Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hand/Wrist
Abstract number: 24555
FUNCTIONAL AND RADIOGRAPHICAL OUTCOME IN PATIENTS WITH
INTRAARTICULAR RADIUS FRACTURES TREATED WITH A DORSAL PI-
PLATE AND A VOLAR T-PLATE - A 5 YEAR FOLLOW-UP.
Daniel REISER 1 , Örjan WALLGREN 2 , Kurt PETTERSSON 1
1 Dept of Hand Surgery. Örebro, Sweden., Örebro (SWEDEN), 2 Universitetssjukhuset
Örebro, Örebro (SWEDEN)
Functional and radiographical outcome in patients with intraarticular radius fractures
treated with a dorsal pi-plate and a volar T-plate - a 5 year follow-up. Reiser, D.
Wallgren, Ö. Pettersson, K.Dept of Hand Surgery. Örebro, Sweden.Background: The
aim of the study was evaluate the long term results of double-plating.Material and
Methods: 43 fractures in 42 patients , mean age 51,5. Physiotherapy was initiated
after two weeks in plaster. Follow up was performed by an independent
physiotherapist at 1, 6, 12, and 60 month and radio graphically after 1, 12, and 60
months. At follow up strength, range of motion, pain in activity and at rest and PRWE
was evaluated. A radio graphically staging was performed with the Batra-score
system.Results: Initial x-ray according to the AO staging showed a distribution of 2
B2, 2 C1, 12 C2 and 27 C3 fractures. At the 5 year follow-up active ROM extension
was 47,3° (74 % of the unaffected side) ,flexion 58 ,5° (84%). Supination, pronation,
radialabduction and ulnarabduction were equal to the unaffected side.Grip strength
measured with Jamar dynamometer showed 33,1 kg (107%).Pain in activity VAS 0,5,
PRWE 1,55. The radio graphically staging showed 25 excellent, 5 good, 2 fair and 1
poor. No posttraumatic osteoarthritis was detected.Removal of the volar and dorsal
plate was performed in 22 patients (51%).Discussion: Our study showed an excellent
clinical and radiological outcome, and a maintained good anatomical reduction of the
fracture after 5 years.
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