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Analysis of the Variables Affecting the Outcome of Management of Distal Radius Fractures with a Variable-Angle Volar Locking Plate

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Last updated: 30 Jan 2023

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Abstract

Background: The new low-profile plates and locking systems have popularized surgical options. Treatment modalities exist for surgical management of distal radius fractures, including open reduction and internal fixation (ORIF) with volar or dorsal plates and screws.
Objectives: This study aimed to find a possible correlation between various parameters, either patient-related (age, bone quality) or fracture-related (type, reduction), and to analyze the impact of these factors on the radiological and clinical outcome of distal radius fractures treated by a variable-angle volar locking plate.
Patients and Methods: The study included 18 patients suffering from fractures of the distal radius admitted to the Orthopedic Department in Zagazig University Hospital. All patients were operated from January 2019 to June 2019. A total of 18 patients complete at least 6 months follow up period.
Results: The results were assessed according to the disabilities of arm, shoulder, and hand scoring system (DASH score), eight patients had excellent results with average 3.54 ±1.23, eight patients had good results with average 9.71 ±1.97.
Conclusions: There was a negative correlation between patients' age, sex, type of fracture, or presence of an associated ulnar styloid fracture and the final score. This correlation was statistically insignificant. A correlation was found between the affected dominant hand or number of rows of distal screws and the final functional score. this was found to be statistically significant.

DOI

10.21608/ejhm.2020.112310

Keywords

Distal Radius, variable angle, locking plates

Authors

First Name

Ahmed Mohamed

Last Name

Abdel Wahed

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt.

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Orcid

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First Name

Mohamed Safwat Mostafa

Last Name

Shalaby

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt.

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City

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Orcid

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First Name

Mohamed Elsadek

Last Name

Attia

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt.

Email

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City

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Orcid

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First Name

Reda Hussien

Last Name

Elkady

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt.

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Volume

81

Article Issue

1

Related Issue

16813

Issue Date

2020-10-01

Receive Date

2020-09-13

Publish Date

2020-10-01

Page Start

1,234

Page End

1,239

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 1_Pages 1234-1239.pdf

PDF . 637.8kB

Link

https://ejhm.journals.ekb.eg/article_112310.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=112310

Order

13

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023