Comparison of different distal radius dorsal and volar fracture fixation plates: A biomechanical study

Osada, Denju; Viegas, Steven F.; Shah, Mansi; Morris, Randal P.; Patterson, Rita M.

doi:10.1053/jhsu.2003.50016

Cited by 182 publications

(148 citation statements)

References 46 publications

Supporting

Mentioning

130

Contrasting

Unclassified

Order By: Relevance

“…Osada et al compared the biomechanical properties of dorsal and volar fracture fixation plate designs in a cadaver model. 29 They reported that if the volarily placed titanium symmetry plate was used to fix a colles -type fracture, the distal fragment of radius to develop a dorsal angulations of about 9 degrees if early active mobilization of fingers was initiated during the postoperative period, on the other hand, Leung et al demonstrated no statistical difference between axial loading transmission though the intact radius and a distal radius fracture fix with a volar locking plate. 30 In fact, the volar locking plate showed advantages over dorsal plating in the fixation of dorsally unstable distal radius fracture.…”

Section: Discussionmentioning

confidence: 99%

Functional and radiological outcome in distal radius fractures treated with locking compression plate

et al. 2017

View full text Add to dashboard Cite

Background: Fractures of distal end of radius are one of the most common skeletal injuries encountered in orthopaedics. There are various modalities for treatment like close reduction and cast application, external fixators, ORIF with plate etc. CR and cast application or K-wire fixation, external fixation is associated with immobilisation, wrist stiffness, loss of reduction postoperatively. So we performed volar plating for distal end radius fractures and calculated its results.Methods: We performed ORIF with plating (Volar approach) in 35 patients (22 male and 13 female) of distal end radius fractures depending on inclusion and exclusion criteria. Fractures were classified according to AO classification. All patients were operated under tourniquet. Results were analysed using Mayo score.Results: Out of 35 patients, 14 had type A, 16 had type B and 5 had type C fractures (AO classification). Average operative time was 45 minutes and blood loss of 50 ml. Average time to clinico-radiological union was 7 weeks. Average follow up time was 8 months. Average time to wrist mobilisation was 8 days. According to Mayo score, 16 patients had excellent results, 15 had well and 4 had satisfactory results.Conclusions: Volar plating for fracture distal end radius reduces chances of wrist joint stiffness and loss of reduction and good results can be obtained. So in our opinion, volar plating for treatment of fracture distal end radius is good method with excellent outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Functional and radiological outcome in distal radius fractures treated with locking compression plate

et al. 2017

View full text Add to dashboard Cite

show abstract

“…12 Recent studies have shown that volar locking plate system are biomechanically more stable than nonlocking plates and even maintain the anatomy of dorsally displaced intraand extra-articular distal radius fractures. 13,14 Compared with dorsal and radial plates, volar plates are associated with fewer soft tissue complications and have become increasingly popular over recent years to treat dorsally displaced distal radial fractures since the introduction of angle stable locking plates. 15,16 In addition to maintaining fracture position, angle stable locking plates also provide sufficient fracture stability to enable patients to mobilize injured joints rapidly in the postoperative period.…”

Section: Introductionmentioning

confidence: 99%

Osteosynthesis of Unstable Fractures of Distal Radius with Volar Locking Plate

Pradhan

Sharma

Pandey

et al. 2013

Nepal Ortho. Assoc. J.

View full text Add to dashboard Cite

BACkGROUND: Various surgical treatment methods are available for unstable distal radius fractures. Clinical and radiological outcome with volar locking plate has been very satisfactory. The purpose of this prospective study is to evaluate the results of the treatment of unstable fractures with the volar locking plate with regard to loss of reduction, functional outcome and complications. METHODS:Unstable distal radius fractures were enrolled for the study from May 2008 until July 2010. All patients were treated with 3.5 mm distal radius volar locking plate and assessed by clinical and radiological examination. The clinical scoring chart modified by Cooney was used to evaluate the functional outcome.RESULTS: eighteen male and 12 female patients with the average age of 42.53 (range 30-64years) were followed up for a period of 9 to 34 months (average.23 months). There were fourteen A3 fractures, nine C1 fractures, six C2 fractures, and one C3 fracture, whereas one had a Gustilo grade I open wound on the volar aspect. Seven of the fractures had associate fracture of the ulnar styloid. The functional outcome was excellent in 23 (76%), good in 6 (20%), fair in 1 (4%) and none had poor outcome. There were very few complications in our series. CONCLUSION:Unstable fractures of distal radius treated by open reduction with volar locking plate provides adequate fixation with no collapse in reduction and also have satisfactory functional outcome with minimal complications.

show abstract

“…Our results were considered to be derived from the several advantages of PART. A volar locking plate that seems to offer the most stable construct (Osada et al, 2003) enables early range of motion and grasping exercises. PART is possible with a small skin incision and preserving the pronator quadratus muscle.…”

Section: Discussionmentioning

confidence: 99%