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AIM To compare the outcomes of displaced distal radius fractures treated with volar locking plates and with immediate postoperative mobilisation with the outcomes of these fractures treated with modalities that necessitate 6 wk wrist immobilisation.METHODS A prospective,randomised controlled single-centre trial was conducted with 56 patients who had a displaced radius fracture were randomised to treatment either with a volar locking plate(n=29),or another treatment modality(n=27;cast immobilisation with or without wires or external fixator).Outcomes were measured at 12 wk.Functional outcome scores measured were the Patient-Rated Wrist Evaluation(PRWE)Score;Disabilities of the Arm,Shoulder and Hand and activities of daily living(ADLs).Clinical outcomes were wrist range of motion and grip strength.Radiographic parameters were volar inclination and ulnar variance.RESULTS Patients in the volar locking plate group had significantly better PRWE scores,ADL scores,grip strength and range of extension at three months compared with the control group.All radiological parameters were significantly better in the volar locking plate group at 3 mo.CONCLUSION The present study suggests that volar locking plates produced significantly better functional and clinical outcomes at 3 mo compared with other treatment modalities.Anatomical reduction was significantly more likely to be preserved in the plating group.Level of evidence:Ⅱ.
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篇名 Volar locking distal radius plates show better shortterm results than other treatment options:A prospective randomised controlled trial
来源期刊 世界骨科杂志 学科 医学
关键词 VOLAR LOCKING DISTAL RADIUS plate PROSPECTIVE randomised controlled Postoperative MOBILISATION DISTAL RADIUS fracture Short-term outcome
年,卷(期) 2016,(10) 所属期刊栏目
研究方向 页码范围 687-694
页数 8页 分类号 R
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研究主题发展历程
节点文献
VOLAR
LOCKING
DISTAL
RADIUS
plate
PROSPECTIVE
randomised
controlled
Postoperative
MOBILISATION
DISTAL
RADIUS
fracture
Short-term
outcome
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界骨科杂志:英文版
月刊
2218-5836
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
404
总下载数(次)
1
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0
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