Ergebnisse bei Materialentfernung nach operativ versorgten distalen Radiusfrakturen - eine retrospektive Untersuchung

The fracture of the distal Radius is the most common amoung the fractures of the human being. Since the 1990s there was a clear change from conservative treatment to locking plate fixation, which is now being applied in mayority of cases. Depending on the course of trauma und the classification of the fracture there are two different types of fixation. Most frequently a volar plating system is used, at fewer occasions dorsal plate fixation is applied. Until now there is no explicit agreement regarding material removal of these radius plates. Excluding definitive indications like infection, irritation und lesion of nerves or tendons there is no majority opinion or recommendation for the removal in literature. The objective of this investigation is to examine patients after the metal removal to find out, based on these results, if the proposition of a metal removal is profitable for the patients or not. From a collective of 77, 45 patients were invited, interviewed with EQ5D, DASH, MayoWristScore and the Marburg Implant Removal Form (MIRF) and examined for their mobility and strength in the operated hand. To evaluate the individual situation of each patient and the compound of our collective, we created the Marburger Implant Removal Form as a central element of our study. Initially sceptical towards the benefit of a removal, without an absolute indication for reoperation, our results showed that the over all tendency gave evidence of great content of the patients, as soon as good objective results in the examinations were found. Out of 45 patients 40 (88,9%) would choose to go under surgery for material removal again. The final conclusion of this study is, that even when no absolute indication for a removal of a radius plate fixation is given, we may recommend the reoperation. With respect to these results, our doubts regarding a possible aggravation of the disabilities could be dispelled.