Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

30.01.2013 Views

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. 544

Poster Topic: Trauma - Hand/Wrist Abstract number: 24612 USING FREE AND UNFREE TRANSPLANTATION OF M. LATISSIMUS DORSI TO PATIENT WITH VOLKMANS ISHEMICAL CONTRACTURE Sergey STRAFUN, Aleksey DOLGOPOLOV, Igor KURENNOY Orthopedy & traumatology of Ukraine, Kiev (UKRAINE) In this work have been analysed results of effectiveness surgical treatments of Volkmans ishemical contracture of the hand. 23 patients with ischemical damage have been operated with free and unfree transplantation of m. latissimus dorsi for restore function upper extremity. The microsurgical technique of surgical treatments of present condition was worked out. Clinical results at was assessment to AAOS arrangement system. The analysis of the results surgical treatment arrangement showed increasing function of ischemic upper extremity at 17 %. 545

Poster<br />

Topic: Trauma - Hand/Wrist<br />

Abstract number: 24612<br />

USING FREE AND UNFREE TRANSPLANTATION OF M. LATISSIMUS DORSI TO<br />

PATIENT WITH VOLKMANS ISHEMICAL CONTRACTURE<br />

Sergey STRAFUN, Aleksey DOLGOPOLOV, Igor KURENNOY<br />

Orthopedy & traumatology of Ukraine, Kiev (UKRAINE)<br />

In this work have been analysed results of effectiveness surgical treatments of<br />

Volkmans ishemical contracture of the hand. 23 patients with ischemical damage<br />

have been operated with free and unfree transplantation of m. latissimus dorsi for<br />

restore function upper extremity. The microsurgical technique of surgical treatments<br />

of present condition was worked out. Clinical results at was assessment to AAOS<br />

arrangement system. The analysis of the results surgical treatment arrangement<br />

showed increasing function of ischemic upper extremity at 17 %.<br />

545

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