Does Weightbearing Affect Radiographic or Clinical Outcomes in Distal Radius Fractures Treated With Dorsal Bridge Plate Fixation?

IF 1.8 Q2 ORTHOPEDICS

HAND Pub Date : 2025-09-07 DOI:10.1177/15589447251366460

Jessica M Welch, Bradley Lauck, Daniel J Lorenzana, Tyler S Pidgeon, Marc J Richard, Christopher S Klifto, David S Ruch

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引用次数: 0

Abstract

Background: Dorsal wrist spanning plate (DWSP) fixation in distal radius fractures (DRFs) has been proposed to allow earlier mobilization in polytraumatized patients by enabling early weightbearing (WB) through the injured wrist. The purpose of this study is to compare radiographic and clinical outcomes in patients who bore weight through the injured wrist within the early postoperative period with patients who did not bear weight.

Methods: Patients who underwent DWSP fixation at a single institution were retrospectively identified. Patients who bore weight through the injured wrist for purposes of assisted ambulation (WB) were identified and compared with patients who did not bear weight through the injured wrist (non-weightbearing [NWB]). Outcomes included complication rates, radiographic measurements, visual analogue scale (VAS) pain scores, and range of motion.

Results: In total, 123 patients underwent DWSP fixation for DRF between 2005 and 2018, including 30 in the WB cohort and 93 in the NWB cohort. There was no significant difference in patient age, sex, or injury to dominant extremity. The WB group had longer duration of DWSP before removal (121 ± 26.2 vs 106.3 ± 29.5 days, P = .02). There was no significant difference in complication rates (13.3% vs 16.1%, P = .71), clinical outcomes (VAS, flexion, extension, pronosupination), or radiographic parameters preoperatively, postoperatively, after plate removal, or at final follow-up.

Conclusions: Early WB through the injured wrist appears to be safe in patients with DRFs treated with DWSP. There were no significant differences in outcomes or complications between patients treated with DWSP based on WB status postoperatively.

Level of evidence: Retrospective cohort, Level III.

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负重是否会影响桡骨远端骨折背桥钢板固定治疗的影像学或临床结果？

背景：桡骨远端骨折（DRFs）的背侧腕跨钢板（DWSP）固定已被提出，通过早期负重（WB）通过受伤的手腕，允许多创伤患者早期活动。本研究的目的是比较术后早期通过受伤腕关节负重的患者与不负重的患者的影像学和临床结果。方法：回顾性分析在单一机构接受DWSP固定的患者。识别通过受伤手腕负重以辅助行走（WB）的患者，并将其与不通过受伤手腕负重的患者（非负重[NWB]）进行比较。结果包括并发症发生率、影像学测量、视觉模拟评分（VAS）疼痛评分和活动范围。结果：2005年至2018年间，共有123例患者接受了DWSP固定治疗DRF，其中WB组30例，NWB组93例。患者的年龄、性别或主肢损伤无显著差异。WB组术后DWSP持续时间较长（121±26.2天vs 106.3±29.5天，P = 0.02）。并发症发生率（13.3% vs 16.1%, P = 0.71）、临床结果（VAS、屈曲、伸展、旋前旋）或术前、术后、取板后或最终随访时的影像学参数均无显著差异。结论：在DRFs患者中，通过损伤腕关节进行早期WB治疗似乎是安全的。基于术后WB状态进行DWSP治疗的患者之间的结局或并发症无显著差异。证据水平：回顾性队列，III级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HAND Medicine-Surgery

CiteScore

3.30

自引率

0.00%

发文量

209

期刊介绍： HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.