gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Fragment-Specific Fixation versus Volar Locking Plates in non-reducible or redisplaced distal radius fractures. A long-term follow-up of a prospective and randomized study in 50 patients

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  • presenting/speaker Marcus Landgren - Department of Orthopedics, Lund, Sweden
  • Karl Borgstrand - Department of Orthopedics, Lund, Sweden
  • Melker Larsson - Department of Orthopedics, Lund, Sweden
  • Mats Geijer - Institute of Clinical Sciences, Department of Radiology, Göteborg, Sweden
  • Antonio Abramo - Department of Hand Surgery Malmö, Malmö, Sweden
  • Magnus Tägil - Department of Orthopedics, Lund, Sweden

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1011

doi: 10.3205/19ifssh0530, urn:nbn:de:0183-19ifssh05300

Published: February 6, 2020

© 2020 Landgren et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: To compare the long-term outcome of two types of internal fixation for distal radius fractures, the Volar Locking Plate (VLP) and the Fragment-Specific Fixation (FSF) were compared regarding objective, subjective, radiographic outcome, complications and secondary surgery at 6 to 8 years after surgery.

Methods: 50 patients with distal radius fractures were included in the previously reported original study between December 2010 and December 2012 [1]. All patients in the previously reported 12-month follow-up were invited. Six patients declined to participate. 44 patients (mean age 64 (27-75) years, 35 women) participated in the present study. Grip strength was determined as primary outcome. Range of motion, patient reported outcome using the short version of Disabilities of the Arm, Shoulder, and Hand (QuickDASH), radiographic outcome, complications, and secondary surgery were considered as secondary outcomes.

Results: We found no difference between the VLP and FSF groups regarding grip strength (92% and 98% of contralateral), median QuickDASH (5 and 3) or range of motion, nor radiographic parameters. The complication rates were similar in both groups, as was the rate of secondary surgery 20% (5/25) in the VLP group and 25% (4/25) in the FSF group.

Conclusions: Surgical treatment of distal radius fractures with VLP and FSF both achieve good and similar results 6-8 years after primary surgery. We found no differences in outcome. We speculate that the differences in subjective and objective outcome between two modern methods of internal fixation are too small to be captured in smaller randomized series using present outcome measures (Figure 1 [Fig. 1], Figure 2 [Fig. 2]) [1].

Outline

References

1.
Landgren M, Abramo A, Geijer M, Kopylov P, Tägil M. Fragment-Specific Fixation Versus Volar Locking Plates in Primarily Nonreducible or Secondarily Redisplaced Distal Radius Fractures: A Randomized Controlled Study. J Hand Surg Am. 2017 Mar;42(3):156-165.e1. DOI: 10.1016/j.jhsa.2016.12.001 External link