Pronator quadratus repair with a part of the brachioradialis muscle insertion in volar plate fixation of distal radius fractures
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Pronator quadratus repair with a part of the brachioradialis muscle insertion in volar plate fixation of distal radius fractures : a prospective randomised trial. / Hohendorff, Bernd; Knappwerth, C; Franke, J; Müller, L P; Ries, C.
In: ARCH ORTHOP TRAUM SU, Vol. 138, No. 10, 10.2018, p. 1479-1485.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Pronator quadratus repair with a part of the brachioradialis muscle insertion in volar plate fixation of distal radius fractures
T2 - a prospective randomised trial
AU - Hohendorff, Bernd
AU - Knappwerth, C
AU - Franke, J
AU - Müller, L P
AU - Ries, C
PY - 2018/10
Y1 - 2018/10
N2 - INTRODUCTION: Stable pronator quadratus repair following volar plate fixation of distal radius fractures with complete plate coverage is difficult.MATERIALS AND METHODS: This study compares a modified pronator quadratus repair technique involving the brachioradialis muscle insertion (test group) with a conventional radial incision through the muscle without pronator quadratus repair (standard group). This prospective randomised study included 16 patients in the test group and 12 in the standard group; all were available for clinical, radiographic and ultrasound examination at a mean follow-up of 15 months.RESULTS: Pronator quadratus repair was feasible in all test group patients, and complete coverage of the distal plate was achieved in 11. No differences in functional outcome were observed between the groups.CONCLUSION: Pronator quadratus repair with a part of the brachioradialis muscle insertion is a reliable technique for coverage of a volar plate by slight distal transposition. In the repair of distal radius fractures, this may better protect the finger flexor tendons against irritation and/or rupture. That likelihood should now be studied.
AB - INTRODUCTION: Stable pronator quadratus repair following volar plate fixation of distal radius fractures with complete plate coverage is difficult.MATERIALS AND METHODS: This study compares a modified pronator quadratus repair technique involving the brachioradialis muscle insertion (test group) with a conventional radial incision through the muscle without pronator quadratus repair (standard group). This prospective randomised study included 16 patients in the test group and 12 in the standard group; all were available for clinical, radiographic and ultrasound examination at a mean follow-up of 15 months.RESULTS: Pronator quadratus repair was feasible in all test group patients, and complete coverage of the distal plate was achieved in 11. No differences in functional outcome were observed between the groups.CONCLUSION: Pronator quadratus repair with a part of the brachioradialis muscle insertion is a reliable technique for coverage of a volar plate by slight distal transposition. In the repair of distal radius fractures, this may better protect the finger flexor tendons against irritation and/or rupture. That likelihood should now be studied.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Female
KW - Forearm
KW - Fracture Fixation, Internal/methods
KW - Humans
KW - Male
KW - Middle Aged
KW - Muscle, Skeletal/surgery
KW - Prospective Studies
KW - Radius Fractures/surgery
KW - Young Adult
U2 - 10.1007/s00402-018-2999-5
DO - 10.1007/s00402-018-2999-5
M3 - SCORING: Journal article
C2 - 30062458
VL - 138
SP - 1479
EP - 1485
JO - ARCH ORTHOP TRAUM SU
JF - ARCH ORTHOP TRAUM SU
SN - 0936-8051
IS - 10
ER -
