Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (52): 9877-9880.doi: 10.3969/j.issn.1673-8225.2011.52.043

Previous Articles    

Comparison of anatomic plate and locking plates for the treatment of volar Barton’s fractures: One-year follow-up of the changes in volar tilt angle and ulnar inclination angle

Zhu Xiao-yu, Chen Kang-wu, Qian Zhong-lai, Wang Gen-lin, Mao Hai-qing, Yang Hui-lin   

  1. Department of Orthopedics, the First Affiliated Hospital of Soochow University, Suzhou  215006, Jiangsu Province, China
  • Received:2011-10-31 Revised:2011-11-12 Online:2011-12-24 Published:2011-12-24
  • Contact: Yang Hui-lin, Doctoral supervisor, Professor, Chief physician, Department of Orthopedics, the First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China suzhouspine@163.com
  • About author:Zhu Xiao-yu☆, Doctor, Attending physician, Department of Orthopedics, the First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China Zhuxiaoyucn@126.com

PDF

414

Abstract:

BACKGROUND: Volar Barton’s fractures are extremely unstable, the treatment remains challenging. Currently, there is no uniform method to treat such fractures.
OBJECTIVE: To compare the therapeutic effects of anatomic plate and locking plate for the treatment of volar Barton's fractures.
METHODS: The clinical data of 26 patients who were volar Barton’s fractures with fixation by anatomic plates (n=12) and locking plates (n=14) between January 2006 and December 2010 were retrospectively analyzed, and the union rates and function recovery were compared.
RESULTS AND CONCLUSION: The mean follow-up period was 27 months (6-58 months). Bone healing was satisfactory in all cases. The mean union time of anatomic plates group was 12.83 weeks while the mean union time of the locking plates group was 11.74 weeks. Evaluated by improved Gartland and Werler method, the excellent rate in the anatomic plates group (75%) was higher than that in the locking plates group (92.8%) (P < 0.05). In conclusion, both the anatomic plate and locking plates got a satisfactory therapeutic outcome for fracture healing of volar Barton’s fractures, but locking plates may provide better wrist function recovery.

CLC Number: