Volar plating: functional recovery of the pronator quadratus.

IF 1.5
Patrick Porter, Alasdair MacInnes, Tim Drew, Weijie Wang, Rami Abboud, Graeme Nicol
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引用次数: 1

Abstract

Purpose: The pronator quadratus (PQ) is reflected in the surgical approach to the distal radius. This study explores the functional strength of PQ, 12 months after volar plating without repair of PQ.

Methods: A total of 135 patients were identified from our prospectively collected database. All volunteers had grip strength and pronation power tested in the treated and contralateral forearms at 45, 90 and 135 degrees of elbow flexion using a custom-built torque measuring device and hydraulic hand dynamometer to evaluate forearm pronation.

Results: Twenty-seven participants were included in the study. No significant difference was identified in mean peak pronation torque between the volar plated and non-treated forearms. Pronation strength was identified as being independent of angle of elbow flexion. Grip strength was correlated with forearm pronation showing no significant difference between groups.

Conclusions: Our results suggest adequate long-term (15-32 months) functional recovery of the pronator quadratus after volar plating.

Level of evidence: III.

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掌侧钢板:旋前方肌功能恢复。
目的:旋前方肌(PQ)反映在手术入路到桡骨远端。本研究探讨掌侧钢板未修复后12个月PQ的功能强度。方法:从我们前瞻性收集的数据库中共确定135例患者。所有志愿者在治疗组和对侧前臂分别进行45度、90度和135度肘关节屈曲时的握力和旋前力测试,使用定制的扭矩测量装置和液压手测力仪来评估前臂旋前。结果:27名参与者被纳入研究。掌侧钢板和未处理前臂的平均峰值旋前力矩没有显著差异。旋前强度与肘关节屈曲角度无关。握力与前臂旋前相关,组间差异无统计学意义。结论:我们的研究结果表明掌侧钢板后旋前方肌有足够的长期(15-32个月)功能恢复。证据水平:III。
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