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Abstract

BACKGROUND:

Volar Barton’s fractures are extremely unstable, the treatment remains challenging. Currently, there is no uniform method to treat such fractures.

OBJECTIVE:

To compare the therapeutic effects of anatomic plate and locking plate for the treatment of volar Barton's fractures.

METHODS:

The clinical data of 26 patients who were volar Barton’s fractures with fixation by anatomic plates (n=12) and locking plates (n=14) between January 2006 and December 2010 were retrospectively analyzed, and the union rates and function recovery were compared.

RESULTS AND CONCLUSION:

The mean follow-up period was 27 months (6-58 months). Bone healing was satisfactory in all cases. The mean union time of anatomic plates group was 12.83 weeks while the mean union time of the locking plates group was 11.74 weeks. Evaluated by improved Gartland and Werler method, the excellent rate in the anatomic plates group (75%) was higher than that in the locking plates group (92.8%) (P < 0.05). In conclusion, both the anatomic plate and locking plates got a satisfactory therapeutic outcome for fracture healing of volar Barton’s fractures, but locking plates may provide better wrist function recovery.

RESULTS AND CONCLUSION:

Zhu XY, Chen KW, Qian ZL, Wang GL, Mao HQ, Yang HL. Comparison of anatomic plate and locking plates for the treatment of volar Barton’s fractures: One-year follow-up of the changes in volar tilt angle and ulnar inclination angle.Zhongguo Zuzhi Gongcheng Yanjiu yu Linchuang Kangfu. 2011;15(52): 9877-9880. [http://www.crter.cnhttp://en.zglckf.com]

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