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Are the Clinical Results of Locking Plate Fixation for Distal Radius Fractures Inferior in Patients over 80 Years of Age? A Multicentre (TRON Group) Study
http://hdl.handle.net/2237/0002006472
http://hdl.handle.net/2237/00020064721a953d9d-13a5-4286-9fff-be32733ca7f4
名前 / ファイル | ライセンス | アクション |
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1120_20220811revisedmanuscript.pdf (432 KB)
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Figure-1.pdf (62 KB)
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Figure-2.pdf (36 KB)
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Item type | itemtype_ver1(1) | |||||||||||||||||||||
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公開日 | 2023-06-13 | |||||||||||||||||||||
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タイトル | Are the Clinical Results of Locking Plate Fixation for Distal Radius Fractures Inferior in Patients over 80 Years of Age? A Multicentre (TRON Group) Study | |||||||||||||||||||||
言語 | en | |||||||||||||||||||||
著者 |
Sakurai, Saki
× Sakurai, Saki
× Takegami, Yasuhiko
× Tokutake, Katsuhiro
× Kuwahara, Yutaro
× Shibata, Ryutaro
× Ota, Hideyuki
× Kumagai, Hiroaki
× Imagama, Shiro
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アクセス権 | open access | |||||||||||||||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||||||||||||
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言語 | en | |||||||||||||||||||||
権利情報 | This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s43465-022-00788-0 | |||||||||||||||||||||
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内容記述タイプ | Abstract | |||||||||||||||||||||
内容記述 | Introduction: With the aging of the population, the proportion of distal radius fracture patients who are > 80 years of age is increasing. In this study, we compared the postoperative clinical and radiographic outcomes between super-elderly patients (age: ≥ 80 years) and middle-elderly (age: 65–79 years) who were treated with volar locking plate (VLP) fixation for distal radius fractures. Patients and Methods: Patients of > 65 years of age with distal radius fractures treated by VLP fixation between 2015 and 2019, and who were followed for at least 6 months after surgery were included in our database (named TRON). Patients with open fractures, multiple-trauma, or who received fixation with implants other than a VLP were excluded. We evaluated postoperative complications, Mayo wrist score (MWS), and radiographic outcomes. Results: We identified 589 patients in this study; 452 were 65–79 years of age (Group A) and 137 were ≥ 80 years of age (Group B). After propensity score matching, we evaluated 309 patients in Group A and 103 patients in Group B. The mean follow-up period was 10.7 ± 4.6 months. Twenty-eight patients (9.1%) in Group A and 5 patients in Group B (4.9%) experienced post-operative complications (non-significant: p = 0.212). The postoperative MWS at 1, 3, and 6 months, respectively, was 65.4 ± 11.7, 75.2 ± 11.0, and 79.6 ± 10.5 in Group A and 67.1 ± 9.61, 75.7 ± 10.7, and 80.6 ± 9.7 in Group B (non-significant: p = 0.418, 0.893, 0.452, respectively). The differences in volar tilt, radial inclination, ulnar variance between the postoperative and last follow-up radiographs did not differ between the two groups to a statistically significant extent (p = 0.053, 0.437, 0.529, respectively). Conclusion: Our study showed that the clinical and radiographic outcomes of distal radius fractures treated with VLP in super-elderly patients were comparable to those in middle-elderly patients. | |||||||||||||||||||||
言語 | en | |||||||||||||||||||||
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出版者 | Springer | |||||||||||||||||||||
言語 | en | |||||||||||||||||||||
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言語 | eng | |||||||||||||||||||||
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資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||
資源タイプ | journal article | |||||||||||||||||||||
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出版タイプ | AM | |||||||||||||||||||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||||||||||||
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関連タイプ | isVersionOf | |||||||||||||||||||||
識別子タイプ | DOI | |||||||||||||||||||||
関連識別子 | https://doi.org/10.1007/s43465-022-00788-0 | |||||||||||||||||||||
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収録物識別子タイプ | PISSN | |||||||||||||||||||||
収録物識別子 | 0019-5413 | |||||||||||||||||||||
書誌情報 |
en : Indian Journal of Orthopaedics 巻 57, 号 1, p. 117-123, 発行日 2023-01 |
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日付 | 2024-01-01 | |||||||||||||||||||||
日付タイプ | Available |