For les intra-articular fractures, plate osteosynthesis is the indicated technique. Despite the absence of consensus, in recent years, the use of open reduction associated with internal plate fixation has considerably developed. Indeed, this therapeutic option allows a more anatomical reduction and stable fixation. First-generation posterior plates presented complications related to the size of the plate, notably tendon lesions. Over the last ten years, a new generation of thinner anterior plates has reduced these complications. In the literature, few studies have compared these two techniques in terms of functional and radiological outcomes. The hypothesis of this research is that osteosynthesis using a posterior plate is more effective than that with an anterior plate in terms of functional recovery in patients older than 45 years.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Questionnaire asking about Disability of Arm, Shoulder and Hand
postoperative x-rays at 6 weeks, 3, 6 and 12 months
Osteosynthesis using a posterior plate
Osteosynthesis using an anterior plate
Chu Dijon Bourgogne
Dijon, France
Evaluation of functional recovery using the DASH questionnaire
Time frame: 6 months
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