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 |
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Erscheinungsjahr: |
2024 |
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Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - volume:49 |
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Enthalten in: |
The Journal of hand surgery, European volume - 49(2024), 3 vom: 26. Feb., Seite 334-340 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Lamas, Claudia [VerfasserIn] |
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Links: |
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Themen: |
Comparative Study |
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Anmerkungen: |
Date Completed 25.02.2024 Date Revised 25.02.2024 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1177/17531934231192337 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM361815484 |
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520 | |a 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 | ||
650 | 4 | |a Comparative Study | |
650 | 4 | |a Journal Article | |
650 | 4 | |a Randomized Controlled Trial | |
650 | 4 | |a Distal radius fracture | |
650 | 4 | |a pronator quadratus muscle | |
650 | 4 | |a radius fixation | |
700 | 1 | |a Arenas, Javier |e verfasserin |4 aut | |
700 | 1 | |a Almenara, Marta |e verfasserin |4 aut | |
700 | 1 | |a Rojas, Roger |e verfasserin |4 aut | |
700 | 1 | |a Fa-Binefa, Manel |e verfasserin |4 aut | |
700 | 1 | |a Toro-Aguilera, Alvaro |e verfasserin |4 aut | |
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