Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (26): 4804-4808.doi: 10.3969/j.issn.1673-8225.2011.26.014

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DVR system versus palm plate for internal fixation of C-type distal radius fractures

Xun Jian-jun1, Feng Jian-gang1, Li Yan-fang2   

  1. 1Department of Orthopedics, Fourth Hospital of Hebei Medical University, Shijiazhuang  050011, Hebei Province, China
    2Department of Gynecology, Second Hospital of Hebei Medical University, Shijiazhuang  050000, Hebei Province China
  • Received:2011-03-12 Revised:2011-04-26 Online:2011-06-25 Published:2011-06-25
  • About author:Xun Jian-jun★ Master, Chief physician, Professor, Department of Orthopedics, Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei Province, China xunjianjun@medmail.com.cn

Abstract:

BACKGROUND: Looking at the current therapies for comminuted and unstable fractures of the distal radius, metal locking plate becomes prevalent.
OBJECTIVE: To observe the effect of DVR system on internal fixation of C-type distal radius fractures classified according to AO classification .
METHODS: Fifty-one patients with C-type distal radius fractures were assigned into two groups according to their will and economic conditions:DVR (n=27) receiving DVR system fixation and control group (n=24) undergoing palm plate fixation. The following parameters were compared between the two groups: time of operation, number of patients receiving intraoperative C-arm fluoroscopy, number of times to install bonding plates during the operation, occurrence of median neuritis, incidence of postoperative tenosynovitis, and time to recover wrist function.
RESULTS AND CONCLUSION: The results of X-ray showed that all the cases in the DVR group were healed without infection, bone nonunion, plate loose and median neuritis. As compared with the control group, the excellent and good rates of wrist function recovery were higher in the DVR group according to Mcbride scoring (P < 0.001). It is indicated that it is simple, safe and reliable to treat C-type distal radius fractures with DVR system with good recovery of joint function.

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