Is arthroscopic intervention-assisted fragment-specific fixation technique superior to volar plating in distal radius fractures involving the middle column?

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dc.authoridPOLAT, Abdulkadir/0000-0002-3224-7134
dc.authorwosidPOLAT, Abdulkadir/AAE-7385-2022
dc.contributor.authorÇetin, Mehmet Ümit
dc.contributor.authorPolat, Abdulkadir
dc.contributor.authorFidan, Fırat
dc.date.accessioned2023-05-06T17:22:11Z
dc.date.available2023-05-06T17:22:11Z
dc.date.issued2022
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractPurpose: In this study, the clinical and radiological results of volar plating and arthroscopic intervention-assisted fragment-specific fixation techniques used in patients operated for AO Type B-C distal radius fracture in which the medial colon is affected were compared. Materials and Methods: X-ray and clinical records of 98 patients who underwent surgical treatment for radius distal end (DER) fracture between April 2011 and January 2017. The patient groups treated with arthroscopy-assisted fragment-oriented fixation (Group A) and plate screw fixation with a volar approach without arthroscopic intervention (Group B) were compared in terms of joint range of motion, grip strength, and clinical scores. Flexion and extension, ulnar deviation, radial deviation, pronation, and supination angles measured with a standard goniometer were recorded in the joint range of motion measurement. Grip strength was measured with a Jamar dynamometer for power measurement. DASH score was used in clinical evaluation. Results: When the operated wrists of both patient groups were compared, there was no significant difference between the DASH score, grip strength, palmar flexion, and pronation angles of motion. A statistically significant difference was observed between the mean dorsiflexion angles of 55 degrees in group A and 44 degrees in group B, mean radial deviation angles of 25 and 19 degrees, and the mean supination angles of 87 and 80 degrees, respectively. Conclusion: Although arthroscopic-assisted fragmentspecific fixation is technically a laborious procedure that requires a learning curve in patients with intra-articular distal radius fractures, it may be beneficial to provide better postoperative results, especially in young patients with high range of motion expectations.
dc.identifier.doi10.17826/cumj.1087119
dc.identifier.endpage1004
dc.identifier.issn2602-3032
dc.identifier.issn2602-3040
dc.identifier.issue3en_US
dc.identifier.startpage996
dc.identifier.trdizinid1122158
dc.identifier.urihttps://doi.org/10.17826/cumj.1087119
dc.identifier.urihttps://hdl.handle.net/20.500.11776/12103
dc.identifier.volume47
dc.identifier.wosWOS:000889635700008
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorÇetin, Mehmet Ümit
dc.language.isoen
dc.publisherCukurova Univ, Fac Medicine
dc.relation.ispartofCukurova Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDistal radius fracture
dc.subjectwrist arthroscopy
dc.subjectfragment specific fixation
dc.subjectvolar plating
dc.subjectAo Type-B
dc.subjectPart
dc.subjectComplications
dc.subjectLesions
dc.subjectComplex
dc.titleIs arthroscopic intervention-assisted fragment-specific fixation technique superior to volar plating in distal radius fractures involving the middle column?
dc.typeArticle

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