Complications associated with volar locking plate fixation for distal radius fractures in 1955 cases: A multicentre retrospective study

Lee, Jae Hoon; Lee, Jun-Ku; Park, Jin-Sung; Kim, Dong Hee; Baek, Jong Hun; Kim, Young Jun; Yoon, Kyung Tack; Song, Seung Hyun; Gwak, Hyun Gon; Ha, Cheungsoo; Han, Soo-Hong

doi:10.1007/s00264-020-04673-z

Cited by 13 publications

(11 citation statements)

References 33 publications

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“…Eleven articles identified supracondylar humerus fracture (SCF) as the most prevalent site of fracture leading up to 152 cases (34% of SCF patients) of fractured patients causing ACS [ 7 , 10 , 11 , 14 , 15 , 19 , 22 , 26 , 52 , 57 , 58 ]; 19 articles reported both-bone forearm fractures making up to 123 cases (27.5%) of fractured patients [ 10 , 16 , 17 , 20 , 26 , 29 , 33 , 34 , 40 , 44 , 45 , 50 – 53 , 55 , 56 , 58 ]. Twenty articles reported distal radial fractures leading to ACS in 99 cases (22.1%) of fractured patients (Table 1 ) [ 10 , 12 , 18 , 24 , 26 , 29 , 30 , 32 , 39 , 41 , 43 , 46 – 49 , 51 – 53 , 58 ].…”

Section: Fracture-related Acsmentioning

confidence: 99%

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Etiology of trauma-related acute compartment syndrome of the forearm: a systematic review

et al. 2022

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Objectives Acute compartment syndrome (ACS) can be caused by multiple causes that affect people of different ages. It is considered an orthopedic emergency condition that requires immediate diagnosis and surgical intervention to avoid devastating complications and irreversible damages. This systematic review aimed to present the etiology of trauma-related forearm ACS. Methods A systematic review was performed on four different databases: Embase, Medline, Cochrane Central Register of Controlled Trials (CENTRAL) and Cochrane Database of systematic review register databases via Ovid, with no restriction on dates (last date was June 30, 2021). It included all the studies containing data about the etiology of trauma-related forearm ACS. Results A total of 4893 articles were retrieved: 122 met the inclusion criteria, 39 were excluded, 25 were out of scope and 14 had insufficient details. Hence, this review constituted 83 articles and 684 patients. The etiology of ACS causing forearm ACS was classified into three groups: fracture-related, soft tissue injury-related and vascular injury-related. The fracture-related group was the most common group (65.4%), followed by soft tissue injury (30.7%), then vascular injuries (3.9%). Furthermore, supracondylar humerus fractures were the most common cause of fractures related to forearm ACS. Blunt traumas were the most common cause of soft tissue injuries-related forearm ACS, and brachial artery injuries were the most common cause of vascular-related forearm ACS. Conclusion Frequent assessment of patients with the most prevalent etiologies of forearm ACS is recommended for early detection of forearm ACS and to save limbs.

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Section: Fracture-related Acsmentioning

confidence: 99%

“…Twenty articles reported distal radial fractures leading to ACS in 99 cases (22.1%) of fractured patients (Table 1 ) [ 10 , 12 , 18 , 24 , 26 , 29 , 30 , 32 , 39 , 41 , 43 , 46 – 49 , 51 – 53 , 58 ].…”

Section: Fracture-related Acsmentioning

confidence: 99%

Etiology of trauma-related acute compartment syndrome of the forearm: a systematic review

et al. 2022

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“…The risk is known to be higher in patients with ipsilateral elbow injuries, likely due to higher energy injury 86. The overall incidence of developing ACS after surgery for distal radius fractures is relatively low (0.1%, 2/1955), but has been described as a complication of the surgery,87 and can occur in the setting of delayed procedures 23 28…”

Section: Orthopedic Trauma Surgery Of the Upper Limbmentioning

confidence: 99%

Regional anesthesia and acute compartment syndrome: principles for practice

Dwyer

Burns

Nauth

et al. 2021

Reg Anesth Pain Med

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Acute compartment syndrome (ACS) is a potentially reversible orthopedic surgical emergency leading to tissue ischemia and ultimately cell death. Diagnosis of ACS can be challenging, as neither clinical symptoms nor signs are sufficiently sensitive. The cardinal symptom associated with ACS is pain reported in excess of what would otherwise be expected for the underlying injury, and not reasonably managed by opioid-based analgesia. Regional anesthesia (RA) techniques are traditionally discouraged in clinical settings where the development of ACS is a concern as sensory and motor nerve blockade may mask symptoms and signs of ACS. This Education article addresses the most common trauma and elective orthopedic surgical procedures in adults with a view towards assessing their respective risk of ACS and offering suggestions regarding the suitability of RA for each type of surgery.

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“…Wang et al corroborated this and showed that there was an increased risk of CTS in VLP (6%-12%) [ 10 ]. Interestingly, a retrospective study by Lee et al of 1955 cases had published that rates of CTS were not as high, at 1.84% [ 25 ]. This might be due to the low number of patients included in the aforementioned studies that could have skewed the results and stronger statistical power would be needed to accurately objectively comment on the rates of complication of VLP.…”

Section: Reviewmentioning

confidence: 99%

Comparison of Intramedullary Nail and Volar Locking Plate for Distal Radius Fractures: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

Zhu

Zhang

Eltagy

et al. 2021

Cureus

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Operative intervention with a volar locking plate (VLP) is currently the gold standard for the fixation of distal radius fractures. Intramedullary nailing (IMN) of the distal radius is a novel technique that aims to reduce soft tissue complications due to a smaller surgical incision while maintaining the benefits of a rigid fracture fixation. The aim of this systematic review and meta-analysis was to investigate the functional, clinical, and radiological outcomes of all published randomised controlled trials (RCTs) comparing patient outcomes of VLP and IMN in distal radius fracture fixation. Three databases (Ovid MEDLINE, EMBASE, and Cochrane Library) were searched in July 2021. The inclusion criteria were RCTs comparing fixation of extra-articular or simple intra-articular distal radius with VLP or IMN and availability of full text in English. Children under the age of 18 were excluded. Seven trials with a total of 398 patients were included in this meta-analysis. The meta-analysis showed that there were improved short-term clinical outcomes favouring IMN, although there were no significant differences in terms of functional, radiological, and long-term clinical outcomes. Analysis showed that outcomes of IMN are comparable with VLP for fixation of extra-articular and simple intra-articular distal radius fractures. However, these results should be interpreted with caution due to the small sample size. We recommend that further high-quality trials are required to establish the role of IMN in distal radius fixation.

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Complications associated with volar locking plate fixation for distal radius fractures in 1955 cases: A multicentre retrospective study

Cited by 13 publications

References 33 publications

Etiology of trauma-related acute compartment syndrome of the forearm: a systematic review

Etiology of trauma-related acute compartment syndrome of the forearm: a systematic review

Regional anesthesia and acute compartment syndrome: principles for practice

Comparison of Intramedullary Nail and Volar Locking Plate for Distal Radius Fractures: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

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