Sajjad Haider, Muhammad Zarak Awais, Eman Salik, Muhammad Tahir Iqbal
{"title":"使用 T 型钢板（使用远端螺钉）和不使用远端螺钉治疗 Barton 脊柱骨折的比较。","authors":"Sajjad Haider, Muhammad Zarak Awais, Eman Salik, Muhammad Tahir Iqbal","doi":"10.12669/pjms.40.8.8799","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare the functional and radiological outcomes of treatment of volar Barton's fractures using T plate with and without distal end screws.</p><p><strong>Methods: </strong>This randomized control trial was conducted at the department of Orthopedics, Mayo Hospital, Lahore, Pakistan from December 2021 to May 2022. Total 60 patients (30 in each group) were randomly allocated to either group A (T-Plate with distal end screws) or B (T-Plate without distal end screws). Patients were followed up on day-0, day-14, day-28 and day-90. Assessments of patients were done by Green O'Brien Score for pain, Modified Warden Score for callus formation on radiographs at 12-weeks of follow-up and Stewart Score for displacement of fracture.</p><p><strong>Results: </strong>At 90<sup>th</sup> day, significant difference was seen in Green O'Brien Score (Excellent score: Group-A: 80% vs. Group-B: 90%, p=0.278) while Stewart scores remained comparable (Excellent Score: Group-A: 93.33% vs. Group-B: 96.67%, p=0.221) between treatment groups. Fracture healing assessed with Modified Warden score for score 4 did not show significant difference between both groups at 90<sup>th</sup> day. i.e. (Group-A: 96.67% vs. Group-B: 96.67%). However, callus formation assessed with Modified Warden score for score 3 showed significant differences between groups at 90<sup>th</sup> day. i.e. (Group-A: 53.33% vs. Group-B: 86.67%, p=0.001).</p><p><strong>Conclusion: </strong>Both treatment approaches appear to yield comparable outcomes in terms of clinical assessment, Stewart scores, and fracture healing, with a potential advantage for T-plate without distal end screw in callus formation at the 90th day.Trial registration: IRCT20221231056999N1.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11395339/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparison of treatment of volar Barton's fracture with T plate using distal end screws and without distal end screws.\",\"authors\":\"Sajjad Haider, Muhammad Zarak Awais, Eman Salik, Muhammad Tahir Iqbal\",\"doi\":\"10.12669/pjms.40.8.8799\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To compare the functional and radiological outcomes of treatment of volar Barton's fractures using T plate with and without distal end screws.</p><p><strong>Methods: </strong>This randomized control trial was conducted at the department of Orthopedics, Mayo Hospital, Lahore, Pakistan from December 2021 to May 2022. Total 60 patients (30 in each group) were randomly allocated to either group A (T-Plate with distal end screws) or B (T-Plate without distal end screws). Patients were followed up on day-0, day-14, day-28 and day-90. Assessments of patients were done by Green O'Brien Score for pain, Modified Warden Score for callus formation on radiographs at 12-weeks of follow-up and Stewart Score for displacement of fracture.</p><p><strong>Results: </strong>At 90<sup>th</sup> day, significant difference was seen in Green O'Brien Score (Excellent score: Group-A: 80% vs. Group-B: 90%, p=0.278) while Stewart scores remained comparable (Excellent Score: Group-A: 93.33% vs. Group-B: 96.67%, p=0.221) between treatment groups. Fracture healing assessed with Modified Warden score for score 4 did not show significant difference between both groups at 90<sup>th</sup> day. i.e. (Group-A: 96.67% vs. Group-B: 96.67%). However, callus formation assessed with Modified Warden score for score 3 showed significant differences between groups at 90<sup>th</sup> day. i.e. (Group-A: 53.33% vs. Group-B: 86.67%, p=0.001).</p><p><strong>Conclusion: </strong>Both treatment approaches appear to yield comparable outcomes in terms of clinical assessment, Stewart scores, and fracture healing, with a potential advantage for T-plate without distal end screw in callus formation at the 90th day.Trial registration: IRCT20221231056999N1.</p>\",\"PeriodicalId\":1,\"journal\":{\"name\":\"Accounts of Chemical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":16.4000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11395339/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Accounts of Chemical Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.12669/pjms.40.8.8799\",\"RegionNum\":1,\"RegionCategory\":\"化学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CHEMISTRY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12669/pjms.40.8.8799","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
摘要
目的比较使用T型钢板（带远端螺钉）和不带远端螺钉治疗巴顿外侧骨折的功能和放射学结果：这项随机对照试验于 2021 年 12 月至 2022 年 5 月在巴基斯坦拉合尔梅奥医院骨科进行。共有 60 名患者（每组 30 人）被随机分配到 A 组（带远端螺钉的 T 型钢板）或 B 组（不带远端螺钉的 T 型钢板）。分别在第 0 天、第 14 天、第 28 天和第 90 天对患者进行随访。通过格林-奥布莱恩评分（Green O'Brien Score）评估患者的疼痛情况，通过改良沃顿评分（Modified Warden Score）评估随访12周时X光片上胼胝的形成情况，通过斯图尔特评分（Stewart Score）评估骨折的移位情况：第 90 天时，治疗组之间的格林-奥布莱恩评分有明显差异（优秀评分：A 组：80% vs. B 组：90%，P=0.278），而斯图尔特评分仍具有可比性（优秀评分：A 组：93.33% vs. B 组：96.67%，P=0.221）。在第 90 天时，用改良 Warden 评分评估骨折愈合情况（第 4 分），两组间无显著差异，即（A 组：96.67% 对 B 组：96.67%）。然而，在第 90 天时，用改良 Warden 评分 3 评估的胼胝形成情况在两组间有显著差异，即（A 组：53.33% vs. B 组：86.67%，P=0.001）：结论：两种治疗方法在临床评估、Stewart评分和骨折愈合方面的效果相当，但在第90天形成胼胝方面，无远端螺钉的T型钢板可能更具优势：IRCT20221231056999N1.
Comparison of treatment of volar Barton's fracture with T plate using distal end screws and without distal end screws.
Objective: To compare the functional and radiological outcomes of treatment of volar Barton's fractures using T plate with and without distal end screws.
Methods: This randomized control trial was conducted at the department of Orthopedics, Mayo Hospital, Lahore, Pakistan from December 2021 to May 2022. Total 60 patients (30 in each group) were randomly allocated to either group A (T-Plate with distal end screws) or B (T-Plate without distal end screws). Patients were followed up on day-0, day-14, day-28 and day-90. Assessments of patients were done by Green O'Brien Score for pain, Modified Warden Score for callus formation on radiographs at 12-weeks of follow-up and Stewart Score for displacement of fracture.
Results: At 90th day, significant difference was seen in Green O'Brien Score (Excellent score: Group-A: 80% vs. Group-B: 90%, p=0.278) while Stewart scores remained comparable (Excellent Score: Group-A: 93.33% vs. Group-B: 96.67%, p=0.221) between treatment groups. Fracture healing assessed with Modified Warden score for score 4 did not show significant difference between both groups at 90th day. i.e. (Group-A: 96.67% vs. Group-B: 96.67%). However, callus formation assessed with Modified Warden score for score 3 showed significant differences between groups at 90th day. i.e. (Group-A: 53.33% vs. Group-B: 86.67%, p=0.001).
Conclusion: Both treatment approaches appear to yield comparable outcomes in terms of clinical assessment, Stewart scores, and fracture healing, with a potential advantage for T-plate without distal end screw in callus formation at the 90th day.Trial registration: IRCT20221231056999N1.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
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