Complications Following Internal Fixation of Unstable Distal Radius Fracture With a Palmar Locking-Plate

Abstract

Fixation of unstable dorsally displaced distal radius fractures with a fixed angle plate provides sufficient stability with minimal loss of reduction. Nevertheless, very distal palmar plate position can interfere with the flexor tendon system, too long screws can penetrate the extensor compartments, and distal screws in comminuted fracture patterns can cut through the subchondral bone and penetrate into the radiocarpal joint. Mindful of these problems, we consider that the complex fracture pattern of an unstable distal radius fracture cannot be treated by a single plate system and approach.

Fractures of the Distal Tibia Treated with Polyaxial Locking Plating

“…Currently, locking plate osteosynthesis has become widely accepted for treatment of periarticular fractures [1,3,9,14,16,17,24,27]. For relatively smaller distal tibia fracture fragments, especially with an average distance of 11 mm from the distal extent of the fracture to the tibial plafond in the current series, a monoaxial locking plate with fixedtrajectory locking screws sometimes may not provide anticipated fixation for the distal fragment [13,20].…”

A Structured Review Addressing the Use of Radiographic Measures of Alignment and the Definition of Acceptability in Patients with Distal Radius Fractures

“…Altissimi et al 1986 [3] Detailed description Arora et al 2007 [5] Brogren et al 2011 [6] based [25] Stardardized predefinted critera for distal forewarm fracture manipulation by pediatric orthopedists (children younger than 9) Kwon et al 2012 [28] K r e d e r e t a l 1 9 Conflict of Interest Emily A. Lalone declares that she has no conflict of interest. Ruby Grewal declares that she has no conflict of interest.…”

Treatment of Distal Radioulnar Joint Injuries Associated with a Distal Radius Fracture

“…성을 강조한 문헌들이 적고 골절 유합 후 지속적인 완관절 주 위 동통 9,10 이나 불안정, 특히 회전 운동의 제한 11 비교하여 원위 요골 관절면의 장측경사 0�이상, 척측 경사도 5�이상, 관절면의 부조화 2 mm 이내, 특히 원위 요-척 관절 의 이개나 부조화가 없고, 중립위 척골 변이 및 원위 척골 경 상 돌기의 관절면 불유합 소견 등이 없는 경우를 만족스러운 정복으로 판단하였다 12,13 . 임상적으로는 도수 정복 혹은 수술 후 평균 6개월째 환자의 지난 주 일상 생활의 완관절 기능 평 가를 disabilities of the arm, shoulder and hand (DASH) score 13 , 원위 요-척 관절 주변부 통증의 정도는 visual analogue scale (VAS)를 이용하여 평가하였고, 또 완관절의 회외 전과 회내전 각도를 측정하였다 (Table 1) …”