Comparison of open reduction volar locking plate fixation and closed reduction percutaneous k-wire fixation in the treatment of AO type C1 distal radius fractures
International Journal of Clinical and Experimental Medicine, cilt.10, sa.1, ss.1139-1144, 2017 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 10 Sayı: 1
- Basım Tarihi: 2017
- Dergi Adı: International Journal of Clinical and Experimental Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.1139-1144
- Anahtar Kelimeler: Distal radius fractures, volar locking plates, pinning, K-wires, intra-articular fractures
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: We aimed to compare both functional and radiological outcomes of AO classification type C1 distal radial fractures managed using volar locking plates and percutaneous K-wire fixation. Materials and methods: In total, 15 patients were included in group 1, in which open reduction and internal fixation using volar locking plates were performed, whereas 15 patients were included in group 2, in which closed reduction and percutaneous K-wire fixation were utilized. In both groups, the functional outcomes were evaluated according to the Gartland-Werley scoring system. The Knirk and Jupiter scoring system was used to classify arthritic changes. Stewart’s radiological assessment criteria were used in angular assessments. Grip strength measurement was performed. Results: At the end of the follow-up, a significant difference was detected between the groups in volar tilt value (P<0.05) but not in radial inclination and radial length (P>0.05). Significant differences were detected in the Gartland-Werley score and the mean Knirk and Jupiter score between the two groups (P<0.05). No significant difference was found in the mean Stewart score between the groups (P>0.05). Conclusion: It was concluded that K-wire fixation seems insufficient in distal radius fractures of the complex intra-articular type.