Are external fixators as effective as volar plates in multi-fragmented radius distal intra-articular fractures (AO type C)?

Doğan, Necati; Büyükdoğan, Halil; Çalışkan, Gürkan; Genç, Yasin; Şahin, Adem; ERTÜRK, Cemil

doi:10.1007/s00590-022-03351-7

Are external fixators as effective as volar plates in multi-fragmented radius distal intra-articular fractures (AO type C)?

Doğan N., Büyükdoğan H., Çalışkan G., Genç Y., Şahin A., ERTÜRK C.

European Journal of Orthopaedic Surgery and Traumatology, cilt.33, sa.5, ss.1757-1765, 2023 (ESCI, Scopus)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 33 Sayı: 5
Basım Tarihi: 2023
Doi Numarası: 10.1007/s00590-022-03351-7
Dergi Adı: European Journal of Orthopaedic Surgery and Traumatology
Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE
Sayfa Sayıları: ss.1757-1765
Anahtar Kelimeler: External fixator, Ligamentotaxis, Distal radius intra-articular fracture, Volar plate
Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Introduction: This study aimed to compare the radiological and clinical results of VP and EF applications in multi-fragmented radius distal intra-articular fractures (AO type C) in our clinic. Methods: We retrospectively analysed 80 patients who underwent surgery for radius distal fracture (AO type C) between 2014 and 2020. Group 1 comprised patients who were treated with VP, and Group 2 comprised patients who were treated with EF. Radiological evaluation was performed by measuring radial inclination, radial length, volar tilt, intra-articular step-off and ulnar variance by two-way radiography. The clinical findings were evaluated using the Gartland and Werley scoring system, and complications were noted. Results: There were no statistically significant differences between the two groups in terms of age, gender, side, fracture subtypes and follow-up time (p > 0.05). There were no statistically significant differences between the two groups in radiological parameters (based on cut-off values) (p > 0.05). The clinical evaluation did not reveal a statistically significant difference between the two groups (p = 0.613). Conclusion: EF is as successful as VP in providing radiological cut-off values. EF treatment can be used as an effective and safe alternative method for multi-fragmented radius distal intra-articular fractures.