-up. Our study showed no evidence for the superiority of one treatment over the other at the final follow-up.

show abstract

“…Regarding the type of lesions: amputations [6], fractures [7], and tendinous lesion [8] rates slightly increased during the pandemic; but in a non-statistically significant manner (p = 0.12).…”

Section: Causes and Types Of Lesionsmentioning

confidence: 87%

One Year of COVID-19: Lessons Learned in a Hand Trauma Center

Covino

Fulchignoni

Pietramala

et al. 2022

JCM

View full text Add to dashboard Cite

2020 will be remembered worldwide as the year of COVID-19 outbreak. The onset of this pandemic abruptly changed everybody’s life and, in a particular manner, doctors’ lives. Our hand surgery department became rapidly one of the first COVID-19-specialized wards in Italy, impacting considerably the authors’ routines and activities. In this paper, the authors focus on how the demographics of patients with hand trauma changed and how they had to modify their activity. The authors retrospectively took into consideration all patients reaching their emergency department (ED) with hand trauma between 9 March 2020 (the day of the beginning of the first lockdown in Italy) and 8 March 2021 and compared them to those who reached the ED in the three previous years. Authors have analyzed the number of patients, their gender and age, the severity of their trauma, where the trauma occurred, the type of lesion, the percentage of patients who underwent surgery, and the percentage of patients who had an emergency admission. In the last year, the number of patients reaching the ED for a hand trauma has been reduced by two thirds (975 patients during the past year), the mean age of those patients has slightly increased, the severity of cases has increased, places of trauma and type of lesions have changed, and, lastly, the percentage of patients needing surgery who were admitted immediately has increased. This paper shows how the type of patients reaching the ED changed and discusses how surgeons evolved and modified their habits in treating those patients during the first lockdown and the year that followed.

show abstract

Volar locking plate <em>versus</em> external fixation in distal radius fractures: A meta-analysis

Cited by 8 publications

References 39 publications

The effects of a new protocol on blood loss in total knee arthroplasty

The effects of a new protocol on blood loss in total knee arthroplasty

Volar-locking plate versus external fixator in the management of distal radius fractures: an isokinetic study

One Year of COVID-19: Lessons Learned in a Hand Trauma Center

Contact Info

Product

Resources

About