Comparison of conservative treatment and volar locking plate surgery in treating intra-articular distal radius fractures in elderly patients

doi:10.3877/cma.j.issn.1674-0785.2022.06.005

Abstract

Abstract:

Objective

To compare the range of motion and functional scores of distal radius intraarticular fractures in elderly patients after conservative and volar locking plate surgery.

Methods

A total of 75 patients with intra-articular fractures of the distal radius treated at Peking University Shougang Hospital from January 2017 to December 2019 were retrospectively studied. Among them, 33 patients were treated by manual reduction and plaster external fixation, and 42 patients were treated by volar locking plate surgery. The efficacy of the two groups was evaluated by wrist motion and Disabilities of the Arm, Shoulder and Hand (DASH) score at 12 months after treatment.

Results

The parameters of range of motion in the conservative group were the following: dorsiflexion, (60.7±7.2)°; palmar flexion, (53.6±10.5)°; pronation, (83.9±8.9)°; supination, (83.8±7.7)°; radial deviation, (23.2±8.1)°; ulnar deviation, (36.2±7.8)°; DASH score, 11.1±9.4; the corresponding parameters in the operation group were (58.2±9.4)°, (50.1±10.0)°, (83.1±8.8)°, (83.9±8.4)°, (22.8±7.0)°, (37.5±7.4)°, and (9.8±10.8). There was no significant difference in these parameters between the two groups (P＞0.05).

Conclusion

Both conservative treatment and volar locking plate surgery are effective in the treatment of intra-articular fractures of the distal radius in the elderly. There is no significant difference between the two. The appropriate treatment should be selected according to the specific conditions of patients.

Key words: Distal radius fracture, Intra-articular fracture, Conservative treatment, Volar locking plate, Elderly

Pengfei Lv, Zheng Pei, Qinghua Zhang, Jiabang Liu. Comparison of conservative treatment and volar locking plate surgery in treating intra-articular distal radius fractures in elderly patients[J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(06): 487-492.

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URL: https://zhlcyszz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0785.2022.06.005

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Figures/Tables 4

组别	例数	性别［例（%）］		年龄（岁， $x ¯$ ±s）	损伤部位［例（%）］		骨折AO分型［例（%）］
组别	例数	男	女	年龄（岁， $x ¯$ ±s）	左	右	C1	C2	C3
保守组	33	9（27.0）	24（73.0）	74.6±4.1	16（48.0）	17（52.0）	14（43.0）	10（30.0）	9（27.0）
手术组	42	13（31.0）	29（69.0）	73.4±4.4	23（55.0）	19（45.0）	20（48.0）	9（21.0）	13（31.0）
统计值		χ²=0.121		t=1.119	χ²=0.292		χ²=0.770
P值		0.728		0.267	0.589		0.681

组别	例数	性别［例（%）］		年龄（岁， $x ¯$ ±s）	损伤部位［例（%）］		骨折AO分型［例（%）］
组别	例数	男	女	年龄（岁， $x ¯$ ±s）	左	右	C1	C2	C3
保守组	33	9（27.0）	24（73.0）	74.6±4.1	16（48.0）	17（52.0）	14（43.0）	10（30.0）	9（27.0）
手术组	42	13（31.0）	29（69.0）	73.4±4.4	23（55.0）	19（45.0）	20（48.0）	9（21.0）	13（31.0）
统计值		χ²=0.121		t=1.119	χ²=0.292		χ²=0.770
P值		0.728		0.267	0.589		0.681

组别	背伸	掌屈	旋前	旋后	桡偏	尺偏	DASH评分（分）
保守组	（60.7±7.2）°	（53.6±10.5）°	（83.9±8.9）°	（83.8±7.7）°	（23.2±8.1）°	（36.2±7.8）°	11.1±9.4
手术组	（58.2±9.4）°	（50.1±10.0）°	（83.1±8.8）°	（83.9±8.4）°	（22.8±7.0）°	（37.5±7.4）°	9.8±10.8
t值	1.223	1.482	0.406	-0.021	0.248	-0.777
P值	0.225	0.143	0.686	0.984	0.805	0.440	0.183

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