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PMID- 29845802
OWN - NLM
STAT- MEDLINE
DCOM- 20180604
LR  - 20180604
IS  - 1002-1892 (Print)
IS  - 1002-1892 (Linking)
VI  - 31
IP  - 7
DP  - 2017 Jul 1
TI  - [Surgical techniques and effectiveness of volar locking plates for senile delayed
      distal radius fractures].
PG  - 785-789
LID - 10.7507/1002-1892.201702039 [doi]
AB  - Objective: To investigate the surgical technique and effectiveness of volar
      locking plates for senile delayed distal radius fractures. Methods: Between
      October 2014 and September 2015, 25 cases of delayed distal radius fractures were
      treated by volar locking plates. There were 3 males and 22 females with an
      average age of 73 years (range, 65-87 years). Injury was caused by tumble in 19
      cases and by traffic accident in 6 cases. All the cases had closed fracture.
      According to the AO classification, 10 cases were rated as type A2, 7 cases as
      type A3, 3 cases as type B3, and 5 cases as type C1. The manual reduction and
      plaster immobilization were performed in 18 cases first, but reduction failed; no
      treatment was given in 7 cases before surgery. The time from injury to surgery
      was from 33 to 126 days (mean, 61 days). Preoperatively, the volar tilting angle 
      was (-16.0+/-3.1) degrees ; the ulnar inclining angle was (10.8+/-7.0) degrees ; 
      the radial shortening was (11.2+/-3.6) mm; the wrist range of motion was
      (41.0+/-7.5) degrees in flexion and was (42.0+/-6.3) degrees in extension; and
      the grip strength was 33.0%+/-3.1% of normal side. Results: All incisions healed 
      primarily, and no postoperative complication occurred. The patients were followed
      up 1-1.5 years (mean, 1.3 years). The X-ray films showed that fracture union was 
      achieved in all the patients, with the mean healing time of 9.2 weeks (range,
      8-12 weeks); the displacement of the articular surface was less than 1 mm. At
      last follow-up, the volar tilting angle was (13.1+/-3.2) degrees ; the ulnar
      inclining angle was (21.9+/-4.6) degrees ; the radial shortening was (2.0+/-1.1) 
      mm; the wrist range of motion was (52.0+/-11.7) degrees in flexion and was
      (65.0+/-4.8) degrees in extension; and the grip strength was 84.0%+/-4.2% of
      normal side; all showed significant difference when compared with preoperative
      ones ( P<0.05). According to the Gartland and Werley score, the results were
      excellent in 15 cases, good in 6 cases, fair in 2 cases, and poor in 2 cases at
      last follow-up; the excellent and good rate was 84%. Conclusion: By the good
      design of the volar locking plate and the command of surgical techniques, good
      effectiveness can be achieved in the treatment of senile delayed distal radius
      fracture.
FAU - Xu, Mingjian
AU  - Xu M
AD  - Department of Orthopedics, Sixth Affiliated Hospital of Shanghai Jiao Tong
      University, Shanghai, 200233, P.R.China.
FAU - Xiang, Fuzhou
AU  - Xiang F
AD  - Department of Orthopedics, Sixth Affiliated Hospital of Shanghai Jiao Tong
      University, Shanghai, 200233, P.R.China.
FAU - Li, Chunxiao
AU  - Li C
AD  - Department of Orthopedics, Sixth Affiliated Hospital of Shanghai Jiao Tong
      University, Shanghai, 200233, P.R.China.
FAU - Xiaohereti, Sulaiti
AU  - Xiaohereti S
AD  - Department of Orthopedics, Sixth Affiliated Hospital of Shanghai Jiao Tong
      University, Shanghai, 200233, P.R.China.
FAU - Sheng, Jiagen
AU  - Sheng J
AD  - Department of Orthopedics, Sixth Affiliated Hospital of Shanghai Jiao Tong
      University, Shanghai, 200233, [email protected]
LA  - chi
PT  - Journal Article
PL  - China
TA  - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
JT  - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi =
      Chinese journal of reparative and reconstructive surgery
JID - 9425194
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Bone Plates
MH  - Female
MH  - *Fracture Fixation, Internal
MH  - Fractures, Closed
MH  - Humans
MH  - Male
MH  - Postoperative Complications
MH  - Radius Fractures/*surgery
MH  - Range of Motion, Articular
MH  - Reconstructive Surgical Procedures
MH  - Treatment Outcome
MH  - Ulna
MH  - Wrist
MH  - Wrist Joint
OTO - NOTNLM
OT  - Delayed distal radius fracture
OT  - internal fixation
OT  - volar locking plate
EDAT- 2018/05/31 06:00
MHDA- 2018/06/05 06:00
CRDT- 2018/05/31 06:00
PHST- 2018/05/31 06:00 [entrez]
PHST- 2018/05/31 06:00 [pubmed]
PHST- 2018/06/05 06:00 [medline]
AID - 10.7507/1002-1892.201702039 [doi]
PST - ppublish
SO  - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Jul 1;31(7):785-789. doi:
      10.7507/1002-1892.201702039.