期待什么?对复杂的桡骨远端关节内骨折使用背侧棘板辅助固定。

IF 1.8 Q2 ORTHOPEDICS
HAND Pub Date : 2025-10-01 Epub Date: 2024-05-02 DOI:10.1177/15589447241247335
Eric Gruenberger, Elizabeth K Carlino, Adam Webb, Mitchell Bowers, Brent Ponce, Todd Rubin
{"title":"期待什么?对复杂的桡骨远端关节内骨折使用背侧棘板辅助固定。","authors":"Eric Gruenberger, Elizabeth K Carlino, Adam Webb, Mitchell Bowers, Brent Ponce, Todd Rubin","doi":"10.1177/15589447241247335","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The dorsal spanning plate (DSP) is a versatile implant suitable for bridging severely comminuted intraarticular distal radius fractures [AO (Arbeitsgemeinschaft für Osteosynthesefragen) 23-C.1-C.3]. It may be used alone or with supplemental fixation such as a volar locking plate (VLP) or fragment-specific fixation (FSF). Outcomes following DSP fixation with additional implants have not been specifically evaluated.</p><p><strong>Methods: </strong>We retrospectively reviewed consecutive patients who underwent internal fixation of a distal radius fracture by a single surgeon from 2017 to 2021. Patients were grouped according to implants used: DSP only, DSP + FSF, and DSP + VLP. Preoperative variables, treatment times, and wrist range of motion (ROM) were assessed. Functional wrist ROM was defined as minimum 80° combined flexion and extension.</p><p><strong>Results: </strong>One hundred fifty-two patients underwent surgery for wrist fracture, 33 of them were treated with a DSP: 8 DSP only, 6 DSP + VLP, and 19 DSP + FSF. Falls from height greater than 10 ft accounted for 52% of injuries, most of which were treated with a DSP + FSF. Treatment times and ROM were similar between subgroups. Wrist ROM did not improve significantly beyond 4 weeks following DSP removal. Overall, DSP patients recovered a mean wrist ROM of 85° (range 0°-130°) within a median 26 weeks total treatment period (range 12-68 weeks).</p><p><strong>Conclusion: </strong>Regardless of the construct used, if the distal radius articular surface is well reduced and other principles of fracture fixation are applied, most patients treated with a DSP can expect to regain functional wrist ROM.</p><p><strong>Level of evidence: </strong>Level IV-Retrospective review of prospectively collected data.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1116-1123"},"PeriodicalIF":1.8000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571736/pdf/","citationCount":"0","resultStr":"{\"title\":\"What to Expect? Use of Supplemental Fixation With a Concomitant Dorsal Spanning Plate for Complex Intraarticular Distal Radius Fractures.\",\"authors\":\"Eric Gruenberger, Elizabeth K Carlino, Adam Webb, Mitchell Bowers, Brent Ponce, Todd Rubin\",\"doi\":\"10.1177/15589447241247335\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The dorsal spanning plate (DSP) is a versatile implant suitable for bridging severely comminuted intraarticular distal radius fractures [AO (Arbeitsgemeinschaft für Osteosynthesefragen) 23-C.1-C.3]. It may be used alone or with supplemental fixation such as a volar locking plate (VLP) or fragment-specific fixation (FSF). Outcomes following DSP fixation with additional implants have not been specifically evaluated.</p><p><strong>Methods: </strong>We retrospectively reviewed consecutive patients who underwent internal fixation of a distal radius fracture by a single surgeon from 2017 to 2021. Patients were grouped according to implants used: DSP only, DSP + FSF, and DSP + VLP. Preoperative variables, treatment times, and wrist range of motion (ROM) were assessed. Functional wrist ROM was defined as minimum 80° combined flexion and extension.</p><p><strong>Results: </strong>One hundred fifty-two patients underwent surgery for wrist fracture, 33 of them were treated with a DSP: 8 DSP only, 6 DSP + VLP, and 19 DSP + FSF. Falls from height greater than 10 ft accounted for 52% of injuries, most of which were treated with a DSP + FSF. Treatment times and ROM were similar between subgroups. Wrist ROM did not improve significantly beyond 4 weeks following DSP removal. Overall, DSP patients recovered a mean wrist ROM of 85° (range 0°-130°) within a median 26 weeks total treatment period (range 12-68 weeks).</p><p><strong>Conclusion: </strong>Regardless of the construct used, if the distal radius articular surface is well reduced and other principles of fracture fixation are applied, most patients treated with a DSP can expect to regain functional wrist ROM.</p><p><strong>Level of evidence: </strong>Level IV-Retrospective review of prospectively collected data.</p>\",\"PeriodicalId\":12902,\"journal\":{\"name\":\"HAND\",\"volume\":\" \",\"pages\":\"1116-1123\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571736/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"HAND\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/15589447241247335\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/5/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"HAND","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/15589447241247335","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/2 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

摘要

背景:背侧跨接钢板(DSP)是一种多功能植入物,适用于连接严重粉碎的关节内桡骨远端骨折[AO(Arbeitsgemeinschaft für Osteosynthesefragen)23-C.1-C.3]。它可以单独使用,也可以与诸如外侧锁定钢板(VLP)或片段特异性固定(FSF)等辅助固定一起使用。尚未对使用额外植入物进行 DSP 固定后的效果进行专门评估:我们回顾性研究了2017年至2021年期间由一名外科医生对桡骨远端骨折进行内固定的连续患者。根据使用的植入物对患者进行分组:仅 DSP、DSP + FSF 和 DSP + VLP。对术前变量、治疗时间和腕关节活动范围(ROM)进行了评估。腕关节功能活动度的定义是屈伸联合运动最小80°:152名患者接受了腕部骨折手术,其中33人接受了DSP治疗:8人仅接受了DSP治疗,6人接受了DSP+VLP治疗,19人接受了DSP+FSF治疗。从10英尺以上的高处跌落造成的损伤占52%,其中大部分采用了DSP + FSF治疗。各分组的治疗时间和活动度相似。移除DSP后4周,腕关节活动度没有明显改善。总体而言,DSP患者在中位26周的总治疗时间内(范围为12-68周)恢复了85°(0°-130°)的平均腕关节活动度:结论:无论采用哪种结构,如果桡骨远端关节面缩小良好,并应用了其他骨折固定原则,大多数接受DSP治疗的患者都有望恢复腕关节功能ROM:证据级别:IV级--对前瞻性收集数据的回顾性研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What to Expect? Use of Supplemental Fixation With a Concomitant Dorsal Spanning Plate for Complex Intraarticular Distal Radius Fractures.

Background: The dorsal spanning plate (DSP) is a versatile implant suitable for bridging severely comminuted intraarticular distal radius fractures [AO (Arbeitsgemeinschaft für Osteosynthesefragen) 23-C.1-C.3]. It may be used alone or with supplemental fixation such as a volar locking plate (VLP) or fragment-specific fixation (FSF). Outcomes following DSP fixation with additional implants have not been specifically evaluated.

Methods: We retrospectively reviewed consecutive patients who underwent internal fixation of a distal radius fracture by a single surgeon from 2017 to 2021. Patients were grouped according to implants used: DSP only, DSP + FSF, and DSP + VLP. Preoperative variables, treatment times, and wrist range of motion (ROM) were assessed. Functional wrist ROM was defined as minimum 80° combined flexion and extension.

Results: One hundred fifty-two patients underwent surgery for wrist fracture, 33 of them were treated with a DSP: 8 DSP only, 6 DSP + VLP, and 19 DSP + FSF. Falls from height greater than 10 ft accounted for 52% of injuries, most of which were treated with a DSP + FSF. Treatment times and ROM were similar between subgroups. Wrist ROM did not improve significantly beyond 4 weeks following DSP removal. Overall, DSP patients recovered a mean wrist ROM of 85° (range 0°-130°) within a median 26 weeks total treatment period (range 12-68 weeks).

Conclusion: Regardless of the construct used, if the distal radius articular surface is well reduced and other principles of fracture fixation are applied, most patients treated with a DSP can expect to regain functional wrist ROM.

Level of evidence: Level IV-Retrospective review of prospectively collected data.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
HAND
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信