The Effect of Osteoporosis on the Outcomes After Volar Locking Plate Fixation in Female Patients Older than 50 Years With Unstable Distal Radius Fractures
The Effect of Osteoporosis on the Outcomes After Volar Locking Plate Fixation in Female Patients Older than 50 Years With Unstable Distal Radius Fractures
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DOI：
10.1016/j.jhsa.2018.05.028
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发表时间：
2018-08-01
影响因子：
1.9
通讯作者：
Park, Jong Woong
中科院分区：
文献类型：
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作者：
Lee, Jung Il;Park, Ki Chul;Park, Jong Woong
目的探讨掌侧锁定钢板(VLP)内固定治疗50岁以上女性不稳定性桡骨远端骨折(DRF)后骨质疏松对放射学和临床疗效的影响。我们收集了患者的基线数据，包括年龄和骨密度。我们还在平片和计算机断层扫描上测量了桡骨远端的皮质厚度，以评估局部骨密度。放射学结果包括术后1年的晚期移位，定义为放射学参数(放射学参数(放射状倾斜、掌侧倾斜和尺骨变异)的改变)。术后1年用臂、肩、手功能障碍评分(DASH)和改良的Mayo腕关节评分评价临床疗效。我们比较了非骨质疏松组(组1，T分-2.5)和骨质疏松组(组2，T分)的平均值
Purpose The aim of this study was to investigate the effect of osteoporosis on radiological and clinical outcomes after volar locking plate (VLP) fixation in women older than 50 years with unstable distal radius fractures (DRFs).Methods We retrospectively reviewed data of 79 women older than 50 years with DRFs treated by VLP fixation. We collected patients' baseline data, including age and bone mineral density. We also measured the cortical thickness of the distal radius on plain radiographs and computed tomography to assess local bone density. Radiological outcomes included late displacement at 1 year after surgery, which was defined as a change in radiological parameters (radial inclination, volar tilt, and ulnar variance). Clinical outcomes were assessed with the Disabilities of the Arm, Shoulder, and Hand (DASH) and modified Mayo wrist score at 1 year after surgery. We compared mean values between the nonosteoporotic (group 1, T score > -2.5) and the osteoporotic groups (group 2, T score