Use of volar locking plate versus intramedullary nailing for fixation of distal radius fractures: a retrospective analysis of clinical and radiographic outcomes
| dc.authorid | 0000-0003-1477-398X | |
| dc.contributor.author | Çalbıyık, Murat | |
| dc.contributor.author | İpek, Deniz | |
| dc.date.accessioned | 2019-03-14T13:19:31Z | |
| dc.date.available | 2019-03-14T13:19:31Z | |
| dc.date.issued | 2018-01-30 | |
| dc.department | Hitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü | |
| dc.description.abstract | Background: The objective of this study was to evaluate clinical and radiographic outcomes of volar plate versus intramedullary nailing for fixation of distal radius fractures. Material/Methods: This retrospective study included 64 patients with extra-articular and simple intra-articular fractures of the distal radius who underwent intramedullary fixation using volar locking plate (n=35, mean age 47.3±16.4 years, 82.9% female) or intramedullary nailing (n=29, mean age 51.3±10.1 years, 58.6% female). Outcome measures were range of motion (ROM); visual analog scale (VAS); Disabilities of the Arm, Shoulder, and Hand (DASH) score; Gartland-Werley score; Stewart score; and radiographic findings. Results: Time to fracture union was 5.5±1.2 and 5.2±0.6 weeks after volar plate fixation and intramedullary nailing, respectively (p>0.05). Compared to volar plate fixation, intramedullary nailing provided better restoration of volar tilt (6.9±6.3° vs. 9.4±1.6°, p=0.004) and wrist flexion (74.3±15.1° vs. 67.9±13.1°, p=0.003). However, volar plate fixation was significantly better in restoration of supination (85.0±8.3° vs. 81.9±5.1°, p=0.001) and radio-ulnar variance (0.7±0.8 mm vs. 1.1±0.9 mm, p=0.05), DASH score (9.2± 9.0 vs. 15.0 ±3.3, p=0.035), and Gartland-Werley score (1.8±0.9 vs. 4.9±5.4, p=0.004). Volar plate and intramedullary nailing groups were comparable with respect to Stewart score (1.5±0.7 and 1.6±1.3, p>0.05) and complication rates (34.3% vs. 37.9%, p>0.05). Conclusions: Both volar plate fixation and intramedullary nail fixation provide good clinical and radiographic outcomes for primarily extra-articular or simple intra-articular distal radius fractures. As intramedullary nailing provides better restoration of volar tilt and wrist flexion, volar plate fixation provides better restoration of radio-ulnar variance and wrist supination. | |
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| dc.identifier.citation | Çalbıyık, M.,İpek, D. (2018). Use of volar locking plate versus intramedullary nailing for fixation of distal radius fractures: a retrospective analysis of clinical and radiographic outcomes. Medical Science Monitor, 24, 602-613. | |
| dc.identifier.doi | 10.12659/MSM.908762 | |
| dc.identifier.endpage | 613 | en_US |
| dc.identifier.issn | 1643-3750 | |
| dc.identifier.scopusquality | Q1 | |
| dc.identifier.startpage | 602 | en_US |
| dc.identifier.uri | https://hdl.handle.net/11491/150 | |
| dc.identifier.uri | https://doi.org/10.12659/MSM.908762 | |
| dc.identifier.volume | 24 | en_US |
| dc.identifier.wosquality | N/A | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.language.iso | en | |
| dc.publisher | Int Scientific Literature | |
| dc.relation.ispartof | Medical Science Monitor | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
| dc.subject | Fracture Fixation | en_US |
| dc.subject | Intramedullary | en_US |
| dc.subject | Radiography | en_US |
| dc.subject | Radius Fractures | en_US |
| dc.subject | Volar Plate | en_US |
| dc.title | Use of volar locking plate versus intramedullary nailing for fixation of distal radius fractures: a retrospective analysis of clinical and radiographic outcomes | |
| dc.type | Article |
