Is pronator quadratus muscle repair required after anterior plate fixation for distal radial fractures? A prospective randomized comparative study

In this prospective, randomized comparative study in patients with distal radial fractures, we aimed to determine whether surgical repair of the superficial head after anterior locking plate fixation of the radius improves clinical or functional outcomes or both, and distal radioulnar joint stability. One hundred patients were randomized to undergo distal radial fixation with or without repair of the superficial head. Twenty-one patients were lost to follow-up, leaving a final sample of 79 patients. No differences were observed between the groups in functional scores or complication after operation. Surgical repair of the superficial head of the pronator quadratus muscle after osteosynthesis with an anterior locking plate for distal radial fractures does not appear to substantially contribute to preserving distal radioulnar joint stability or improving the consolidation process.Level of evidence: II.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

The Journal of hand surgery, European volume - 49(2024), 3 vom: 26. Feb., Seite 334-340

Sprache:

Englisch

Beteiligte Personen:

Lamas, Claudia [VerfasserIn]
Arenas, Javier [VerfasserIn]
Almenara, Marta [VerfasserIn]
Rojas, Roger [VerfasserIn]
Fa-Binefa, Manel [VerfasserIn]
Toro-Aguilera, Alvaro [VerfasserIn]

Links:

Volltext

Themen:

Comparative Study
Distal radius fracture
Journal Article
Pronator quadratus muscle
Radius fixation
Randomized Controlled Trial

Anmerkungen:

Date Completed 25.02.2024

Date Revised 25.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/17531934231192337

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361815484