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Clinical Assessment after the Volar Locking Plate Removal of Distal Radius Fracture
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°ûÈñö(Gwak Heui-Chul) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø Á¤Çü¿Ü°úÇб³½Ç
±èÁÖ¿ë(Kim Joo-Yong) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø Á¤Çü¿Ü°úÇб³½Ç
°ø±Ô¹Î(Kong Gyu-Min) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø Á¤Çü¿Ü°úÇб³½Ç
±èÁ¤¿ø(Kim Jung-Won) - ºÎ»ê ¼¼ÀϺ´¿ø Á¤Çü¿Ü°ú
°ûÀç¿ë(Kwak Jae-Yong) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø Á¤Çü¿Ü°úÇб³½Ç
±èµ¿±Õ(Kim Dong-Gyun) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê¹éº´¿ø Á¤Çü¿Ü°úÇб³½Ç
Abstract
¸ñÀû: ¼öÀå Àá±è ±Ý¼ÓÆÇÀ¸·Î Ä¡·áÇÑ ¿ä°ñ ¿øÀ§ºÎ °ñÀý¿¡¼ ±Ý¼ÓÆÇ Á¦°Å¼ú ÈÄÀÇ ÀÓ»óÀû Æò°¡¿¡ ´ëÇÏ¿© ºÐ¼®ÇÏ¿´´Ù.
´ë»ó ¹× ¹æ¹ý: ÀÎÁ¦´ëÇб³ ºÎ»ê¹éº´¿ø¿¡¼ 2006³âºÎÅÍ 2011³â±îÁö ¿ä°ñ ¿øÀ§ºÎ °ñÀý¿¡ ´ëÇØ ¼öÀå Àá±è ±Ý¼ÓÆÇÀ» ÀÌ¿ëÇÑ °üÇ÷ÀûÁ¤º¹¼úÀ» ½ÃÇà¹ÞÀº 150¸í, 162¿¹ Áß, ±Ý¼ÓÆÇ Á¦°Å ¼ö¼úÀ» ½ÃÇà¹ÞÀº 34¸í, 36°ñÀý Áõ·Ê¿¡ ´ëÇÏ¿© ÈÄÇâÀû ºÐ¼®À» ½ÃÇàÇÏ¿´´Ù. ±Ý¼ÓÆÇ Á¦°Å¼ú Àü, ÈÄ¿¡ ´ëÇÏ¿© ½Ã°¢ ÅëÁõ ôµµ¿Í quick-disabilities of the arm, shoulder and hand (Q-DASH) Á¡¼ö, ¼Õ¸ñ ¿îµ¿ ¹üÀ§, ¾Ç·Â¿¡ ´ëÇØ Æò°¡¸¦ ½ÃÇàÇÏ¿´´Ù.
°á°ú: ±Ý¼ÓÆÇ Á¦°Å¼úÀ» ½ÃÇàÇÑ ÁÖµÈ ÀÌÀ¯´Â ÃæºÐÇÑ ½Ã±â °æ°ú ¹× ȯÀÚÀÇ Á¦°Å ¿øÇÔÀÌ °¡Àå ¸¹¾Ò´Ù. Æò±Õ ½Ã°¢ ÅëÁõ ôµµ Á¡¼ö´Â ¼ö¼ú Àü 1.78, ¼ö¼ú ÈÄ 1.81À̾ú°í(p=0.64), Q-DASH Á¡¼ö´Â ¼ö¼ú Àü 30.02, ¼ö¼ú ÈÄ 38.46À̾ú´Ù(p£¼0.001). ¼úÀü ÆľǷ ¹× Áý±â·ÂÀº °¢°¢ 18.14 kg¿Í 7.67 kgÀ̾úÀ¸¸ç, ¼ú ÈÄ¿¡´Â °¢°¢ 15.27 kg¿Í 6.94 kg¿´´Ù(p=0.23).
°á·Ð: ¼öÀå Àá±è ±Ý¼ÓÆÇÀ» ÀÌ¿ëÇÑ ¿ä°ñ ¿øÀ§ºÎ °ñÀý Ä¡·á ÈÄÀÇ ±Ý¼ÓÆÇ Á¦°Å¼úÀÇ ½ÃÇàÀº ȯÀÚÀÇ ÀÓ»óÀû, »çȸ ¹× °æÁ¦Àû »óȲÀ» °í·ÁÇÏ¿© ½ÅÁßÇÏ°Ô °áÁ¤µÇ¾î¾ß ÇÑ´Ù.
Purpose: The purpose of this study is to evaluate the clinical outcomes after removing the volar locking plate for distal radius fracture.
Materials and Methods: We reviewed retrospectively the medical records of 34 patients, 36 cases after removing the plates among 150 patients, with 162 cases that underwent open reduction and internal fixation using the volar locking plate between January 2006 and May 2011. We performed preoperative and postoperative clinical assessments using the quick-disabilities of the arm, shoulder and hand (Q-DASH), the visual analog scale (VAS) score, and the range of motion on wrist, grip and pinch power.
Results: The major reason for plate removal was the time to remove the plate according to the fracture union and the patient`s demand without other specific complaints (28 cases). The mean preoperative VAS score was 1.78 and the mean postoperative VAS score 1.81 (p=0.64). The mean preoperative Q-DASH score was 30.02 and the mean postoperative Q-DASH score 38.46 (p£¼0.001). The mean preoperative grip and pinch power were 18.14 kg and 7.67 kg. The mean postoperative grip and pinch power were 15.27 kg and 6.94 kg (p=0.23).
Conclusion: The removal of the volar locking plate for distal radius fracture should be decided by considering the patient`s clinical and socioeconomic conditions carefully.
Å°¿öµå
¿ä°ñ ¿øÀ§ºÎ °ñÀý, ¼öÀå Àá±è ±Ý¼ÓÆÇ, ±Ý¼ÓÆÇ Á¦°Å¼ú
Distal radius fracture, Volar locking plate, Plate removal
KMID :
0386420140270010023
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