Clinical efficacy analysis of double plate fixation in the treatment of distal radius fracture combined with ulnar head fracture

Abstract

Objective To investigate the clinical efficacy of double plate fixation in the treatment of distal radius fracture combined with ulnar head fracture. Methods From March 2014 to August 2017, 16 cases of distal radius fracture combined with ulnar head fracture were treated with open reduction and double plate fixation. Postoperative active rehabilitation exercise was performed after operation. According to the general situation of patients, postoperative radiographic parameters and Gartland-Werley wrist score, the operation effect was evaluated. The feasibility, indications and key points of this method in the treatment of distal radius fracture combined with ulnar head fracture were analyzed. Results Fourteen patients were follow-up and 2 patients were lost. The follow-up period ranged from 12 to 15 months with an average of 13 months. The radiographic results showed that all the fractures healed and achieved anatomical reduction. According to Gartland-Werley wrist score, the results were rated as excellent in 10 cases, good in 2 cases, fair in 2 cases. The average angle of the affected wrist was (69.51±1.97)° in flexion, (70.26±2.71)° in extension, (76.55±3.41)° in pronation and (71.35±1.54)° in supination. There was no significant difference in range of motion between the affected side and the healthy side (P>0.05). Conclusion The function of the wrist recovered well after the treatment of distal radius fracture combined with ulnar head fracture with double plate fixation, which is worthy of clinical application. Key words: Radius fractures; Treatment outcome; Double plate fixation; Ulnar head