Publication: Fracturas inestables de radio distal. Nuestra experiencia en osteosíntesis con placa volar de ángulo variable
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Identifiers
Date
2012
Authors
Rojas, Facundo
Rodríguez León, Alfredo
Gormaz Talavera, Irene
Aragón Outon, Adela
Álvarez Blanco, Miguel
Villanueva Pareja, Francisco
Advisors
Journal Title
Journal ISSN
Volume Title
Publisher
Sociedad Andaluza de Traumatología y Ortopedia (SATO)
Abstract
OBJETIVO: evaluar los resultados funcionales, subjetivos y radiológicos obtenidos en los pacientes tratados con placa volar de ángulo variable para fracturas inestables de radio distal y compararlos con estudios actuales. PACIENTES Y MÉTODOS: De octubre de 2008 a julio de 2011, se incluyeron 20 pacientes en los que se realizó abordaje volar de muñeca lateral al Flexor Carpi Radialis. Tuvieron un seguimiento promedio de 18 meses. Se evaluaron resultados clínicos y radiológicos, Mayo Wrist Score y cuestionario DASH. RESULTADOS: El promedio de edad fue de 50 años, 50% hombres y 50% mujeres. Se constató la consolidación de la fractura en todos los casos. Se obtuvo un promedio de angulación volar de 5º, inclinación radial de 19º, altura radial de 10,5mm, varianza cubital de -1mm. La valoración clínica arrojó un promedio de flexión dorsal de 75º, flexión palmar de 70º, supinación de 75º, pronación de 73º. Los resultados del cuestionario DASH mostraron un promedio de 17,8 y de 82,7 en cuando Mayo Wrist Score. CONCLUSIONES: Nuestra experiencia ha arrojado buenos resultados tanto funcionales y subjetivos, como radiológicos, similares a los encontrados en estudios con implantes de la misma generación.
OBJECTIVE: assess the functional, subjective and radiological results obtained in patients treated with variable-angle locking plate for unstable distal radius fracture and compare these results with current studies. PATIENTS AND METHOD: From October of 2008 to July of 2011, 20 patients were included who had undergone intervention using the volar approach to the Flexor Carpi Radialis. The average follow up was 18 months. Both clinical and radiological results were analyzed. The Mayo Wrist Score and DASH questioner were used. RESULTS: The average age was 50 years; 50% men and 50% women. The consolidation of the fracture was verified in all cases. An average volar angle was obtained of 5º, radial inclination of 19º, radial height of 10.5 mm, and ulnar variance of -1 mm. The clinical assessment revealed an average dorsal flexion of 75º, palm flexion of 70º, supination of 75º and pronation of 73 º. The results for the DASH questionnaire showed an average of 17.8 and 82.7 for the Mayo Wrist Score. CONCLUSIONS: Our experience has provided some good results, both in functional and subjective as well as radio logical terms, similar to those found in studies with implants from the same generation.
OBJECTIVE: assess the functional, subjective and radiological results obtained in patients treated with variable-angle locking plate for unstable distal radius fracture and compare these results with current studies. PATIENTS AND METHOD: From October of 2008 to July of 2011, 20 patients were included who had undergone intervention using the volar approach to the Flexor Carpi Radialis. The average follow up was 18 months. Both clinical and radiological results were analyzed. The Mayo Wrist Score and DASH questioner were used. RESULTS: The average age was 50 years; 50% men and 50% women. The consolidation of the fracture was verified in all cases. An average volar angle was obtained of 5º, radial inclination of 19º, radial height of 10.5 mm, and ulnar variance of -1 mm. The clinical assessment revealed an average dorsal flexion of 75º, palm flexion of 70º, supination of 75º and pronation of 73 º. The results for the DASH questionnaire showed an average of 17.8 and 82.7 for the Mayo Wrist Score. CONCLUSIONS: Our experience has provided some good results, both in functional and subjective as well as radio logical terms, similar to those found in studies with implants from the same generation.
Description
MeSH Terms
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Questionnaires
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Questionnaires
DeCS Terms
CIE Terms
Keywords
Unstable fractures, Distal radius, Volar plate osteosynthesis, Variable angle plate, Fracturas inestables, Radio distal, Osteosíntesis placa volar, Ángulo variable placa
Citation
Rojas F, Rodríguez León A, Gormaz Talavera I, Aragón Outon A, Álvarez Blanco M, Villanueva Pareja F. Fracturas inestables de radio distal. Nuestra experiencia en osteosíntesis con placa volar de ángulo variable. Rev S And Traum y Ort. 2012; 29(2/2):9-15.