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Title of Journal: Arch Orthop Trauma Surg

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Abbravation: Archives of Orthopaedic and Trauma Surgery

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Springer-Verlag

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DOI

10.1002/pen.24288

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1434-3916

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Clinical and radiological outcomes after stabilisa

Authors: Lukas Konstantinidis Peter Helwig Peter C Strohm Anja Hirschmüller Philipp Kron Norbert Paul Südkamp
Publish Date: 2009/11/06
Volume: 130, Issue: 6, Pages: 751-757
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Abstract

Patients treated with a volar 24 mm LCP following a complex intraarticular distal radius fracture were assessed by clinical and radiological examination of both wrists the Disability of Arm Shoulder and Hand DASH outcome instrument Martini score and the pain Visual Analogue Scale score Forty patients 40 fractures 5 type C1 11 type C2 and 24 type C3 according to AO/OTA classification were followed at a mean 18 months from the injuryOf the initial 40 fractures 4 fractures required surgical revision 1 because of loss of reduction 2 due to fracture incongruity as seen on the postoperative computer tomogram and 1 case of screw displacement in the radial shaft Radiographs in the immediate postoperative period showed a radial inclination of 221° volar tilt of 72° and ulnar deviation of 02 mm means At followup examination radial inclination was 238° volar tilt was 62° and ulnar deviation was 09 mm means Average final wrist range of motion was significantly p  005 decreased in comparison to contralateral wrist Average DASH and Martini scores were 18 and 27 respectively with no significant differences between C1 C2 and C3type fractures Patients who underwent a surgical revision had poorer Martini score Complications were an EPL tendon rupture a tendon irritation and a complex regional pain syndrome in a patient who underwent revision

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