Die dorsale Doppelplattenosteosynthese am distalen Radius - ein biomechanisches Konzept und dessen klinische Realisation

Rikli, Daniel; Regazzoni, P.; Babst, Reto

doi:10.1055/s-2003-44839

Cited by 11 publications

(1 citation statement)

References 9 publications

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“…Nevertheless, this can be insufficient to reduce the styloid process to an anatomic position. The three-column concept of the distal radius as proposed by Rikli respects radial dislocation of the styloid process and fixes the radial column with a separate plate [15,16]. A similar principle can also be used with volar fixation.…”

Section: Introductionmentioning

confidence: 99%

Repositioning and stabilization of the radial styloid process in comminuted fractures of the distal radius using a single approach: the radio-volar double plating technique

Jacobi¹,

Wahl²,

Kohut³

2010

J Orthop Surg Res

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BackgroundA possible difficulty in intra-articular fracture of the distal radius is the displacement tendency of the radial styloid process due to the tension of the brachioradialis tendon.MethodsTen patients treated within one year for complex distal radius fractures by double-plating technique with a radial buttress plate and volar locking plate, through a single volar approach, were followed prospectively during 24 months. Outcome measures included radiographic follow-up, range of motion, grip strength and score follow-up (VAS, Gartland-Werley score and patient-rated wrist evaluation).ResultsTen patients with intraarticular distal radius fractures with dislocation of the radial styloid process were treated with this technique. This resulted after 24 months in good clinical outcome (mean visual analog scale 0.9; almost symmetric range of motion; mean Gartland-Werley score 2 ± 3; mean patient-rated wrist evaluation 3.2 ± 2.4). Radiologic evaluation according to the Dresdner Score revealed anatomic reduction without secondary dislocation during the follow-up and uneventful consolidation.ConclusionsThe described technique strongly facilitates anatomic reduction and stable fixation of intra-articular distal radius fractures with dislocation of the radial styloid process and leads to satisfactory clinical and radiographic outcome.

show abstract

Section: Introductionmentioning

confidence: 99%

Repositioning and stabilization of the radial styloid process in comminuted fractures of the distal radius using a single approach: the radio-volar double plating technique

Jacobi¹,

Wahl²,

Kohut³

2010

J Orthop Surg Res

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When Fixed-Angle Volar Plates Are Not Enough: Alternative Fixation Methods in Problem Fractures

Tägil

Abramo

2014

Distal Radius Fractures

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Dorsal Double-Plate Fixation of the Distal Radius

Rikli

Businger²,

Babst

2005

Orthop Traumatol

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25 consecutive patients were monitored following a double-plate fixation, with a minimum follow-up of 12 months. In all cases the reduction, in accordance with the Stewart Score, was very good, a loss of reduction was not observed. The range of motion was between 100 degrees and 160 degrees for flexion/extension and between 160 degrees und 180 degrees for pronation/supination. The average DASH Score was 7.2 points, the PRWE Score 8.0 points. No relevant loss of strength (JAMAR dynamometer) was found in any of the patients in comparison with the healthy side. Complications noted were a muscle adhesion in the region of the first extensor compartment as well as a mild reflex sympathetic dystrophy, which healed without consequences. Implants were removed from six of the patients.

show abstract

Die dorsale Doppelplattenosteosynthese am distalen Radius - ein biomechanisches Konzept und dessen klinische Realisation

Cited by 11 publications

References 9 publications

Repositioning and stabilization of the radial styloid process in comminuted fractures of the distal radius using a single approach: the radio-volar double plating technique

Repositioning and stabilization of the radial styloid process in comminuted fractures of the distal radius using a single approach: the radio-volar double plating technique

When Fixed-Angle Volar Plates Are Not Enough: Alternative Fixation Methods in Problem Fractures

Dorsal Double-Plate Fixation of the Distal Radius

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