The Relationship Between Soong Classification and Fracture Characteristics With Implant Removal for Distal Radius Fractures: a Comparative Study of 795 Cases

dc.authorscopusid 57211950264
dc.authorscopusid 55600007400
dc.authorscopusid 57218210807
dc.authorscopusid 58671922500
dc.authorscopusid 6504747214
dc.contributor.author Yoğun, Y.
dc.contributor.author Bezirgan, U.
dc.contributor.author Ertan, M.B.
dc.contributor.author Gezer, M.C.
dc.contributor.author Armangil, M.
dc.date.accessioned 2025-02-05T18:38:00Z
dc.date.available 2025-02-05T18:38:00Z
dc.date.issued 2025
dc.department Atılım University en_US
dc.department-temp Yoğun Y., Ankara Training and Research Hospital, Hand Surgery Unit, Ankara, Turkey; Bezirgan U., Ankara University Faculty of Medicine, Orthopaedics and Traumatology Department, Hand Surgery Unit, Ankara, Turkey; Ertan M.B., Atılım University Faculty of Medicine, Orthopaedics and Traumatology Department, Ankara, Turkey; Gezer M.C., Mamak State Hospital, Orthopaedics and Traumatology Department, Ankara, Turkey; Armangil M., Ankara University Faculty of Medicine, Orthopaedics and Traumatology Department, Hand Surgery Unit, Ankara, Turkey en_US
dc.description.abstract Introduction: Although there is no consensus in the literature, it is believed that the Soong classification system and fracture pattern are risk factors for plate removal in distal radius fractures. Hypothesis: The aim of this large-scale study was to evaluate the relationship between Soong classification, fracture pattern, and implant removal in distal radius fractures. Materials and methods: We retrospectively evaluated 795 patients who underwent surgery using a volar locking plate for distal radius fractures at our clinic between 2005 and 2022. The patients were divided into two groups: implant removed, and implant retained. The groups were examined for demographic data, follow-up periods, fracture classifications, and radiological parameters. Additionally, the patients were divided into groups and compared according to the Soong classification, which was determined according to implant placement. Indications for implant removal were also included in this study, and their relationships with other parameters were evaluated. Results: A total of 123 and 672 patients were included in the implant removed and retained groups, respectively. The average age of the implant removed group was significantly lower (p = 0.005). There were no significant differences between the two groups in terms of fracture classification or other radiological parameters. In the implant removed group, the rate of grade 2, according to the Soong classification, was statistically higher than that in the other groups (p = 0.019). Flexor tenosynovitis was the most common reason for implant removal. Conclusion: The Soong classification system is an important risk factor associated with implant removal. This risk may increase, particularly among young patients. Surgeons should consider placing the distal radius locking plate as proximally as possible to reduce the frequency of implant removal. Level of evidence: III; retrospective comparative study © 2025 Elsevier Masson SAS en_US
dc.identifier.citationcount 0
dc.identifier.doi 10.1016/j.otsr.2025.104172
dc.identifier.issn 1877-0568
dc.identifier.scopus 2-s2.0-85215405041
dc.identifier.scopusquality Q1
dc.identifier.uri https://doi.org/10.1016/j.otsr.2025.104172
dc.identifier.uri https://hdl.handle.net/20.500.14411/10439
dc.identifier.wosquality Q2
dc.language.iso en en_US
dc.publisher Elsevier Masson s.r.l. en_US
dc.relation.ispartof Orthopaedics and Traumatology: Surgery and Research en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.scopus.citedbyCount 0
dc.subject AO/OTA classification en_US
dc.subject Distal radius fracture en_US
dc.subject Implant removal en_US
dc.subject Soong classification en_US
dc.subject Volar locking plate en_US
dc.title The Relationship Between Soong Classification and Fracture Characteristics With Implant Removal for Distal Radius Fractures: a Comparative Study of 795 Cases en_US
dc.type Article en_US
dspace.entity.type Publication

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