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Ali Fazal M, Denis Mitchell C, Ashwood N. Volar locking plate: Age related outcomes and complications. J Clin Orthop Trauma. 2020;11(4):642-645doi: 10.1016/j.jcot.2020.05.025.
Ali Fazal, M., Denis Mitchell, C., & Ashwood, N. (2020). Volar locking plate: Age related outcomes and complications. Journal of clinical orthopaedics and trauma, 11(4), 642-645. https://doi.org/10.1016/j.jcot.2020.05.025
Ali Fazal, Muhammad, et al. "Volar locking plate: Age related outcomes and complications." Journal of clinical orthopaedics and trauma vol. 11,4 (2020): 642-645. doi: https://doi.org/10.1016/j.jcot.2020.05.025
Ali Fazal M, Denis Mitchell C, Ashwood N. Volar locking plate: Age related outcomes and complications. J Clin Orthop Trauma. 2020 Jul-Aug;11(4):642-645. doi: 10.1016/j.jcot.2020.05.025. Epub 2020 May 28. PMID: 32684703; PMCID: PMC7355060.
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J Clin Orthop Trauma. 2020 Jul-Aug;11(4):642-645. doi: 10.1016/j.jcot.2020.05.025. Epub 2020 May 28.

Volar locking plate: Age related outcomes and complications.

Journal of clinical orthopaedics and trauma

Muhammad Ali Fazal, Christopher Denis Mitchell, Neil Ashwood

Affiliations

  1. Department of Trauma & Orthopaedics, Royal Free Hospitals London NHS Foundation Trust, The Ridgeway, Enfield, London, UK.
  2. Consultant Orthopaedic Surgeon, Department of Trauma & Orthopaedics, Burton Hospital NHS Foundation Trust, Burton Upon Trent, UK.

PMID: 32684703 PMCID: PMC7355060 DOI: 10.1016/j.jcot.2020.05.025

Abstract

BACKGROUND: There is no unanimity for the treatment of distal radius fractures in older people. The purpose of our study is to assess the efficacy of volar locking plate for the treatment of unstable distal radius fractures in older independent individuals.

METHODS: A retrospective comparative study of 105 patients. 58 patients were below the age of 55 years and 47 above the age of 55 years. Mean follow-up was 18.4 months in patients below the age of 55 years and 18.1 months above the age of 55 years. Wrist movements, complications, reoperations, grip strength, Visual Analogue Score (VAS) for pain, Quick Disabilities of the Arm, Shoulder and Hand (DASH) score, and Mayo wrist score were analysed.

RESULTS: There was no statistical difference in the wrist movements, grip strength, complications, reoperations, VAS, QuickDASH and Mayo scores. Mean grip strength under 55 was 84.1 and above 55 was 84.5 (p = 0.87). The complication rate was 19.1% above 55 years of age and 17.2% below the age of 55years (p = 0.79). The reoperation rate above 55 years was 8.5% and below 55 years was 8.6% (p = 0.50). Mean VAS under 55 years of age was 1.6 and above 55 years was 1.7 (p = 0.58). Mean Mayo score in under 55 was 80.7 and 80.1 in above 55 (p = 0.78). Mean Quick DASH score under 55 was 20.9 and above 55 was 21.0 (p = 0.97).

CONCLUSION: Our results indicate that outcomes in older independent patients are satisfactory with a comparable complication and reoperation rate with younger individuals. We conclude that a volar locking plate is a favourable modality for the treatment of unstable distal radius fractures in older patients.

© 2020 Delhi Orthopedic Association. All rights reserved.

Keywords: Distal radius; Mayo score; QuickDASH score; Unstable; Volar plate

Conflict of interest statement

None.

References

  1. J Hand Surg Am. 2006 Jan;31(1):9-16 - PubMed
  2. J Hand Surg Br. 2003 Jun;28(3):263-6 - PubMed
  3. Orthop Traumatol Surg Res. 2018 Feb;104(1):95-103 - PubMed
  4. Iowa Orthop J. 2004;24:53-9 - PubMed
  5. Hand (N Y). 2020 Apr 27;:1558944720915716 - PubMed
  6. Dtsch Arztebl Int. 2014 Nov 14;111(46):779-87 - PubMed
  7. BMJ. 2014 Aug 05;349:g4807 - PubMed
  8. J Orthop. 2016 Feb 22;13(2):76-80 - PubMed
  9. J Hand Surg Am. 2000 Jan;25(1):19-28 - PubMed
  10. J Hand Surg Am. 2014 Jul;39(7):1280-6 - PubMed
  11. Orthop Traumatol Surg Res. 2020 Apr;106(2):319-323 - PubMed
  12. J Bone Joint Surg Am. 2019 Jun 5;101(11):961-969 - PubMed
  13. Dan Med J. 2014 Oct;61(10):A4906 - PubMed
  14. J Clin Diagn Res. 2017 Jan;11(1):RC04-RC08 - PubMed
  15. J Bone Joint Surg Am. 2011 Dec 7;93(23):2146-53 - PubMed
  16. J Orthop Trauma. 2004 Nov-Dec;18(10):680-6 - PubMed
  17. Eklem Hastalik Cerrahisi. 2019 Dec;30(3):224-32 - PubMed
  18. Acta Orthop Scand. 2003 Feb;74(1):98-100 - PubMed
  19. Ups J Med Sci. 2011 Nov;116(4):280-4 - PubMed
  20. Orthopedics. 2006 Jan;29(1):38-49; quiz 50-1 - PubMed
  21. Clin Radiol. 2007 Jan;62(1):65-72 - PubMed
  22. J Am Acad Orthop Surg. 2019 Jul 1;27(13):e596-e605 - PubMed
  23. Bone Joint J. 2015 Oct;97-B(10):1370-6 - PubMed
  24. J Hand Surg Am. 2011 May;36(5):824-35.e2 - PubMed
  25. J Hand Surg Am. 2007 Nov;32(9):1385-92 - PubMed
  26. J Hand Surg Am. 2008 Jul-Aug;33(6):809-19 - PubMed
  27. J Hand Surg Eur Vol. 2018 Feb;43(2):158-167 - PubMed
  28. Osteoporos Int. 2001;12(7):555-8 - PubMed
  29. Injury. 2017 Jun;48(6):1104-1109 - PubMed
  30. J Orthop Trauma. 2015 Aug;29(8):e242-4 - PubMed

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