Plaque palmaire pour fracture distale intra-articulaire du radius : étude prospective comparant sujets jeunes versus âgés - 10/04/20
Volar plate for intra-articular distal radius fracture: A prospective comparative study between elderly and young patients
, Daniel Martinez-Mendez a, Maria F. Vizcaya-Moreno b, Fernando A. Lopez-Prats cAbstract |
Introduction |
Treatment of the distal radius fracture in elderly remains controversial. The objective was to assess the outcomes of volar locking plate for displaced complete intra-articular distal radius fractures in elderly as compared to younger patients.
Hypothesis |
The outcomes in elderly patients would be comparable with those in younger patients with a low rate of complications.
Material and methods |
Nonrandomized prospective comparative study between 70 patients older than 65 years and 46 younger patients with AO type C fractures. The main outcome was Disabilities Arm, Shoulder and Hand (DASH) score. Secondary variables were Patient-Rated Wrist Evaluation (PRWE) score, range of motion, visual analogue scale (VAS) for pain, and grip strength. Radiological measurements were also performed.
Results |
The mean follow-up was 30.9 (range, 24–53) months. There were no significant differences in mean DASH, PRWE, VAS-pain, wrist motion or radiological parameters at final follow-up. Multivariate analysis showed that the functional outcomes were significantly influenced by baseline ulnar positivity greater than 3mm at baseline but not by age.
Discussion |
The study hypothesis was confirmed. Surgical treatment with volar locking plate for displaced complete intra-articular fractures of the distal radius in elderly patients represents a safe and effective treatment alternative with similar early complication rate than in younger.
Level of Evidence |
III, cohort study.
Le texte complet de cet article est disponible en PDF.Keywords : Elderly, Intra-articular distal radius fracture, Outcome, Volar locking plate, Young patient
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 106 - N° 2
P. 165 - avril 2020 Retour au numéro
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