Closed Frykman Type II Fracture of Right Radial Head
Conditions
Keywords
Distal radial fracture, pronator quadratus, mini-approach, volar plating, open reduction and internal fixation
Brief summary
The objective of this study is to compare a minimal invasive approach with the conventional flexor carpi radialis approach for volar plating of distal radial fractures.
Detailed description
The objective of this study is to compare a minimal invasive approach with the conventional flexor carpi radialis approach for volar plating of distal radial fractures. From January 2011 to September 2012, 157 patients with distal radial fractures were allocated into group A (n=83) and B (n=74). Patients in group A were treated through a 1.5 to 2-cm long incision, and patients in group B were treated through the conventional flexor carpi radialis approach. All fractures were fixed with volar plates. Patients were assessed range of motion of the wrist, grip strength of the hand, and pronation strength of the wrist. Results were analyzed with the Statistical Package for Social Sciences 13.0. A P \< 0.05 was statistically significant.
Interventions
PROCEDUREIncision
The objective of this report is to compare a minimal invasive approach with the conventional flexor carpi radialis approach for volar plating of distal radial fractures.
Sponsors
The Second Hospital of Qinhuangdao
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Fernandez type II-IV radial fractures.
Exclusion criteria
* Fernandez type I radial fracture. * Fernandez type V radial fracture. * Open radial fractures. * Surgery using K-wires or screws alone. * The use of external fixators. * multiple fractures, pathological fracture.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| range of motion of the wrist | 2 years | measurement of range of motion of the wrist with a goniometer, at 2 years follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| grip strength of the hand | 2 years | Assessment of grip strength of the hand using a Baseline hydraulic hand dynamometer, at 2 years follow-up. |
| pronation strength of the forearm | 2 years | Isometric testing of pronation torque, McConkey method at 5 positions of rotation (90° of supination, 45° of supination, neutral, 45° of pronation, and 80° of pronation) , at 2 years follow-up. |
Outcome results
None listed