{"title":"背桥钢板治疗桡骨远端粉碎性骨折：第二掌骨远端固定与第三掌骨远端固定的功能结果。","authors":"Riyaz Nalupurapatil Nidunganda, Askar Keethadath, Prannoy Paul, Kailas Chithra Surendran Nair, Anjali Sudha Vijay, Mohammed Rasal Thachampatta","doi":"10.13107/jocr.2025.v15.i05.5626","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To compare the functional outcome of distal fixation on the second metacarpal versus the third metacarpal in patients treated with dorsal bridge plating for comminuted intra-articular distal radius fractures.</p><p><strong>Materials and methods: </strong>The functional outcome of 60 patients treated with dorsal bridge plating was assessed 6 months postoperatively comparing distal fixation on the second metacarpal versus the third metacarpal. Pain, ability to work post-fixation, range of movements, stiffness, and grip strength were the parameters assessed.</p><p><strong>Results: </strong>Distal fixation on the third metacarpal resulted in more stiffness and risk of tendon entrapment of the first and third extensor compartments when compared to distal fixation on the second metacarpal.</p><p><strong>Conclusion: </strong>Dorsal bridge plating with a distal fixation on the second metacarpal shower better functional outcome compared to the third metacarpal with a better range of movements, less risk of tendon entrapment, and better fracture stabilization.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"256-260"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064241/pdf/","citationCount":"0","resultStr":"{\"title\":\"Dorsal Bridge Plating for Comminuted Distal Radius Fractures: Functional Outcomes of Distal Fixation on 2nd Metacarpal versus 3rd Metacarpal.\",\"authors\":\"Riyaz Nalupurapatil Nidunganda, Askar Keethadath, Prannoy Paul, Kailas Chithra Surendran Nair, Anjali Sudha Vijay, Mohammed Rasal Thachampatta\",\"doi\":\"10.13107/jocr.2025.v15.i05.5626\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To compare the functional outcome of distal fixation on the second metacarpal versus the third metacarpal in patients treated with dorsal bridge plating for comminuted intra-articular distal radius fractures.</p><p><strong>Materials and methods: </strong>The functional outcome of 60 patients treated with dorsal bridge plating was assessed 6 months postoperatively comparing distal fixation on the second metacarpal versus the third metacarpal. Pain, ability to work post-fixation, range of movements, stiffness, and grip strength were the parameters assessed.</p><p><strong>Results: </strong>Distal fixation on the third metacarpal resulted in more stiffness and risk of tendon entrapment of the first and third extensor compartments when compared to distal fixation on the second metacarpal.</p><p><strong>Conclusion: </strong>Dorsal bridge plating with a distal fixation on the second metacarpal shower better functional outcome compared to the third metacarpal with a better range of movements, less risk of tendon entrapment, and better fracture stabilization.</p>\",\"PeriodicalId\":16647,\"journal\":{\"name\":\"Journal of Orthopaedic Case Reports\",\"volume\":\"15 5\",\"pages\":\"256-260\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064241/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthopaedic Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.13107/jocr.2025.v15.i05.5626\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13107/jocr.2025.v15.i05.5626","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Dorsal Bridge Plating for Comminuted Distal Radius Fractures: Functional Outcomes of Distal Fixation on 2nd Metacarpal versus 3rd Metacarpal.
Purpose: To compare the functional outcome of distal fixation on the second metacarpal versus the third metacarpal in patients treated with dorsal bridge plating for comminuted intra-articular distal radius fractures.
Materials and methods: The functional outcome of 60 patients treated with dorsal bridge plating was assessed 6 months postoperatively comparing distal fixation on the second metacarpal versus the third metacarpal. Pain, ability to work post-fixation, range of movements, stiffness, and grip strength were the parameters assessed.
Results: Distal fixation on the third metacarpal resulted in more stiffness and risk of tendon entrapment of the first and third extensor compartments when compared to distal fixation on the second metacarpal.
Conclusion: Dorsal bridge plating with a distal fixation on the second metacarpal shower better functional outcome compared to the third metacarpal with a better range of movements, less risk of tendon entrapment, and better fracture stabilization.
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