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Radius alt uç eklem içi kırıklarda volar titanyum kilitli plak uygulamalarının erken ve orta dönem etkinliği

Yıl 2019, Cilt: 3 Sayı: 1, 33 - 39, 25.04.2019
https://doi.org/10.30565/medalanya.479342

Öz


Amaç: Erişkin distal radius kırıklarında titanyum volar kilitli plak uygulanan olgularımıza ait fonksiyonel ve radyolojik sonuçların erken ve orta dönem analizinin yapılarak etkinliğinin ortaya konulmasıdır. 

Hastalar ve Yöntemler: Distal Radius kırığı nedeniyle volar kilitli plak uygulanan 64 hasta (67 kırık ekstremite) retrospektif olarak incelendi. 36 kadın, 31 erkek, yaş ortalaması 53.31(18-75) idi. Frkyman sınıflamasına göre ve AO sınıflamasına göre sınıflandırıldı. Modifiye Gartlant Werley Skoru, Disabilities of the Arm, Shoulder and Hand (DASH) scoru, Modifiye Stewart skorlama sistemine göre değerlendirildi. 

Bulgular: Modifiye Gartland-Werley Skoruna göre 35(%52.2)’i mükemmel, 27(%39.7)’si iyi, 4(%5.9)’u orta ve 1’i kötü (%1.5) olarak değerlendirildi. DASH skoru ortalama değeri 9,5±8.8(0-35). Palmar eğim ameliyat öncesi -5.58±14.9 [(-50)-(30)], ameliyat sonrası 3.65±10.88[(-30)-(+45)] olarak değerlendirildi. İstatistiksel olarak radial yükseklik, radial inklinasyon ve palmar eğimin anlamlı düzeyde düzeldiği görüldü(p=0.001). Stewart radyolojik skoru değerlendirildiğinde 37(%54.4)’si mükemmel, 26(%38.8)’i iyi, 4(%5.9)’ü orta olarak değerlendirildi. 













Sonuç: Erişkin distal radius kırıklarında iyi sonuçların elde edilebilmesi kırığın iyi değerlendirilmesi, uygun tedavi şeklinin seçilmesi, uygun cerrahi tekniğin kullanılması, Anatominin iyi oluşturulması ve sağlam fiksasyon ile mümkün olabilir. Titanyum voler kilitli plak ile kırık tesbiti etkili bir tedavi yöntemi olup erken harekete izin vererek iyileşmeyi hızlandırdığı ve sonuça olumlu katkı sağlamaktadır. 

Kaynakça

  • 1. La Fontaine M, Hardy D, Delience P.H. Stability assessment of distal radius fractures. Injury 1989; 20: 208-21. PMID: 2592094
  • 2. Zhang SL, Ji B, Cheng XY, Zhou Q, Shi JX, Pang JH. [Comparison between external fixator and DVR system for the treatment of AO type C distal radial fractures]. Zhongguo Gu Shang. 2016 25;29(11):1005-1010. PMID: 29292636
  • 3. Sha L, Chen Q, Sun L, Dong B, Li L. [Effectiveness comparison of eksternal fixation and volar locking compression plate in treatment of distal Radius fractures of type C]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2015 ;29(6):683-7. PMID: 26466468
  • 4. Galle SE, Harness NG, Hacquebord JH, Burchette RJ, Peterson B. Complications of Radial Column Plating of the Distal Radius. Hand (N Y). 2018 Feb 1. PMID: 29484901
  • 5. Micić I, Mitković M, Mladenović D, Karalejić S, Milenković S, Gajdobranski D. [External fixator by Mitkovic in the treatment of comminuted intraarticular fractures of the distalradius]. Med Pregl. 2004 ;57(9-10):473-9. PMID: 15675622
  • 6. Varnas N. [Clinical results after surgeries of intraarticular distal radius fractures]. Medicina (Kaunas). 2004;40(11):1069-73. PMID: 15547307
  • 7. Athar SM, Ashwood N, Aerealis G, Bain GI. Is external fixation a better way than plaster to supplement K-wires in non-comminuted distalradius fractures? Postgrad Med J. 2018 ;94(1107):20-24. PMID: 28874502
  • 8. Białas A, Synder M, Dyhdalewicz A, Walenczak K. Analysis of Upper Limb Movement Range and Global Grip Strength After Surgical Treatment of AO Type C Distal Radius Fractures Using LCP Plates and K-wires. . Ortop Traumatol Rehabil. 2016 May 5;18(3):223-229. PMID: 28157078
  • 9. Ikpeze TC, Smith HC, Lee DJ, Elfar JC. Distal Radius Fracture Outcomes and Rehabilitation. Geriatr Orthop Surg Rehabil. 2016;7(4):202-205. PMID: 27847680
  • 10. Gartland JJ Jr, Werley WC. Evaluation of healed Colles’ fractures. J Bone Joint Surg 1951; 33-A(4): 895-907. PMID: 14880544
  • 11. Hanel DP. Treatment of intraartiküler fractures. In Trumble TE (Ed) Hand Surgery Update. Hand, Elbow and Shoulder 3rd ed. American Society for Surgery of the Hand, Rosemont,2002; pp : 105-121.
  • 12. Tarallo L, Mugnai R, Zambiannchi F; Volar Plate Fixation for the treatment of Distal Radius Fractures : Analysis of Adverse Events. J Orthop Trauma,2013;740-745. PMID: 23515129
  • 13. Fowler J, Ilyas A. Prospective Evaluation of Distal Radius Fractures Treated With Variable-Angle Volar Locking Plates. J Hand Surg Am. 2013;38(11):2198-203. PMID: 24206983
  • 14. Unglaub F, Langer MF, Hohendorff B, Müller LP, Unglaub JM, Hahn P, Krimmer H, Spies CK. [Distal radius fracture of the adult : Diagnostics and therapy]. Orthopade. 2016 Nov 4. [Epub ahead of print] German. PMID: 27815606
  • 15. Mignemi ME, Byram IR, Wolfe CC, Fan KH, Koehler EA, Block JJ, Jordanov MI, Watson JT, Weikert DR, Lee DH: Radiographic Outcomes of Volar Plating for Distal Radius Fractures. J Hand Surg Am. 2013;38(1):40-8. PMID: 23218558
  • 16. Williksen JH, Frihagen F, Hellund JC, Kvernmo HD, Husby T. Volar Locking Plates Versus External Fixation and Adjuvant Pin Fixation In Unstable Distal Radius Fractures. A Randomised, Controlled Study. J Hand Surg Am. 2013;38(8):1469-76. PMID: 23890493
  • 17. Bruyere A, Vernet P, Botero SS, Igeta Y, Hidalgo Diaz JJ, Liverneaux P. Conservative treatment of distal fractures after the age of 65: a review of literature. Eur J Orthop Surg Traumatol. 2018 Feb 8. PMID: 29423866
  • 18. Yin SQ, Huang YP, Li MZ, Pan JD, Ding WQ, Wang X. [Relationship between radiographic parameters and clinical outcomes of elderly patients with distal radius fractures]. Zhongguo Gu Shang. 2018;25;31(2):141-144. PMID: 29536684
  • 19. Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg 1986; 68-A(5): 647-59. PMID: 3722221
  • 20. Cooney WP,Linscheid RL, Dobyns JH: Fractures and dislocation in wrist: Rockwood and Green’s Fractures in adults. 3 th edt. Rockwood CA, Green DP, Bucholz RW (Eds). JB Lippincott co. Newyork. Volume-I, Chapter 8. P:563-638.
  • 21. Eren A, Sabancı Ü, Kayalı C, Mavi E. Distal radius kırıklarında aksiyel dinamik eksternal fiksatör uygulamalarımız. Ege R (ed.) XV Milli Türk Ortopedi ve Travmatoloji Kongresi’nde: 1997 Eylül 13-17; İstanbul, Türkiye. Ankara. Türk Hava Kurumu Basımevi. 1997, s.113-6.
  • 22. Adams CR. Outline of Fractures. 6th ed. Edinburgh: Churchill Livingstone, 1972;158-68.
  • 23. Bacorn RW, Kurtzke JF. Colles’ fracture; A study of two thousand cases from the Newyork State Workmen’s Compensation Board. J Bone Joint Surg. 1953; 35-A: 643-58. PMID: 13069552
  • 24. Sügün TS , Gürbüz Y , Ozaksar K , Toros T , Kayalar M , Bal E. Results of volar locking plating for unstable distal radius fractures. Acta Orthop Traumatol Turc 2012;46(1);22- 25. PMID: 22441447
  • 25. Jones KG. Colles’ fracture. J Arkansas Med Soc 1976; 73: 244-247. PMID: 136438
  • 26. Wakasugi T, Shirasaka R, Kawauchi T, Fujita K, Okawa A. Complications of Intramedullary Fixation for Distal Radius Fractures in Elderly Patients: A Retrospective Analysis Using McKay's Complication Checklist. J Hand Surg Asian Pac Vol. 2018;23(1):71-75. PMID: 29409407
  • 27. Niu BB, Zhang Y, Wang D, Gao ZC, Yang WL, Yang PL, He XJ. [Meta analysis of clinical effects between intramedullary nail and volar plate internal fixation for distal radius fractures]. Zhongguo Gu Shang. 2017;25;30(6):525-531. PMID: 29424173
  • 28. Hershman S, Immerman I, Bechtel C, Lekic N. The Effects of Pronmator Quadratus Repair on Outcomes After Volar Plating of Distal Radius. j Orthop Trauma. 2013;27(3):130- 133. PMID: 22664580
  • 29. Goorens CK, Van Royen K, Grijseels S, Provyn S, De Mey J, Scheerlinck T, Goubau JF. Ultrasonographic evaluation of the distance between the flexor pollicis longus tendon and volar prominence of the plate as a function of volar plate positioning and pronator quadratus repair - A cadaver study. Hand Surg Rehabil. 2018 Mar 19. PMID: 29567086
  • 30. Nanno M, Kodera N, Tomori Y, Takai S. Ultrasonographic movement of the flexor pollicis longus tendon before and after removal of a volar plate for the distal radius fracture. J Orthop Surg (Hong Kong). 2018 Jan-Apr;26(1). PMID: 29486669
  • 31. Gyuricza C, Carlson MG, Weiland AJ, Wolfe SW, Hotchkiss RN, Daluiski A. Removal of Locked Volar Plates After Distal Radius Fractures. J Hand Surg Am.2011;36(6):982-5. PMID: 21571444 32. Keizer J, Roukema G.R, Rhemrev S.J, Meylaerts S.A. Volar plating for displaced intraarticular fractures of the distal radius in an elderly population. Current Orthopaedic Practice. 2013;24(3):298-303. doi: 10.1097/BCO.0b013e31828df546
  • 33. Kamano M, Honda Y, Kazuki K, Yasuda M. Palmar plating for dorsally displaced fractures of the distal radius. Clin Orthop.2002;397:403-8. PMID: 11953634
  • 34. Fok MW,Klausmeyer MA, Fernandez DL, Orbay JL, Bergada AL. Volar Plate Fixation of Intra-Articular Distal Radius Fractures: A Retrospective Study. J Wrist Surg.2013;2(3):247-54. PMID: 24436824
  • 35. Greybe D, Boland MR, Wu T, Mithraratne K. Examining the influence of distal radius orientation on distal radioulnar joint contact using a finite element model. Int J Numer Method Biomed Eng.2016 Nov;32(11). PMID: 26728190
  • 36. Hevonkorpi TP, Launonen AP, Huttunen TT, Kannus P, Niemi S, Mattila VM. Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 - too many patients are yet operated on? BMC Musculoskelet Disord. 2018;2;19(1):70. PMID: 29499673

Early and mid-term efficacy of volar titanium lock plate applications in radial distal intraarticular fractures

Yıl 2019, Cilt: 3 Sayı: 1, 33 - 39, 25.04.2019
https://doi.org/10.30565/medalanya.479342

Öz

 Aim: The aim of the study is to determine the efficacy of the functional and radiological results of the pa-tients who underwent titanium volar locking plaque in adult distal radius fractures with early and mid-term analysis. 

Patients and methods: 64 patients (67 fractured limbs) who underwent volar locking plate due to distal radius fracture were retrospectively analyzed. The mean age was 53.31 (18-75). They were classified according to the Frkyman classification and AO classification. The modified Gartlant Werley Score, Disability of the Arm, and Hand (DASH) score were evaluated according to Modified Stewart scoring system. 

Results: According to Modified Gartland-Werley Score, 35 (52.2%) were evaluated as excellent, 27 (39.7%) as good, 4 (5.9%) as moderate and 1 (1.5%) as poor. The mean value of DASH score was 9.5 ± 8.8 (0-35). Palmar slope preoperatively was -5.58 ± 14.9 [(-50) - (30)], postoperatively 3.65 ± 10.88 [(- 30) - (+ 45)]. Radial height, radial inclination and palmar slope were significantly improved (p = 0.001). When Stewart radiological score was evaluated, 37 (54.4%) were excellent, 26 (38.8%) were as good and 4 (5.9%) as moderate. 













Conclusion: It is possible to obtain good results in adult distal radius fractures with good evaluation of the fracture, choosing the appropriate treatment method, using the appropriate surgical technique, good anatomy and robust fixation. Detection of fracture with titanium voler plate is an effective treatment method, allowing early movement to accelerate healing and contribute positively to the result. 

Kaynakça

  • 1. La Fontaine M, Hardy D, Delience P.H. Stability assessment of distal radius fractures. Injury 1989; 20: 208-21. PMID: 2592094
  • 2. Zhang SL, Ji B, Cheng XY, Zhou Q, Shi JX, Pang JH. [Comparison between external fixator and DVR system for the treatment of AO type C distal radial fractures]. Zhongguo Gu Shang. 2016 25;29(11):1005-1010. PMID: 29292636
  • 3. Sha L, Chen Q, Sun L, Dong B, Li L. [Effectiveness comparison of eksternal fixation and volar locking compression plate in treatment of distal Radius fractures of type C]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2015 ;29(6):683-7. PMID: 26466468
  • 4. Galle SE, Harness NG, Hacquebord JH, Burchette RJ, Peterson B. Complications of Radial Column Plating of the Distal Radius. Hand (N Y). 2018 Feb 1. PMID: 29484901
  • 5. Micić I, Mitković M, Mladenović D, Karalejić S, Milenković S, Gajdobranski D. [External fixator by Mitkovic in the treatment of comminuted intraarticular fractures of the distalradius]. Med Pregl. 2004 ;57(9-10):473-9. PMID: 15675622
  • 6. Varnas N. [Clinical results after surgeries of intraarticular distal radius fractures]. Medicina (Kaunas). 2004;40(11):1069-73. PMID: 15547307
  • 7. Athar SM, Ashwood N, Aerealis G, Bain GI. Is external fixation a better way than plaster to supplement K-wires in non-comminuted distalradius fractures? Postgrad Med J. 2018 ;94(1107):20-24. PMID: 28874502
  • 8. Białas A, Synder M, Dyhdalewicz A, Walenczak K. Analysis of Upper Limb Movement Range and Global Grip Strength After Surgical Treatment of AO Type C Distal Radius Fractures Using LCP Plates and K-wires. . Ortop Traumatol Rehabil. 2016 May 5;18(3):223-229. PMID: 28157078
  • 9. Ikpeze TC, Smith HC, Lee DJ, Elfar JC. Distal Radius Fracture Outcomes and Rehabilitation. Geriatr Orthop Surg Rehabil. 2016;7(4):202-205. PMID: 27847680
  • 10. Gartland JJ Jr, Werley WC. Evaluation of healed Colles’ fractures. J Bone Joint Surg 1951; 33-A(4): 895-907. PMID: 14880544
  • 11. Hanel DP. Treatment of intraartiküler fractures. In Trumble TE (Ed) Hand Surgery Update. Hand, Elbow and Shoulder 3rd ed. American Society for Surgery of the Hand, Rosemont,2002; pp : 105-121.
  • 12. Tarallo L, Mugnai R, Zambiannchi F; Volar Plate Fixation for the treatment of Distal Radius Fractures : Analysis of Adverse Events. J Orthop Trauma,2013;740-745. PMID: 23515129
  • 13. Fowler J, Ilyas A. Prospective Evaluation of Distal Radius Fractures Treated With Variable-Angle Volar Locking Plates. J Hand Surg Am. 2013;38(11):2198-203. PMID: 24206983
  • 14. Unglaub F, Langer MF, Hohendorff B, Müller LP, Unglaub JM, Hahn P, Krimmer H, Spies CK. [Distal radius fracture of the adult : Diagnostics and therapy]. Orthopade. 2016 Nov 4. [Epub ahead of print] German. PMID: 27815606
  • 15. Mignemi ME, Byram IR, Wolfe CC, Fan KH, Koehler EA, Block JJ, Jordanov MI, Watson JT, Weikert DR, Lee DH: Radiographic Outcomes of Volar Plating for Distal Radius Fractures. J Hand Surg Am. 2013;38(1):40-8. PMID: 23218558
  • 16. Williksen JH, Frihagen F, Hellund JC, Kvernmo HD, Husby T. Volar Locking Plates Versus External Fixation and Adjuvant Pin Fixation In Unstable Distal Radius Fractures. A Randomised, Controlled Study. J Hand Surg Am. 2013;38(8):1469-76. PMID: 23890493
  • 17. Bruyere A, Vernet P, Botero SS, Igeta Y, Hidalgo Diaz JJ, Liverneaux P. Conservative treatment of distal fractures after the age of 65: a review of literature. Eur J Orthop Surg Traumatol. 2018 Feb 8. PMID: 29423866
  • 18. Yin SQ, Huang YP, Li MZ, Pan JD, Ding WQ, Wang X. [Relationship between radiographic parameters and clinical outcomes of elderly patients with distal radius fractures]. Zhongguo Gu Shang. 2018;25;31(2):141-144. PMID: 29536684
  • 19. Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg 1986; 68-A(5): 647-59. PMID: 3722221
  • 20. Cooney WP,Linscheid RL, Dobyns JH: Fractures and dislocation in wrist: Rockwood and Green’s Fractures in adults. 3 th edt. Rockwood CA, Green DP, Bucholz RW (Eds). JB Lippincott co. Newyork. Volume-I, Chapter 8. P:563-638.
  • 21. Eren A, Sabancı Ü, Kayalı C, Mavi E. Distal radius kırıklarında aksiyel dinamik eksternal fiksatör uygulamalarımız. Ege R (ed.) XV Milli Türk Ortopedi ve Travmatoloji Kongresi’nde: 1997 Eylül 13-17; İstanbul, Türkiye. Ankara. Türk Hava Kurumu Basımevi. 1997, s.113-6.
  • 22. Adams CR. Outline of Fractures. 6th ed. Edinburgh: Churchill Livingstone, 1972;158-68.
  • 23. Bacorn RW, Kurtzke JF. Colles’ fracture; A study of two thousand cases from the Newyork State Workmen’s Compensation Board. J Bone Joint Surg. 1953; 35-A: 643-58. PMID: 13069552
  • 24. Sügün TS , Gürbüz Y , Ozaksar K , Toros T , Kayalar M , Bal E. Results of volar locking plating for unstable distal radius fractures. Acta Orthop Traumatol Turc 2012;46(1);22- 25. PMID: 22441447
  • 25. Jones KG. Colles’ fracture. J Arkansas Med Soc 1976; 73: 244-247. PMID: 136438
  • 26. Wakasugi T, Shirasaka R, Kawauchi T, Fujita K, Okawa A. Complications of Intramedullary Fixation for Distal Radius Fractures in Elderly Patients: A Retrospective Analysis Using McKay's Complication Checklist. J Hand Surg Asian Pac Vol. 2018;23(1):71-75. PMID: 29409407
  • 27. Niu BB, Zhang Y, Wang D, Gao ZC, Yang WL, Yang PL, He XJ. [Meta analysis of clinical effects between intramedullary nail and volar plate internal fixation for distal radius fractures]. Zhongguo Gu Shang. 2017;25;30(6):525-531. PMID: 29424173
  • 28. Hershman S, Immerman I, Bechtel C, Lekic N. The Effects of Pronmator Quadratus Repair on Outcomes After Volar Plating of Distal Radius. j Orthop Trauma. 2013;27(3):130- 133. PMID: 22664580
  • 29. Goorens CK, Van Royen K, Grijseels S, Provyn S, De Mey J, Scheerlinck T, Goubau JF. Ultrasonographic evaluation of the distance between the flexor pollicis longus tendon and volar prominence of the plate as a function of volar plate positioning and pronator quadratus repair - A cadaver study. Hand Surg Rehabil. 2018 Mar 19. PMID: 29567086
  • 30. Nanno M, Kodera N, Tomori Y, Takai S. Ultrasonographic movement of the flexor pollicis longus tendon before and after removal of a volar plate for the distal radius fracture. J Orthop Surg (Hong Kong). 2018 Jan-Apr;26(1). PMID: 29486669
  • 31. Gyuricza C, Carlson MG, Weiland AJ, Wolfe SW, Hotchkiss RN, Daluiski A. Removal of Locked Volar Plates After Distal Radius Fractures. J Hand Surg Am.2011;36(6):982-5. PMID: 21571444 32. Keizer J, Roukema G.R, Rhemrev S.J, Meylaerts S.A. Volar plating for displaced intraarticular fractures of the distal radius in an elderly population. Current Orthopaedic Practice. 2013;24(3):298-303. doi: 10.1097/BCO.0b013e31828df546
  • 33. Kamano M, Honda Y, Kazuki K, Yasuda M. Palmar plating for dorsally displaced fractures of the distal radius. Clin Orthop.2002;397:403-8. PMID: 11953634
  • 34. Fok MW,Klausmeyer MA, Fernandez DL, Orbay JL, Bergada AL. Volar Plate Fixation of Intra-Articular Distal Radius Fractures: A Retrospective Study. J Wrist Surg.2013;2(3):247-54. PMID: 24436824
  • 35. Greybe D, Boland MR, Wu T, Mithraratne K. Examining the influence of distal radius orientation on distal radioulnar joint contact using a finite element model. Int J Numer Method Biomed Eng.2016 Nov;32(11). PMID: 26728190
  • 36. Hevonkorpi TP, Launonen AP, Huttunen TT, Kannus P, Niemi S, Mattila VM. Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 - too many patients are yet operated on? BMC Musculoskelet Disord. 2018;2;19(1):70. PMID: 29499673
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi
Bölüm Araştırma Makalesi
Yazarlar

Bangin Bekir Candan Bu kişi benim 0000-0001-7967-7054

Yavuz Akalın 0000-0001-7967-7054

Nazan Çevik 0000-0001-7967-7054

Alpaslan Öztürk 0000-0001-7967-7054

Yüksel Özkan 0000-0001-7967-7054

Yayımlanma Tarihi 25 Nisan 2019
Gönderilme Tarihi 6 Kasım 2018
Kabul Tarihi 26 Mart 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 3 Sayı: 1

Kaynak Göster

Vancouver Candan BB, Akalın Y, Çevik N, Öztürk A, Özkan Y. Early and mid-term efficacy of volar titanium lock plate applications in radial distal intraarticular fractures. Acta Med. Alanya. 2019;3(1):33-9.

9705 

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