Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hand/Wrist
Abstract number: 24895
SURGICAL TREATMENT OF AO TYPE C3 DISTAL RADIUS FRACTURES USING
MULTIDIRECTIONAL VOLAR LOCKING PLATE
Hideki ISHII, Akihiko ASAMI, Msamori SHIGEMATSU, Hirofumi TANAKA, Kenji
TSUNODA
Saga Insurance Hospital, Saga-shi (JAPAN)
Purpose: The purpose of this study was to compare the outcomes of the surgical
treatment of AO type C3 distal radius fractures using APTUS multidirectional volar
locking plate (MVLP). Materials and methods: This study included patients with AO
type C3 distal radius fractures treated with MVLP and other VLP. The authors
reviewed 13 patients who were treated by open reduction and internal fixation using
the MVLP. Other 10 patients who were treated using AO locking compression plate
and locking compression distal radius plate. The patients had been followed up for an
average of 14.5months (range, 9-24 months). Patients were divided into two groups,
MVLP group and other group. The mean age of APTUS group was 65.1 years
(range, 26-84) and that of other group was 67.9 years (range, 48-78).Outcome
between two groups were compared using Cooneys criteria. The loss of reduction
was evaluated from radiographs taken at between just post operation and the last
follow-up visit. Results: The functional outcome APTUS group was excellent in 11
and good in 2 patients. That of other group was excellent in 8 and good in 2 patients.
The loss of volar tilt (APTUS group/other group) increased (0.18/1.00) degrees, radial
inclination increased (0.09/1.1) degrees and ulnar varience increased (0/0.8) mm.
There was no malunion infection, median compression, implant failure and
subcutaneous rupture of the tendon. Conclusion: Use of MVLP is effective for AO
type C3 distal radius fractures.
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