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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2021, Cilt 35, Sayı 2, Sayfa(lar) 127-133
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Comparison of the Mid-Term Results of Patients Who Underwent Wrist Fixators and Open Reduction Plate Screws in Radius Distal Intraarticular Fractures
Ömer Kays ÜNAL, Mirza Zafer DAĞTAŞ
Maltepe Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, TÜRKİYE
Keywords: Radius distal intraarticular fracture, internal fixation, volar plate, external fixation

Objective: The aim of this study is to compare the clinical features and mid-term results of patients who underwent external fixator and volar plate in the surgical treatment of distal radius fractures.

Materials and Methods: The study was carried out by retrospectively examining the files of patients who were underwent external fixator or volar plate due to distal radius intra-articular fracture between May 2014 and December 2019 in Maltepe University Faculty of Medicine orthopedics clinic. Demographic data, fracture classification, operation time, duration of hospitalization, follow-up time, complications, number of revisions, and MAYO wrist score of patients were recorded and the results were compared according to the surgical technique applied.

Results: Of the 60 cases evaluated in the study, 32 were in the volar plate group and 28 were in the external fixator group. The mean follow-up period was 28.08±4.64 months, and the mean age was 50.20±14.69. Compared to the external fixation group, the operation time (P<0.001) and the duration of hospitalization in the volar plate group was statistically significantly longer (P=0.002). While the MAYO wrist score was excellent/good (88.94±3.13) in all patients in the volar plate group, it was excellent/good in 57.1% of the patients in the external fixation group (80.43±6,12). The MAYO wrist score of the cases with volar plate was statistically significantly better (P<0.001).

Conclusion: Compared to external fixation in distal intraarticular radius fractures, the surgical operation time and duration of hospitalization were longer in the volar plate approach, but the mid-term follow-up results were more successful.

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