橈骨遠位端骨折に対する掌側ロッキングプレート固定の治療成績―尺骨茎状突起骨折の有無と臨床症状の関連に着目して―

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  • Clinical Results of Palmar Locking Plate Fixation for Distal Radius Fractures-Relations of between Clinical Symptoms and Presence of Ulnar Styloid Process Fractures-

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We performed palmar locking plate (PLP) fixation on 75 patients (19 men, 56 women, mean age 64.4 years) with distal radius fracture (DRF). The mean follow-up period was 5.4 months. At the end of the follow-up period, range of motion and grip power were measured. Further, the radiographic end-point was measured at the time of injury, immediately after surgery and at the end of each follow-up period. In addition, we classified ulnar styloid process fracture (USF) in 37 patients (tip 15, base 22) with displacement degree and examined presence of pain and bone healing rate. Ulnar side pain remained in 9 of 75 patients (12%) and bone-healing rate of USF patients was 12 of 37 (32%). However, the poor resuluts concerning the presence of ulnar side pain could be attributed to ulnar variance at our final assessment. Even if bone-healing rate was not obtained for treated USF with PLP in merged DRF, we concluded that in the final assessment, ulnar side pain will not occur.

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