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首页> 外文期刊>The Journal of hand surgery, European volume >Extension fractures of the distal radius in patients older than 50: A prospective randomized study comparing fixation using mixed pins or a palmar fixed-angle plate
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Extension fractures of the distal radius in patients older than 50: A prospective randomized study comparing fixation using mixed pins or a palmar fixed-angle plate

机译:50岁以上患者远端radius骨延伸骨折:一项前瞻性随机研究,比较混合钉或手掌固定角钢板的固定

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摘要

We randomized 103 patients over the age of 50 with an unstable closed intra- or extra-articular dorsally displaced distal radius fracture to have either palmar fixed-angle plating (n = 50) or 'mixed pinningg' (n = 53) and compared the clinical and radiological outcomes at 3, 6, 12 and 26 weeks after surgery in a prospective study. Postoperative palmar tilt was significantly better in those stabilized with K-wires, but loss of reduction was statistically less in those stabilized with a plate. At 26 weeks, functional results, assessed by DASH and Herzberg scores, were better in those fixed with a plate.
机译:我们将50例年龄在50岁以上,不稳定的闭合性关节内或关节背侧移位的radius骨远端骨折患者随机分为手掌固定角钢板(n = 50)或“混合钉扎”(n = 53),并比较了一项前瞻性研究在手术后3、6、12和26周的临床和放射学结果。用K线稳定的患者术后手掌倾斜明显更好,但用钢板稳定的患者术后复位损失统计学上较少。在第26周时,用DASH和Herzberg评分评估的功能结果在用钢板固定的患者中更好。

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