TY - JOUR
T1 - Pronator quadratus repair after volar plating of distal radius fractures or not? Results of a prospective randomized trial
AU - Häberle, Sandra
AU - Sandmann, Gunther Hubertus
AU - Deiler, Stephan
AU - Kraus, Tobias Maximilian
AU - Fensky, Florian
AU - Torsiglieri, Tobias
AU - Rondak, Ina Christine
AU - Biberthaler, Peter
AU - Stöckle, Ulrich
AU - Siebenlist, Sebastian
N1 - Publisher Copyright:
© 2015 Häberle et al.
PY - 2015/11/25
Y1 - 2015/11/25
N2 - Background: The purpose of the present study was to investigate the influence of the pronator quadratus (PQ) muscle repair following volar plate fixation of distal radius fractures with special regards to the forearm pronation strength. During the early recovery period of 3 months, an improvement of pronation strength and functional scorings was hypothesized for the PQ repair when compared to no repair. Methods: The inclusion criteria were (1) men or women between 18 and 80 years, (2) isolated, closed fractures of the distal radius, (3) A2 to B2 types of fracture according to the AO fracture classification system, (4) primary volar locking plate osteosynthesis. Patients were randomized to group A = PQ repair and group B = no repair. Follow-up examinations after 6 and 12 weeks included bilateral isometric pronation strength measurement, range of motion, the QuickDASH and the Mayo-Wrist-Score, and a visual analog scale (VAS). Results: 60 patients (n = 31 in group A and n = 29 in group B) with an average age of 54 years (range 22-77 years) returned for both follow-up visits. The pronation strength measurements showed no significant differences between groups (PQ repair vs. no repair) neither at 6 weeks nor at 12 weeks. Additionally, no statistical significant differences were noted for ROM, QuickDASH-Score or Mayo-Wrist-Score. The VAS scoring revealed a significant decreased pain level after PQ repair at 6 weeks postoperatively (p = 0.017). Conclusion: An improved pronation strength after PQ repair in the early rehabilitation period could not be confirmed. However, the PQ repair might reduce pain in the early postoperative period. Trial registration number: NCT02595229 (ClinicalTrials.gov,
AB - Background: The purpose of the present study was to investigate the influence of the pronator quadratus (PQ) muscle repair following volar plate fixation of distal radius fractures with special regards to the forearm pronation strength. During the early recovery period of 3 months, an improvement of pronation strength and functional scorings was hypothesized for the PQ repair when compared to no repair. Methods: The inclusion criteria were (1) men or women between 18 and 80 years, (2) isolated, closed fractures of the distal radius, (3) A2 to B2 types of fracture according to the AO fracture classification system, (4) primary volar locking plate osteosynthesis. Patients were randomized to group A = PQ repair and group B = no repair. Follow-up examinations after 6 and 12 weeks included bilateral isometric pronation strength measurement, range of motion, the QuickDASH and the Mayo-Wrist-Score, and a visual analog scale (VAS). Results: 60 patients (n = 31 in group A and n = 29 in group B) with an average age of 54 years (range 22-77 years) returned for both follow-up visits. The pronation strength measurements showed no significant differences between groups (PQ repair vs. no repair) neither at 6 weeks nor at 12 weeks. Additionally, no statistical significant differences were noted for ROM, QuickDASH-Score or Mayo-Wrist-Score. The VAS scoring revealed a significant decreased pain level after PQ repair at 6 weeks postoperatively (p = 0.017). Conclusion: An improved pronation strength after PQ repair in the early rehabilitation period could not be confirmed. However, the PQ repair might reduce pain in the early postoperative period. Trial registration number: NCT02595229 (ClinicalTrials.gov,
KW - Distal radius fracture
KW - Pronation strength
KW - Pronator quadratus
KW - Pronator quadratus repair
KW - Volar plate
UR - http://www.scopus.com/inward/record.url?scp=84947916558&partnerID=8YFLogxK
U2 - 10.1186/s40001-015-0187-4
DO - 10.1186/s40001-015-0187-4
M3 - Article
C2 - 26607745
AN - SCOPUS:84947916558
SN - 0949-2321
VL - 20
JO - European Journal of Medical Research
JF - European Journal of Medical Research
IS - 1
M1 - 93
ER -