Article Data

  • Views 704
  • Dowloads 123

Original Research

Open Access

Comparison of clinical efficacy of open reduction and internal fixation for different types of male distal radius fractures

  • Min Zhang1
  • Bin Hu1
  • Tao Ma1,*,

1Department of Hand and Foot, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), 241000 Wuhu, Anhui, China

DOI: 10.22514/jomh.2023.133 Vol.19,Issue 12,December 2023 pp.80-86

Submitted: 13 July 2023 Accepted: 26 October 2023

Published: 30 December 2023

*Corresponding Author(s): Tao Ma E-mail: Matao_668@163.com

Abstract

To compare the effects of open reduction and internal fixation (ORIF) on male patients with distal radius fracture (DRF) combined with ulnar styloid process fracture of different types (Hauck II and Hauck I). Male patients with DRF and associated ulnar styloid process fractures who were treated at our hospital between March 2021 and March 2022 were randomly assigned to a Hauck I type (Group A, n = 44 cases) and Hauck II type (Group B, n = 44 cases). Both groups of patients underwent ORIF procedures, with self-locking locking compression plates used during surgery, and their surgical conditions (including time and bleeding volume), Visual Analog Scale (VAS) scores, wrist joint functionality (assessed using the Mayo score and range of motion), and quality of life scores were compared. At the last follow-up, Group A exhibited significantly greater wrist joint range of motion and WHO-QOL-BREF (The World Health Organization quality of life) scores compared to Group B (p < 0.05). However, no statistically significant differences (p > 0.05) were observed when comparing surgical conditions (time, bleeding volume), duration of hospital stay, fracture healing rates, incidence of complications, VAS scores (1 day, 2 days, 3 days post-surgery) and Mayo scores at the last follow-up between Group B and Group A. Male patients suffering from distal radius fractures combined with ulnar styloid process fractures can benefit from ORIF. Specifically, Hauck I patients demonstrate superior wrist joint mobility and a higher quality of life compared to Hauck II patients.


Keywords

Open reduction and internal fixation surgery; Hauck Type II; Hauck Type I; Male; Distal radius fracture; Surgical situation; VAS score; Recovery of wrist joint function


Cite and Share

Min Zhang,Bin Hu,Tao Ma. Comparison of clinical efficacy of open reduction and internal fixation for different types of male distal radius fractures. Journal of Men's Health. 2023. 19(12);80-86.

References

[1] Bu G, Wei W, Li J, Yang T, Li M. Open reduction through original fracture line and fixation with locking plate is a feasible approach for extra-articular distal radius fracture malunion. Joint Diseases and Related Surgery. 2022; 33: 489–495.

[2] Wang R, Wu L, Wang Y, Fan M, Wang Y, Ning B, et al. Limited open reduction and transepiphyseal intramedullary kirschner wire fixation for treatment of irreducible distal radius diaphyseal metaphyseal junction fracture in older children. Frontiers in Pediatrics. 2022; 10: 871044.

[3] Jeantet QWA, Coveney EI, O’Daly BJ. Saving time in the fracture clinic: 2 weeks post-operative plain films following open reduction and internal fixation of distal radius fractures do not affect management. Irish Journal of Medical Science. 2021; 190: 1041–1044.

[4] Toemen A, Collocott S, Heiss-Dunlop W. Short term outcomes following open reduction internal fixation surgery for a distal radius fracture: 2 week versus 4 week immobilization. A retrospective analysis. Geriatric Orthopaedic Surgery & Rehabilitation. 2021; 12: 21514593211004528.

[5] Tu TY, Hsu CY, Lin PC, Chen CY. Wide-awake local anesthesia with no tourniquet versus general anesthesia for the plating of distal radius fracture: a systematic review and meta-analysis. Frontiers in Surgery. 2022; 9: 922135.

[6] Silva HLND, Tanaka GO, Pinheiro TB, Abdouni YA. Prevalence of neuropathic pain in patients with fracture of the distal extremity of the radius treated with volar locking plate. Revista Brasileira de Ortopedia. 2022; 57: 924–929.

[7] Yuan SP, Zhang XP, Sun Y, Wei X. Meta-analysis of external fixator and open reduction and internal fixation for the treatment of distal radius fracture. China Journal of Orthopaedics and Traumatology. 2021; 34: 429–437. (In Chinese)

[8] Boretto JG, Altube G, Petrucelli E, Zaidenberg EE, Gallucci GL, De Carli P. Dorsal plating for specific fracture pattern of the distal radius. The Journal of Hand Surgery. 2021; 26: 502–512.

[9] Fang K, Lin X, Liu X, Ke Q, Shi S, Dai Z. Do we need to suture the pronator quadratus muscle when we do open reduction and internal fixation for fracture of the distal radius. BMC Musculoskeletal Disorders. 2020; 21: 453.

[10] Li T, Sun Z, Zhou Y, Sun W, Wang P, Cai X, et al. Perioperative protocol of ankle fracture and distal radius fracture based on enhanced recovery after surgery program: a multicenter prospective clinical controlled study. Pain Research and Management. 2022; 2022: 3458056.

[11] Dukan R, Krief E, Nizard R. Distal radius fracture volar locking plate osteosynthesis using wide-awake local anaesthesia. The Journal of Hand Surgery. 2020; 45: 857–863.

[12] Palola V, Ponkilainen V, Huttunen T, Launonen A, Mattila VM. Incidence for volar locking plate removal following distal radius fracture surgery. Archives of Orthopaedic and Trauma Surgery. 2021; 141: 1297–1302.

[13] Gulbrandsen MT, Putnam JG, Watson JT, McKee MD. Irreducible volar DRUJ dislocation with distal radius fracture dislocation. Journal of Wrist Surgery. 2020; 9: 156–159.

[14] Wu B, Kang ZY, Wei SK, Xiong TL. Comparison of functional recovery of distal radius fracture by suture of pronator muscle through modified Henry approach. China Journal of Orthopaedics and Traumatology. 2022; 35: 49–53. (In Chinese)

[15] Rauer T, Pape H, Gamble JG, Vitale N, Halvachizadeh S, Allemann F. Transitional fracture of the distal radius: a rare injury in adolescent athletes. Case series and literature review. European Journal of Medical Research. 2020; 25: 21.

[16] Torre G, Avvedimento S, Guastafierro A, Faenza M, Pieretti G, Cuomo R, et al. Brachial plexus block versus wide-awake local anaesthesia for open reduction internal fixation surgery in distal radius fracture: a preliminary retrospective report. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2021; 74: 2776–2820.

[17] Elmahdi A, Elsayed H, Paniker J. Rare complication of open reduction and internal fixation of fracture distal radius: a case report of distal radioulnar synostosis. Trauma Case Reports. 2022; 41: 100682.

[18] Gordon AM, Ashraf AM, Magruder ML, Conway CA, Sheth BK, Choueka J. Resident and fellow participation does not affect short-term postoperative complications after distal radius fracture fixation. Journal of Wrist Surgery. 2022; 11: 433–440.

[19] Sander AL, Leiblein M, Sommer K, Marzi I, Schneidmüller D, Frank J. Epidemiology and treatment of distal radius fractures: current concept based on fracture severity and not on age. European Journal of Trauma and Emergency Surgery. 2020; 46: 585–590.

[20] Fan J, Zhang X, Ji J, Yao Y, Li S, Yuan F, et al. Fixation of distal radius fracture with volar locking palmar plates while preserving pronator quadratus through the minimally invasive approach. Technology and Health Care. 2021; 29: 167–174.

[21] Via GG, Roebke AJ, Julka A. Dorsal approach for dorsal impaction distal radius fracture—visualization, reduction, and fixation made simple. Journal of Orthopaedic Trauma. 2020; 34: S15–S16.

[22] Sahin MS, Gokkus K, Sargin MB. Ulnar nerve and ulnar artery injury caused by comminuted distal radius fracture. Journal of Orthopaedic Case Reports. 2020; 10: 25–30.

[23] Chang Y, Kuan F, Su W, Hsu K. Isolated palmar dislocation of the trapezoid associated with distal radius fracture in a patient with major trauma: a case report and literature review. Trauma Case Reports. 2021; 32: 100403.

[24] Wang G, Bai X. Barton fracture of the distal radius in pregnancy and lactation-associated osteoporosis: a case report and literature review. International Journal of General Medicine. 2020; 13: 1043–1049.

[25] Kızılay YO, Turan K. Acute bilateral extensor pollicis longus tendon rupture following bilateral displaced distal radius fracture: a case report. Acta Orthopaedica et Traumatologica Turcica. 2023; 57: 46–49.

[26] Šebesta P, Tlustý Z. Die-punch fracture of the scaphoid fossa of the distal radius. Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca. 2021; 88: 379–381.

[27] Heifner JJ, Halpern AL, Wahood M, Mercer DM, Orbay JL. Acute on chronic distal radius fracture: a case series and technique description. Journal of Hand Surgery Global Online. 2022; 4: 328–331.

[28] Wasiak M, Ciszek M, Babiak I, Wasilewski P, Łęgosz P, Kieroński B, et al. An aggressive course of pyoderma gangrenosum mimicking bacterial osteomyelitis after open reduction and internal fixation of a distal radius fracture with a titanium plate. Rheumatology. 2022; 60: 292–302.

[29] Bhashyam AR, Kao DS. Surgical technique for concurrent endoscopic carpal tunnel release and distal radius fracture fixation using the flexor carpi radialis approach: a case series. Journal of Hand Surgery Global Online. 2022; 4: 166–171.

[30] Quan T, Chen FR, Recarey M, Mathur A, Pollard T, Gu A, et al. Chronic obstructive pulmonary disease is an independent risk factor for postoperative complications following operative treatment of distal radius fracture. European Journal of Orthopaedic Surgery & Traumatology. 2022; 32: 945–951.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Directory of Open Access Journals (DOAJ) DOAJ is a unique and extensive index of diverse open access journals from around the world, driven by a growing community, committed to ensuring quality content is freely available online for everyone.

SCImago The SCImago Journal & Country Rank is a publicly available portal that includes the journals and country scientific indicators developed from the information contained in the Scopus® database (Elsevier B.V.)

Publication Forum - JUFO (Federation of Finnish Learned Societies) Publication Forum is a classification of publication channels created by the Finnish scientific community to support the quality assessment of academic research.

Scopus: CiteScore 0.9 (2023) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Norwegian Register for Scientific Journals, Series and Publishers Search for publication channels (journals, series and publishers) in the Norwegian Register for Scientific Journals, Series and Publishers to see if they are considered as scientific. (https://kanalregister.hkdir.no/publiseringskanaler/Forside).

Submission Turnaround Time

Conferences

Top