SPANNING PLATE IN FIXATION OF COMMINUTED DISTAL RADIUS FRACTURE

M. Mohamed, Islam Abdel-sabour, Ahmad Addosoki, Mohamed Abdel-wanis
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Abstract

Distal radius fractures are commonly treated by orthopaedic surgeons. These fractures can be treated in a variety of methods, but the options for repairing can be limited in patients with high-energy fracture patterns. To evaluate the efficacy of dorsal spanning plate in distal radial fracture fixation, at Sohag University Hospital's Orthopedics & Traumatology Department, 15 patients were included in a cross-section study from April 2020 to April 2021. As regard the modified mayo score. The mean score was 56.1 ± 13.4. There were 4 (26.7%) cases with excellent score, 9 (60%) cases with good score and 2 (13.3%) cases with fair score. As regard the range of motion. The mean flexion was 50.2 ± 5.8, the mean extension was 46.5 ± 4.3, the mean pronation was 70.3 ± 6.1, the mean supination was 71.6 ± 5.7, the mean ulnar deviation was 20.4 ± 2.1. The mean radial deviation was 16.2 ± 2.5. The mean radial height was 8.4 ± 1.9 and the mean radial tilt was 17.2 ± 2.4.reduction.Dorsal spanning plate fixation is an excellent alternative surgical option for management of high energy distal radius fractures in the setting of multi-trauma. It can also provide the benefit of early mobilization of the patient by allowing the use of the injured hand and upper extremity for weight-bearing and activities of daily living in the case of concomitant injuries
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跨越钢板固定桡骨远端粉碎性骨折
桡骨远端骨折通常由骨科医生治疗。这些骨折可以用多种方法治疗,但对于高能骨折类型的患者,修复的选择可能有限。为了评估背侧跨越钢板在桡骨远端骨折固定中的疗效,Sohag大学医院骨科与创伤科于2020年4月至2021年4月对15例患者进行了横断面研究。关于修改后的梅奥评分。平均得分为56.1±13.4分。优等评分4例(26.7%),良好评分9例(60%),一般评分2例(13.3%)。关于运动的范围。平均屈曲50.2±5.8,平均伸展46.5±4.3,平均旋前70.3±6.1,平均旋后71.6±5.7,平均尺偏20.4±2.1。平均径向偏差为16.2±2.5。平均桡骨高度为8.4±1.9,平均桡骨倾斜为17.2±2.4。背侧跨越钢板固定是治疗多发创伤下桡骨远端高能骨折的一种很好的手术选择。它还可以提供患者早期活动的好处,允许使用受伤的手和上肢负重和日常生活活动的情况下,伴随损伤
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