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논문 기본 정보

자료유형
학술저널
저자정보
Sung-Lim Yoo (Department of Orthopedic Surgery College of Medicine The Catholic University of Korea Seoul Korea) 이호재 (차의과학대학교) 한수홍 (Department of Orthopaedic Surgery CHA Gumi Medical Center CHA University Gumi Korea) Jae Kwang Kim (Department of Orthopedic Surgery Asan Medical Center University of Ulsan College of Medicine Seoul)
저널정보
대한수부외과학회 Archives of Hand and Microsurgery Archives of Hand and Microsurgery Vol.24 No.3
발행연도
2019.1
수록면
234 - 242 (9page)

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Purpose: The 2.4 mm variable-angle locking compression plate (VA-LCP) is designed to treat a variety of distal radius fracture patterns. The purpose of this study was to evaluate the efficacy of the 2.4 mm VA-LCP in treating unstable distal radius fractures.Methods: We recruited eligible patients treated with the device at two Korean sites. In total, we studied 61 enrolled pa-tients. We assessed clinical outcomes and radiographic union, as well as the types of plates and the number of variable-angle locking screws used in the treatment of each fracture type. Radiographic parameters were evaluated at the immedi-ate postoperative period and at 1 year after operation.Results: A total of five complications occurred in 61 patients (8.2%). Radiographic union was achieved in 46/51 (90.2%), 50/51 (98.0%), and 51/51 (100%) patients at 3, 6, and 12 months, respectively. Radiographic parameters evaluated at the immediate postoperative period were 22.4±4.2 degrees (radial inclination), 4.7±0.4 degrees (volar tilt) and 0.8±0.2 de-grees (ulnar variance). Radiographic parameters evaluated at 1 year after operation were 21.3±3.4 degrees (radial inclina-tion), 4.1±0.4 degrees (volar tilt) and 1.2±0.3 degrees (ulnar variance). Wrist range of motion and grip strength measure-ments, as well as self-administered patient questionnaires showed continuous improvements at all follow-up time points. The mean number of screws that were inserted through variable-angle screw guide was 3.2±0.9, while that of screws inserted through fixed-angle screw guide was 3.5±0.9. The majority of patients (85.3%) were treated with a narrow plate.Conclusion: The findings of this study show promising results for the treatment of unstable distal radius fractures using the VA-LCP System.

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