Dorsally displaced extra-articular distal radius fractures fixation: Dorsal IM nailing versus volar plating. A randomized controlled trial

Chappuis, Julien; Boute, Philippe; Putz, Philippe

doi:10.1016/j.otsr.2010.11.011

Cited by 39 publications

(46 citation statements)

References 25 publications

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“…The significant softtissue dissection required with this procedure results in a high incidence of neuropathy and carpal tunnel syndrome, however. 8 Open reduction and internal fixation is one of the most commonly used surgical techniques for distal radius fracture. 9,10 The purpose of this meta-analysis was to investigate the benefits and complications of volar and dorsal surgical fixation of distal radius fracture.…”

Section: Introductionmentioning

confidence: 99%

Complications following dorsal versus volar plate fixation of distal radius fracture: A meta-analysis

et al. 2013

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Section: Introductionmentioning

confidence: 99%

Complications following dorsal versus volar plate fixation of distal radius fracture: A meta-analysis

et al. 2013

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“…Among minimally invasive techniques developed for the osteosynthesis of extra-articular fractures of the distal radius, the use of intramedullary nails remains controversial, 11 probably due to complications such as injury to the extensor apparatus by dorsally inserted nails 12 and to the radial nerve branches by laterally inserted nails. 13 With the development of volar locking plates, Henry's extended distal anterior approach or trans-flexor carpi radialis (FCR) approach tends to become the gold standard.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Plate Osteosynthesis for Extra-articular Distal Radius Fracture in Postmenopausal Women: Longitudinal versus Transverse Incision

et al. 2018

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Background This work aimed to compare two mini-invasive palmar approaches (longitudinal and transverse) to osteosynthesize fractures of the distal radius. The main hypothesis was that the longitudinal technique gave smaller incisions. The secondary hypothesis was that the longitudinal technique would be better for the recovery of pain, functional scores, strength, and mobility. Materials and Methods The series included 30 extra-articular distal radius fractures in 30 patients (average age: 74 years) fixed with volar locking plate using a mini-invasive technique. Fifteen of these patients had a single longitudinal surgical approach (Group I), and 15 had a transverse approach that was completed with a longitudinal incision for the proximal screws (Group II). Results The combined average incision size was 14.73 mm in Group I and 19.8 mm in Group II. After 6 months, the pain was on average 1.4/10 (Group I) and 0.46/10 (Group II), the quick Disability of the Arm, Shoulder, and Hand was 13.63/100 (Group I) and 2.8/100 (Group II), Patient-Related Wrist Evaluation was 11.8/100 (Group I) and 5.97/100 (Group II), grip strength was 81.06% (Group I) and 72.13% (Group II), flexion was 88.13% (Group I) and 75% (Group II), extension was 86% (Group I) and 64.6% (Group II), ulnar inclination was 89% (Group I) and 78.67% (Group II), radial inclination was 89.73% (Group I) and 79.93% (Group II), pronation was 96.67% (Group I) and 81.46% (Group II), and supination was 91.93% (Group I) and 79.87% (Group II). Clinical Relevance The longitudinal technique gave smaller incisions than the transverse technique. Among the secondary hypotheses, all the variables were better with the longitudinal technique, except the pain, although without any significant difference.

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“…The most commonly used method is open reduction and internal fixation with volar plating. While some earlier studies showed no difference, more recent studies have demonstrated both improved functional outcomes and fewer complications with the use of volar plates relative to both external fixation and dorsal plating [34][35][36][37]. Along with the ease of the volar approach, the advent of pre-contoured volar locking plates has made the technical aspect of the procedure simpler as well.…”

Section: Operative Treatmentmentioning

confidence: 99%

Distal radius fractures in the athlete

Beleckas

Calfee

2017

Curr Rev Musculoskelet Med

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Purpose of Review Distal radius fractures are one of the most common upper extremity fractures. Athletes with distal radius fractures are treated according to the same principles as nonathletes but present several unique considerations. At all levels of sport, injured athletes desire to return to play as rapidly as possible. Recent Findings Earlier operative fixation may allow an athlete to return to play more quickly. Volar locking plates are most commonly used for operative treatment of distal radius fractures due to their stability and low incidence of complications. Summary Although the majority of distal radius fractures in athletes are treated non-operatively, operative intervention is offered when required to restore and maintain acceptable skeletal alignment. Return to sport is individualized guided by fracture stability, athlete age, and wrist-specific demands for competition.

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Dorsally displaced extra-articular distal radius fractures fixation: Dorsal IM nailing versus volar plating. A randomized controlled trial

Abstract: Level II, prospective, randomized of low-level.

Cited by 39 publications

References 25 publications

Complications following dorsal versus volar plate fixation of distal radius fracture: A meta-analysis

Complications following dorsal versus volar plate fixation of distal radius fracture: A meta-analysis

Minimally Invasive Plate Osteosynthesis for Extra-articular Distal Radius Fracture in Postmenopausal Women: Longitudinal versus Transverse Incision

Distal radius fractures in the athlete

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