The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

External fixation combined with locking plate fixation for type C distal radius fracture

Author : BIAN Jian, ZHAO Xiaolong, CHEN De- jian, QIU Fu-ping.     
Working unit : Department of Orthopedics, the Affiliated Nanjing Jiangbei People's Hospital of Nantong University, Nanjing, Jiangsu, 210048, China
Page : 2228-2232.
Key words : type C distal radius fracture, external fixator, locking plate
Abstract: [Objective] To explore the clinical outcomes of external fixation (EF) combined with locking plate fixation for type C distal radius fracture. [Methods] A total of 60 patients who admitted to our hospital in 2018 for type C distal radius fracture were enrolled in this study, and were divided into two groups by random number table, with 30 patients in each group. The patients in the combined group had fractures fixed with external fixator combined with locking plate, whereas those in the EF group was treated with external fixator only. The perioperative data, clinical and radiographic consequences were compared between the two groups. [Results] All the patients in both groups had surgical procedures performed successfully without serious complication, such as neurovascular injuries in anyone of them. Although the combined group consumed significantly longer operation time, associated with significantly greater total incision length and intraoperative blood loss than the EF group (P<0.05) ,no a statistically significant difference in intraoperative fluoroscopy frequency was proved between them (P>0.05) . However,the combined group had the external fixator removed significantly earlier than the EF group (P<0.05) . At 12 months postoperatively, the combined group had significantly less VAS and Gartland-Werley scores than the EF group (P<0.05) , nevertheless no statistically significant differences were found regarding ranges of motion in all directions of the affected wrist and forearm between the two group (P>0.05) . Regarding to radiographic assessment, the combined group regained significantly greater ulnar slant, palmar inclination and height of radial styloid than the EF group after operation (P<0.05) , and the former achieved bony healing significantly earlier than the latter(P<0.05) . [Conclusion] The external fixation combined with locking plate fixation does achieve clinical outcomes superior to external fixation only for type C distal radius fracture.
summary:
External fixation combined with locking plate fixation for type C distal radius fracture   
BIAN Jian, ZHAO Xiaolong, CHEN De- jian, QIU Fu-ping.
Orthop J Chin, 27(24):   2228-2232.