Your browser doesn't support javascript.
loading
Type of fixation is not associated with range of motion after operative treatment of proximal radius fractures- a systematic review of 519 patients.
Azib, Nadia; de Klerk, Huub H; Verhaegh, Remi; Sierevelt, Inger N; Verweij, Lukas P E; Priester-Vink, Simone; Kooistra, Bauke; van den Bekerom, Michel P J.
Afiliación
  • Azib N; Department of Orthopaedic Surgery, OLVG, Amsterdam, the Netherlands.
  • de Klerk HH; Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
  • Verhaegh R; Amsterdam Shoulder and Elbow Center of Expertise (ASECE), OLVG, Amsterdam, the Netherlands.
  • Sierevelt IN; Department of Orthopaedic Surgery, University Medical Center Groningen (UMCG) and Groningen University, Groningen, the Netherlands.
  • Verweij LPE; Department of Orthopaedic Surgery, OLVG, Amsterdam, the Netherlands.
  • Priester-Vink S; Xpert Clinics, Orthopedic Department, Amsterdam, the Netherlands.
  • Kooistra B; Spaarnegasthuis Academy, Orthopedic Department, Hoofddorp, the Netherlands.
  • van den Bekerom MPJ; Amsterdam Shoulder and Elbow Center of Expertise (ASECE), OLVG, Amsterdam, the Netherlands.
JSES Int ; 8(5): 1126-1136, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39280149
ABSTRACT

Background:

The aims of this study are 1) to assess whether open reduction internal fixation (ORIF) techniques for fractures of the proximal radius are associated with the range of motion (ROM), 2) to determine the incidence of hardware-related complications and removal following plate and screw fixation of the proximal radius, and 3) to evaluate whether the safe-zone definition is described in the literature and its relation to the ROM.

Methods:

A literature search was performed in the PubMed, Embase, and Cochrane databases. Studies reporting ROM in patients undergoing ORIF for radial head or neck fractures were included. Two treatment groups were defined based on ORIF technique screws only or plates with and without additional screw placement.

Results:

A total of 13 articles were included with 519 patients, of which 271 belonged to the screw group and 248 to the plate group. At final follow-up, the screw group reported a mean supination of 79 (95% CI 74-83), pronation of 76 (95% CI 69-84), flexion of 131 (95% CI 124-138), and loss of extension of 4 (95% CI 1-7). The plate group reported a mean supination of 72 (95% CI 65-80), pronation of 697 (95% CI 60-75), flexion of 126 (95% CI 118-133), and loss of extension of 7 (95% CI 1-14).

Conclusion:

Predominantly retrospective studies show that the ROM seems similar for screw and plate osteosynthesis of proximal radius fractures. Complication rates are similar as well. The safe-zone definition is rarely reported.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JSES Int Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JSES Int Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos