Abstract AIM OF THE STUDY: to evaluate the efficacy of plates and screws with angular stability in osteosynthesis of fractures of the distal radius. MATERIALS AND METHODS: we analyzed 52 patients undergone surgery for fracture of the distal radius at the Clinica Ortopedica dell'Università di Trieste; in half of the patients osteosynthesis was provided using Synthes' LCP plates, in the other half we utilized a multidirectional and angular stable plate ("Aptus Radius" by Medartis). Mean follow-up was 28 ± 10 months, patients were evaluated with DASH score (disability of arm shoulder and hand) and the modified Gartland Werley score. RESULTS: there were no significant differences between the two groups in terms of joint function, motility, volar and radial mean inclination. CONCLUSIONS: based on clinical and radiological results using angular stability plates must be considered as the method of election in the treatment of fractures of the distal epiphysis of the radius; in particular, thanks to the broader technical capabilities that they allow, are particularly indicated in unstable fractures.

Distal radius fractures: surgical treatment with internal fixation

VALENTINI, ROBERTO;DE FABRIZIO, GIOVANNI;PIOVAN, GIANLUCA;BOLCIC, STEFANO;BERNOBI, SERGIO;FANCELLU, GIOVANNI
2014

Abstract

Abstract AIM OF THE STUDY: to evaluate the efficacy of plates and screws with angular stability in osteosynthesis of fractures of the distal radius. MATERIALS AND METHODS: we analyzed 52 patients undergone surgery for fracture of the distal radius at the Clinica Ortopedica dell'Università di Trieste; in half of the patients osteosynthesis was provided using Synthes' LCP plates, in the other half we utilized a multidirectional and angular stable plate ("Aptus Radius" by Medartis). Mean follow-up was 28 ± 10 months, patients were evaluated with DASH score (disability of arm shoulder and hand) and the modified Gartland Werley score. RESULTS: there were no significant differences between the two groups in terms of joint function, motility, volar and radial mean inclination. CONCLUSIONS: based on clinical and radiological results using angular stability plates must be considered as the method of election in the treatment of fractures of the distal epiphysis of the radius; in particular, thanks to the broader technical capabilities that they allow, are particularly indicated in unstable fractures.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11368/2830524
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