Repair of the pronator quadratus muscle in distal radius fractures treated with internal fixation through a palmar approach: a systematic review and meta-analysis.

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Published: May 10, 2024
Keywords:
Radius Fractures Wrist Fractures Palmar Plate Pronation

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Laureano A. Hoyos Velasco
Universidad Nacional de Colombia, Bogotá, Colombia
Manuel E. Vergara Amador
Universidad Nacional de Colombia, Bogotá, Colombia
Jhoan F. Muñoz Velasco
Universidad del Valle, Cali, Colombia
Paulo E. Chacón Castillo
Universidad de Antioquia, Medellín, Colombia
Julián A. Arteaga Chima
Universidad de Caldas, Manizales, Colombia

Abstract

Introduction: the pronator quadratus muscle functions as a dynamic stabilizer of the distal radioulnar joint, and its repair after internal fixation with volar locking plate in distal radius fractures is controversial.
Objective: to determine whether the repair of the pronator quadratus muscle influences the clinical and functional outcomes of patients with distal radius fracture who underwent open reduction and internal fixation with volar locking plate.
Materials and methods: a systematic review and meta-analysis were conducted. The analyzed databases were Pubmed/Medline, Embase, and Bireme/Lilacs (search performed until February 20th, 2023). The search terms were distal radius fracture AND volar plate AND pronator quadratus. Methodological quality was determined according to the Cochrane Reviewer’s Handbook.
Results: a total of 4 randomized clinical trials of adequate methodological quality, corresponding to the analysis of 213 participants, were included. Better DASH scores were observed at 12 months of follow-up in the non-repair group of the pronator quadratus muscle, with a mean difference of 2.8 [95% CI 0.51; 5.10]. There were no significant differences at one-year follow-up in pain scores, wrist mobility ranges, grip strength, and incidence of complications.
Conclusion: there is no evidence to support routine repair of the pronator quadratus muscle after internal fixation with volar locking plate in distal radius fractures.

Article Details

How to Cite
1.
Hoyos Velasco LA, Vergara Amador ME, Muñoz Velasco JF, Chacón Castillo PE, Arteaga Chima JA. Repair of the pronator quadratus muscle in distal radius fractures treated with internal fixation through a palmar approach: a systematic review and meta-analysis. Actual. Osteol. [Internet]. 2024 May 10 [cited 2024 Nov. 22];19(3):199-210. Available from: https://ojs.osteologia.org.ar/ojs33010/index.php/osteologia/article/view/65
Issue
Vol. 19 No. 3 (2023): Actualizaciones en Osteología
Section
Reviews

Derechos de autor: Actualizaciones en Osteología es la revista oficial de la Asociación Argentina de Osteología y Metabolismo Mineral (AAOMM) que posee los derechos de autor de todo el material publicado en dicha revista.

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