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Original Article
- Clinical Assessment after the Volar Locking Plate Removal of Distal Radius Fracture
- Hee-Chul Gwak, M.D., Ph.D., Joo-Yong Kim, M.D., Gyu-Min Kong, M.D., Ph.D., Jung-Won Kim, M.D., Jae-Yong Kwak, M.D., Dong-Gyun Kim, M.D.
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Journal of the Korean Fracture Society 2014;27(1):23-28.
DOI: https://doi.org/10.12671/jkfs.2014.27.1.23
Published online: January 17, 2014
Department of Orthopedic Surgery, Pusan Paik Hospital, Inje University College of Medicine, Busan, Korea.
*Department of Orthopedic Surgery, Seail Hospital, Busan, Korea.
- Address reprint requests to: Joo-Yong Kim, M.D. Department of Orthopedic Surgery, Inje University Pusan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan 614-735, Korea. Tel: 82-51-890-6257, Fax: 82-51-892-6619, honaud0@naver.com
• Received: February 5, 2013 • Revised: July 6, 2013 • Accepted: October 12, 2013
Copyright © 2014 The Korean Fracture Society. All rights reserved.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
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Purpose
- The purpose of this study is to evaluate the clinical outcomes after removing the volar locking plate for distal radius fracture.
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Materials and Methods
- We reviewed retrospectively the medical records of 34 patients, 36 cases after removing the plates among 150 patients, with 162 cases that underwent open reduction and internal fixation using the volar locking plate between January 2006 and May 2011. We performed preoperative and postoperative clinical assessments using the quick-disabilities of the arm, shoulder and hand (Q-DASH), the visual analog scale (VAS) score, and the range of motion on wrist, grip and pinch power.
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Results
- The major reason for plate removal was the time to remove the plate according to the fracture union and the patient's demand without other specific complaints (28 cases). The mean preoperative VAS score was 1.78 and the mean postoperative VAS score 1.81 (p=0.64). The mean preoperative Q-DASH score was 30.02 and the mean postoperative Q-DASH score 38.46 (p<0.001). The mean preoperative grip and pinch power were 18.14 kg and 7.67 kg. The mean postoperative grip and pinch power were 15.27 kg and 6.94 kg (p=0.23).
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Conclusion
- The removal of the volar locking plate for distal radius fracture should be decided by considering the patient's clinical and socioeconomic conditions carefully.
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XML DownloadClinical Assessment after the Volar Locking Plate Removal of Distal Radius Fracture
Clinical Assessment after the Volar Locking Plate Removal of Distal Radius Fracture
Demographic Data
Clinical Results before and after the Operation for Plate Removal
Values are presented as mean±standard deviation. VAS: Visual analog scale, Q-DASH: Quick-disabilities of the arm, shoulder and hand.
Table 1
Demographic Data
Table 2
Clinical Results before and after the Operation for Plate Removal
Values are presented as mean±standard deviation. VAS: Visual analog scale, Q-DASH: Quick-disabilities of the arm, shoulder and hand.
