title: [Postoperative morbidity in surgically treated extension fractures of the distal radius. A comparative study of dorsal and volar approach].
abstract: The aim of this study was to investigate perioperative morbidity in operative interventions in distal radiusfractures, comparing the operative approach from volar and dorsal. Only problems, resulting from the operative approach towards the distal aspect of the radius, were examined. In a Case-Control-Study, we investigated patients with operative by plate-osteosynthesis treated distal radius-extensions-fractures. During 3 years we investigated 92 patients. 49 were operated with a volar approach, and after changing the operative management, consecutive 43 patients with a dorsal approach to the distal radius. Indications for operative treatment were not changed. The approach to the distal aspect of the radius corresponded to the recent guidelines. Further perioperative procedures were identical, including procedures in anesthesiology. Datas of patients have been investigated for epidemiology, kind of operations, point of time in treatment, duration of operation, X-Ray, immobilisation and time of inhospital stay as well as all documented complications. It has been shown, that in respect of all criterias, concerning length of operation (106 vs. 83 min), intraoperative X-Ray (3.0 vs. 1.65 min) as well as postoperative immobilisation (33 vs. 25 days), and documented incidences of complications like secondary wound-healing (19/49 vs. 0/43) or nerval irritations (13/49 vs. 1/43), the dorsal osteosynthesis is definitively to be favored.
authors.affiliation: Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum, Gesamthochschule Essen, Hufelandstrasse 55, 45122 Essen. ralph.zettl@uni-essen.de
authors.forename: R P
authors.initials: RP
authors.lastname: Zettl
authors.forename: S
authors.initials: S
authors.lastname: Ruchholtz
authors.forename: G
authors.initials: G
authors.lastname: Taeger
authors.forename: U
authors.initials: U
authors.lastname: Obertacke
authors.forename: D
authors.initials: D
authors.lastname: Nast-Kolb
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D016022:Case-Control Studies; D003100:Colles' Fracture / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications