Dorsal Spanning Plate Fixation for Distal Radius Fractures

Dodds, Seth D.; Save, Ameya V.; Yacob, Alem

doi:10.1097/bth.0b013e3182a5cbf8

Cited by 30 publications

(31 citation statements)

References 8 publications

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“…This technique was first described by Burke and Singer, 34 and serves simultaneously as a dorsal buttress and as a distraction device that bridges the fracture site to restore length and alignment, while avoiding complications from prolonged external fixation. 35 Overall, this study confirmed that dorsal spanning plates are an excellent alternative for surgical management of highenergy fractures in polytrauma patients. 36 During the period of review, Dodds et al 35 described the surgical technique of spanning plate fixation and reviewed outcomes in polytrauma patients.…”

Section: Dorsal Spanning Platessupporting

confidence: 74%

“…If comminution does not allow reconstruction and requires rapid but stable fixation, distraction plating with an internal dorsal spanning bridge plate can adequately restore length and alignment. 36 During the period of review, Dodds et al 35 described the surgical technique of spanning plate fixation and reviewed outcomes in polytrauma patients. 35 A major advantage of this technique is immediate unrestricted use of the hand, making it ideal for polytrauma patients with associated injuries.…”

Section: Dorsal Spanning Platesmentioning

confidence: 99%

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Distal radial fractures

Floccari

Dennison

2014

Current Orthopaedic Practice

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The rate of operative treatment of distal radial fractures has risen significantly over the past 2 decades. Technological advancements in plating options have contributed to this trend. Volar locking plates have rapidly gained popularity as the technique of choice, but recent literature suggests that volar locking plates only provide short-term benefit with faster recovery of function but equivalent clinical results at 1 yr when compared with external fixation and pins. Volar locking plates do result in improved radiographic results, so longer-term studies are needed for further analysis. Dorsal plating provides improved exposure of the articular surface, and newer generation lowprofile dorsal plates have lower tendon-related complication rates. Dorsal spanning plates often are used in polytrauma patients with severe intraarticular fractures to restore length and alignment while facilitating immediate unrestricted use of the hand. Fragment-specific fixation uses customizable implants to assist with anatomic reduction of multifragmented, intraarticular fractures of the distal radius. Here, we provide an overview of literature published from 2013--2014 concerning volar, dorsal, fragment-specific, and spanning plate fixation, complications, and technological updates for the surgical treatment of distal radial fractures.

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Section: Dorsal Spanning Platessupporting

confidence: 74%

Section: Dorsal Spanning Platesmentioning

confidence: 99%

Distal radial fractures

Floccari

Dennison

2014

Current Orthopaedic Practice

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“…15 Hardware failure in the bridge plating group often occurred after 8 weeks, which would be anticipated to have occurred after the fracture had healed. 6,10,18 Since patients treated with Bridge Plate will undergo a planned secondary procedure for hardware removal, hardware failure in this group has less clinical significance if it occurs after fracture union. Complex regional pain syndrome occurred at a higher rate in the ExFix group and was commonly treated with therapy.…”

Section: Discussionmentioning

confidence: 99%

Dorsal Bridge Plating versus External Fixation for Distal Radius Fractures

Wang

Ilyas

2019

Jnl Wrist Surg

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Background External fixation and dorsal bridge plating are wrist spanning fixation options for distal radius fractures; however, their comparative effectiveness is not well understood. A meta-analysis was conducted to compare the clinical outcomes between these two techniques. Materials and Methods A PubMed database query of all distal radius fracture cases managed with spanning external fixation or dorsal bridge plating was performed. A total of 28 articles met inclusion criteria, yielding 895 patients for data extraction and comparative analysis. Results Dorsal bridge plating demonstrated lower rates of infection (2 vs. 10%, p = 0.05) and complex regional pain syndrome (1 vs. 4%, p = 0.04) but higher rates of hardware failure (4 vs. 1%, p = 0.026). Bridge plating also demonstrated higher rates of excellent/good ratings under the Gartland and Werley outcome score (91 vs. 83%, p = 0.016). There was no significant difference in DASH (Disability of the Arm, Shoulder, and Wrist) scores, radiographic parameters, or unplanned reoperations between the two spanning fixation options. Conclusion Bridge plating and external fixation both appear to be comparable for spanning fixation constructs for distal radius fractures, but with bridge plating having a potentially lower complication profile.

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“…13,31 The plate may be applied in a retrograde or antegrade fashion below the extensor tendons of the dorsal forearm and hand. 12,14 K-wires or interfragmentary screws may be used to augment the construct to stabilize articular fragments if necessary. 13,31 Burke and Singer originally used a 3.5 mm steel dynamic compression plate or single-or double-stacked one-third tubular plates as neutralization constructs.…”

Section: Developmentmentioning

confidence: 99%

“…These plates are produced by multiple manufacturers and are available in 2.4, 2.7, 3.2, and 3.5 mm sizes. 12,23…”

Section: Developmentmentioning

confidence: 99%

Review of Internal Radiocarpal Distraction Plating for Distal Radius Fracture Fixation

Vakhshori

Alluri

Stevanović

et al. 2018

Hand (New York, N,Y.)

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Internal radiocarpal distraction plating is a versatile tool in the treatment of distal radius fractures that are not amenable to nonoperative treatment or operative fixation with standard volar or dorsal implants. Internal distraction plates may also be indicated in the setting of polytrauma or osteopenic bone. The plate functions as an internal fixator, using ligamentotaxis to restore length and alignment while providing relative stability for bony healing. The plate can be fixed to either the second or the third metacarpal, and anatomic and biomechanical studies have assessed the strengths and weaknesses of each strategy. This operative fixation technique leads to acceptable radiographic results and functional outcomes. Following fracture union, the plate is removed, and wrist range of motion is resumed.

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Dorsal Spanning Plate Fixation for Distal Radius Fractures

Cited by 30 publications

References 8 publications

Distal radial fractures

Distal radial fractures

Dorsal Bridge Plating versus External Fixation for Distal Radius Fractures

Review of Internal Radiocarpal Distraction Plating for Distal Radius Fracture Fixation

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