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Intra-articular comminution worsens outcomes of distal radial fractures treated by open reduction and palmar locking plate fixation

Title
Intra-articular comminution worsens outcomes of distal radial fractures treated by open reduction and palmar locking plate fixation
Authors
Yoon, J. O.You, S. L.Kim, J. K.
Ewha Authors
한인식
SCOPUS Author ID
한인식scopus
Issue Date
2017
Journal Title
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
ISSN
1753-1934JCR Link2043-6289JCR Link
Citation
vol. 42, no. 3, pp. 260 - 265
Keywords
Distal radius fracturecomminuted intra-articular fracturepalmar locking plate
Publisher
SAGE PUBLICATIONS LTD
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
We studied 50 patients with AO type C2 distal radial fractures and 35 with AO type C3 distal radial fractures treated by open reduction and palmar locking plate fixation. At 3-month clinical assessments, mean wrist flexion arcs, grip strengths and disabilities of the arm, shoulder and hand scores were significantly better for AO type C2 fractures. At 2-year post-operative clinical assessments, mean disabilities of the arm, shoulder and hand scores were significantly better for AO type C2 fractures than for AO type C3 fractures. At 2-year radiographic examinations, anterior angulations, ulnar variances and arthritis grades were also significantly better for AO type C2 fractures. This study showed that AO type C3 distal radial fractures, which have intra-articular comminution, had poorer clinical and radiographic outcomes than AO type C2 fractures, despite open reduction and palmar locking plate fixation.
DOI
10.1177/1753193416682943
Appears in Collections:
사범대학 > 과학교육과 > Journal papers
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