Complications and Plate Removal Surgeries after Performing Volar Plating of Unstable Distal Radius Fractures

Williksen, John H.

doi:10.4172/2167-1222.s2-013

Cited by 1 publication

(2 citation statements)

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“…Although VLPs fixation for unstable DRFs became a familiar technique, serious complications were reported as extensor or flexor tendons injuries, reflex sympathetic dystrophy, carpal tunnel syndrome, loss of reduction, hardware failure, tendon irritation, and intra-articular screw penetration. [23][24][25][26][27][28][29] It is advisable to consider these reported complications when choosing VLPs for simple fractures to reduce the need for reoperations. In a study by Lutsky et al, 30 the incidence of hardware removal was 10% because of plate prominence volar to the critical line.…”

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confidence: 99%

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Combined Conventional and Transulnar Percutaneous Pinning of the Displaced Distal Radius Fracture

Atyyia

Diab

2021

Techniques in Orthopaedics

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Background: This study aimed to study if combined conventional and transulnar percutaneous pinning of the displaced distal radius fracture could maintain the reduction of this unstable fracture.Materials and Methods: In all, 64 patients with unstable distal radius fractures were treated by this technique. The mean follow-up period was 18 months (range: 16 to 34 mo). Clinical and radiologic analyses were provided.Results: Radiographic union was achieved at an average of 6.4 weeks (range: 5 to 9 wk). Radiologically: according to Sarmiento et al's modification of Lindstrom criteria, restoration of anatomy was excellent in 40 patients (62.5%), good in 16 patients (25%), and fair in 8 patients (12.5%). At 6-month follow-up, the average radial height was 7.9 mm (range: 5 to 11 mm), volar tilt was 7.8 degrees (range: 4 to 16 degrees), and radial inclination was 20 degrees (range: 17 to 28 degrees). Functionally, according to the Sarmiento et al's modification of the demerit point system of Gartland and Werley, the outcome was excellent in 36 patients, good in 22 patients, and fair in 6 patients. The most common complication was pin tract infection (4 patients), followed by loss of reduction in 2 patients and complex regional pain syndrome in 2 patients.Conclusions: This procedure is technically facile, minimizes costs, and provides near-anatomic healing based on radiographic criteria. Our case series demonstrated excellent and good clinical outcomes following this technique.

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