Seung Hyun Cho; Hong Gi Park; Deuk Soo Jun; Jae Ang Sim; Young Hak Roh; Yong-Cheol Yoon; Jong-Ryoon Baek

doi:10.12671/jkfs.2015.28.3.178

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Original Article
Outcomes of Severe Comminuted Distal Radius Fractures with Pronator Preserving Approach: Seung Hyun Cho, M.D., Hong Gi Park, M.D., Deuk Soo Jun, M.D., Jae Ang Sim, M.D., Ph.D, Young Hak Roh, M.D., Yong-Cheol Yoon, M.D., Jong-Ryoon Baek, M.D., Ph.D; Journal of the Korean Fracture Society 2015;28(3):178-185.
DOI: https://doi.org/10.12671/jkfs.2015.28.3.178
Published online: July 22, 2015

Department of Orthopedic Surgery, Gachon University Gil Medical Center, Incheon, Korea.

Address reprint requests to: Jong-Ryoon Baek, M.D., Ph.D. Department of Orthopedic Surgery, Gachon University Gil Medical Center, 21 Namdong-daero 774beon-gil, Namdong-gu, Incheon 405-760, Korea. Tel: 82-32-460-3384, Fax: 82-32-468-5437, baekjr@gilhospital.com

• Received: June 14, 2015 • Revised: June 21, 2015 • Accepted: June 22, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
We investigate the outcomes of treatment of patients with severe comminuted distal radius fractures with volar plate fixation using a pronator-preserving approach.
Materials and Methods
Fourteen patients with severe comminution of the distal radius fractures for whom anatomical reduction of the fractures was deemed difficult to achieve with traditional approaches were enrolled. The gender ratio was 8 males to 6 females, and the average age of the patients was 64.9 years. According to the AO/OTA classification of fractures, 2 patients had 23-A3 fractures, 7 patients had 23-C2, and 5 patients had 23-C3. Radial length, radial inclination, and volar tilt were measured for radiologic evaluation. Modified Mayo wrist score (MMWS) was used for clinical outcome.
Results
Bony union was achieved in all 14 patients without signs of complications. The average time-to-union was 4.3 months (3-6 months). The radiological findings at the final follow-up were as follows: the average radial inclination was 20.5°; the average volar tilt, 7.57°; and the average radial length, 11.8 mm. At the final follow-up, the results of the MMWS were 'Fair' in 1 patient, 'Good' in 4, and 'Excellent' in 9.
Conclusion
We propose that a pronator-preserving approach is an effective treatment for severe comminuted distal radius fracture.
Key words: Distal radius fracture, Pronator-preserving approach

None.

REFERENCES

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Fig. 1

A 55-year-old male patient presented with a severely comminuted fracture of the distal radius.

Fig. 2

Preoperative 3-dimensional computed tomography image.

Fig. 3

A pronator-preserving approach was used as the surgical intervention.

Fig. 4

The immediate postoperative photograph shows a successful reduction of the fracture.

Fig. 5

A radiographic image showing a successful bony union at the final follow-up.

Fig. 6

The range of motion of the wrist was normal and the modified Mayo wrist score score was 'excellent'.

Figure & Data

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Use of Miniplate for Severe Comminuted Metadiaphyseal Fractures of the Distal Radius
Jong-Ryoon Baek, Yong-Cheol Yoon, Seung Hyun Baek
Journal of the Korean Fracture Society.2019; 32(4): 204. CrossRef

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Outcomes of Severe Comminuted Distal Radius Fractures with Pronator Preserving Approach

J Korean Fract Soc. 2015;28(3):178-185. Published online July 31, 2015

DOI: https://doi.org/10.12671/jkfs.2015.28.3.178

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Figure

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Outcomes of Severe Comminuted Distal Radius Fractures with Pronator Preserving Approach

Fig. 1 A 55-year-old male patient presented with a severely comminuted fracture of the distal radius.

Fig. 2 Preoperative 3-dimensional computed tomography image.

Fig. 3 A pronator-preserving approach was used as the surgical intervention.

Fig. 4 The immediate postoperative photograph shows a successful reduction of the fracture.

Fig. 5 A radiographic image showing a successful bony union at the final follow-up.

Fig. 6 The range of motion of the wrist was normal and the modified Mayo wrist score score was 'excellent'.

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

Fig. 6

Outcomes of Severe Comminuted Distal Radius Fractures with Pronator Preserving Approach