The Comparison of Internal Locking Plates and Non-locking Plates Fixation in Wrist Functional Recover for Distal Radius Fractures.

[[abstract]]Purpose: The purpose of this study is to investigate the comparison of locking plates and non-locking plates fixation in wrist functional recover for distal radius fractures. To provide surgeons and patients with distal radial fracture fixation bone plate reference is selected. Method: This study was a retrospective study, the first inspection by the case, the investigation of the distal radial fracture patients in January 2008 - June 2013 in a particular hospital .Selection of the bone plate internal fixation patients as research subjects. After the screening of the total number of 164.107 people use of fixed locking plates; fixed non-locking plates of 57 people in November 2013 - January 2014, in order to design their own questionnaires and DISABILITIES OF THE ARM, SHOULDER AND HAND QUESTIONNAIRE(DASH) conducted telephone interviews, DASH scores higher the higher the severity of disability. According to the DASH scores, with two-sample t-test, ANOVA analysis between different variables, recovery of function after wrist surgery differences, using locking and non-locking plates , variable distribution among the differences. To analyze the relevant factors affecting the distal radial fracture after wrist surgery recovery function with Multiple Linear Regression. Result: Distal radial fracture of female patients than men 22%, of which postmenopausal women for the majority(48.2%), based on bivariate analysis, postmenopausal women, 70 years or older, lower levels of education, post-operative DASH scores highest, showing its recovery after surgery the worst case, under the control of other variables, the use of locking plate wrist functional recover for distal radius fractures (DASH score) than non-locking bone plates good 1.37 times, in addition to the type of plates are significantly different than on postoperative wrist function, this study found that surgery age and educational level, factors that also affect functional recovery after wrist surgery, especially in the age at surgery exceed 60 years old , patients with low qualifications in higher education of patients after surgery, wrist functional recovery situation worse. Conclusion and Recommendation: Conclusions: The patients with distal fractures in postmenopausal women, aged 70 years and older, lower levels of education for the functional recovery after wrist worst case. Recommended: (1) More than 60 years and postmenopausal women, advocacy and encouragement should be conducted annually in bone density, enhance the prevention and treatment of osteoporosis and fall prevention knowledge, reducing the risk of fractures caused by falls. (2) Hospitals should focus on lower levels of education for senior citizens, and enhance self-care abilities after their surgery within six months, in order to increase their recovery wrist function. (3) The complexity of patients with osteoporosis or fractures in the economic conditions permit, consider using locking bone plate Distal radius fracture surgery