Resumen

DE CARLI, Pablo et al. Resultados clínico-radiológicos en pacientes jóvenes con fractura articular completa de radio distal tratados con placa palmar bloqueada. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2016, vol.81, n.1, pp.42-46. ISSN 1852-7434.

Introduction: The AO type C complete articular distal radius fractures in young patients represent a challenge due to the functional demands of this subgroup of patients and the need for proper articular reduction to prevent post-traumatic arthritis. The aim of the study is to evaluate the clinical and radiological results in patients <65 years with type C distal radius fractures treated with volar locked plate. Methods: Two hundred and ninety two patients with distal radius fractures were evaluated; 71 met the inclusion criteria (45 women and 26 men; mean age 51 years [range 20-64]). The average follow-up was 28 months (6-71). An objective clinical evaluation (range of motion) and a subjective evaluation of the function (Quick DASH and functional visual analogue scale) and of pain (visual analogue scale at rest and Swanson scale) were conducted, as well as a radiological assessment. Results: Average Quick DASH score was 8.7 (range 0-60) with a functional visual analogue scale score of 8.9 (range 3-10). The average final motion and the comparative motion with the healthy side were: flexion and extension 91%, supination 97%, radial-ulnar deviation 90%. As regards pain, average visual analogue scale score was 0.4 (range 0-10). Radiological extra-articular parameters were always recovered, 26 of the 29 preoperative joint steps were corrected. Conclusion: Treatment of type C distal radius fractures in young patients with locked volar plate shows favorable clinical and radiological results with correction of most articular steps.

Palabras clave : Articular fracture; Distal radius; Volar locking plate; Young.

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