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Mulders MAM, Walenkamp MMJ, Bos FJME, et al. Repair of the pronator quadratus after volar plate fixation in distal radius fractures: a systematic review. Strategies Trauma Limb Reconstr. 2017;12(3):181-188doi: 10.1007/s11751-017-0288-4.
Mulders, M. A. M., Walenkamp, M. M. J., Bos, F. J. M. E., Schep, N. W. L., & Goslings, J. C. (2017). Repair of the pronator quadratus after volar plate fixation in distal radius fractures: a systematic review. Strategies in trauma and limb reconstruction, 12(3), 181-188. https://doi.org/10.1007/s11751-017-0288-4
Mulders, Marjolein A M, et al. "Repair of the pronator quadratus after volar plate fixation in distal radius fractures: a systematic review." Strategies in trauma and limb reconstruction vol. 12,3 (2017): 181-188. doi: https://doi.org/10.1007/s11751-017-0288-4
Mulders MAM, Walenkamp MMJ, Bos FJME, Schep NWL, Goslings JC. Repair of the pronator quadratus after volar plate fixation in distal radius fractures: a systematic review. Strategies Trauma Limb Reconstr. 2017 Nov;12(3):181-188. doi: 10.1007/s11751-017-0288-4. Epub 2017 May 17. PMID: 28512698; PMCID: PMC5653597.
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Strategies Trauma Limb Reconstr. 2017 Nov;12(3):181-188. doi: 10.1007/s11751-017-0288-4. Epub 2017 May 17.

Repair of the pronator quadratus after volar plate fixation in distal radius fractures: a systematic review.

Strategies in trauma and limb reconstruction

Marjolein A M Mulders, Monique M J Walenkamp, Fernande J M E Bos, Niels W L Schep, J Carel Goslings

Affiliations

  1. Trauma Unit, Department of Surgery, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands. [email protected].
  2. Trauma Unit, Department of Surgery, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands.
  3. Department of Surgery, Maasstad Hospital, P.O. Box 9100, 3007 AC, Rotterdam, The Netherlands.

PMID: 28512698 PMCID: PMC5653597 DOI: 10.1007/s11751-017-0288-4

Abstract

To position the volar plate on the distal radius fracture site, the pronator quadratus muscle needs to be detached from its distal and radial side and lifted for optimal exposure to the fracture site. Although the conventional approach involves repair of the pronator quadratus, controversy surrounds the merits of this repair. The purpose of this study was to compare the functional outcomes of patients with distal radius fractures treated with pronator quadratus repair after volar plate fixation versus no pronator quadratus repair. A systematic search was conducted in Medline, EMBASE and the Cochrane Central Register of Controlled Trials, on 23 July 2015. All studies comparing pronator quadratus repair with no pronator quadratus repair in adult patients undergoing volar plate fixation for distal radius fractures were included. The primary outcome was the Disability of the Arm, Shoulder and Hand (DASH) score at 12 months. Secondary outcomes included range of motion, grip strength, post-operative pain and complications. A total of 169 patients were included, of which 95 underwent pronator quadratus repair, while 74 patients underwent no pronator quadratus repair. At 12 months follow-up no statistically significant differences in DASH-scores and range of motion were observed between pronator quadratus repair and no repair. Moreover, post-operative pain and complication rates were similar between both groups. At 12 months of follow-up, we do not see any advantages of pronator quadratus repair after volar plate fixation in the distal radius. However, a definitive conclusion cannot be drawn from this systematic review due to a lack of available evidence.

Keywords: Distal radius; Fracture; Pronator quadratus; Repair; Volar plate fixation

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