Outcomes After Volar Plate Fixation of Low-grade Open and Closed Distal Radius Fractures Are Similar
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Clin Orthop Relat Res (2013) 471:2030–2035 DOI 10.1007/s11999-013-2798-9
A Publication of The Association of Bone and Joint Surgeons®
CLINICAL RESEARCH
Outcomes After Volar Plate Fixation of Low-grade Open and Closed Distal Radius Fractures Are Similar Jae Kwang Kim MD, PhD, Sang Doo Park MD
Received: 24 September 2012 / Accepted: 8 January 2013 / Published online: 24 January 2013 Ó The Association of Bone and Joint Surgeons1 2013
Abstract Background Low-grade (Gustilo and Anderson Type I or II) open distal radius fractures (DRFs) have been treated by volar locking plate fixation. However, it is unclear whether the outcomes after volar locking plate fixation for lowgrade open DRFs are comparable to those for closed DRFs. Questions/purposes We asked whether low-grade open DRFs had worse DASH scores and higher infection rates than closed DRFs when the DRFs were treated by volar plate fixation. Methods Twenty consecutive patients treated by volar locking plate fixation for low-grade open DRFs constituted the open fracture group, and 40 patients were selected from among the total number of patients treated by volar, locking plate fixation for closed DRFs as the closed
Each author certifies that he has no commercial association (eg, consultancies, stock ownership, equity interest, patent/licensing arrangement, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDA approval status, of any drug or device before clinical use. Authors certify that our institution has approved the reporting of these cases, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participating in the study was obtained. J. K. Kim (&), S. D. Park Department of Orthopedic Surgery, Ewha Womans University School of Medicine, Ewha Womans University Medical Center, Seoul, Korea e-mail: kimjk@ewha.ac.kr
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fracture group. Complications including infection were recorded. Clinical outcomes and radiographic assessments were performed postoperatively at 3 months and 1 year. Results At 3 postoperative months, wrist flexion and extension, grip strengths, and DASH scores were better in the closed fracture group; however, no difference was observed postoperatively between the two groups in terms of any functional outcome measure at 1 year. Any of the radiographic parameters were not different between the groups. There were no differences in infection rate and in any other complication rate between the groups. Conclusions Although functional outcomes of open DRFs were inferior to those of closed DRFs at 3 months, at 1 year, outcomes of low-grade open DRFs were found to be comparable to t
