Universität zu Köln

Hohendorff, Bernd, Knappwerth, C., Franke, J., Mueller, L. P. and Ries, C. (2018). Pronator quadratus repair with a part of the brachioradialis muscle insertion in volar plate fixation of distal radius fractures: a prospective randomised trial. Arch. Orthop. Trauma Surg., 138 (10). S. 1479 - 1486. NEW YORK: SPRINGER. ISSN 1434-3916

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Abstract

Stable pronator quadratus repair following volar plate fixation of distal radius fractures with complete plate coverage is difficult. 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. 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. 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hohendorff, Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED Knappwerth, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Franke, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ries, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-170084
DOI:	10.1007/s00402-018-2999-5
Journal or Publication Title:	Arch. Orthop. Trauma Surg.
Volume:	138
Number:	10
Page Range:	S. 1479 - 1486
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-3916
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LOCKING PLATE; OSTEOSYNTHESIS Multiple languages Orthopedics; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/17008