방형 회내근 보존법을 이용한 심한 원위 요골 분쇄 골절의 치료 결과Outcomes of Severe Comminuted Distal Radius Fractures with Pronator Preserving Approach
- Other Titles
- Outcomes of Severe Comminuted Distal Radius Fractures with Pronator Preserving Approach
- Authors
- 조승현; 박홍기; 전득수; 심재앙; 노영학; 윤용철; 백종륜
- Issue Date
- Jul-2015
- Publisher
- 대한골절학회
- Keywords
- Distal radius fracture; Pronator-preserving approach
- Citation
- 대한골절학회지, v.28, no.3, pp.178 - 185
- Journal Title
- 대한골절학회지
- Volume
- 28
- Number
- 3
- Start Page
- 178
- End Page
- 185
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/11463
- ISSN
- 1225-1682
- Abstract
- Purpose: We investigate the outcomes of treatment of patients with severe comminuted distal radius fractures with volar plate fixation using a pronator-preserving approach.Materials and Methods: Fourteen patients with severe comminution of the distal radius fractures for whom anatomical reduc-tion of the fractures was deemed difficult to achieve with traditional approaches were enrolled. The gender ratio was 8 males to 6 females, and the average age of the patients was 64.9 years. According to the AO/OTA classification of fractures, 2 patients had 23-A3 fractures, 7 patients had 23-C2, and 5 patients had 23-C3. Radial length, radial inclination, and volar tilt were measured for radiologic evaluation. Modified Mayo wrist score (MMWS) was used for clinical outcome.Results: Bony union was achieved in all 14 patients without signs of complications. The average time-to-union was 4.3 months (3-6 months). The radiological findings at the final follow-up were as follows: the average radial inclination was 20.5o; the average volar tilt, 7.57o; and the average radial length, 11.8 mm. At the final follow-up, the results of the MMWS were ‘Fair’ in 1 patient, ‘Good’ in 4, and ‘Excellent’ in 9.Conclusion: We propose that a pronator-preserving approach is an effective treatment for severe comminuted distal radius fracture.
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