DVR plating of distal radius fractures

Vanhaecke, Jeroen; Fernández, Diego L.

doi:10.1016/j.injury.2015.08.010

Cited by 11 publications

(6 citation statements)

References 9 publications

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“…The distal shape of the plate is well-matched to the "watershed line" and surface anatomical morphology of the distal radius on the volar side. Selvan et al believe that DVR can reduce friction between the plate and tendon, more so than any other distal radius plate [15,16]. When the plate is placed at the farthest end, it can effectively prevent tendon irritation, thus reducing disturbance to the soft tissue.…”

Section: Discussionmentioning

confidence: 99%

“…When the plate is placed at the farthest end, it can effectively prevent tendon irritation, thus reducing disturbance to the soft tissue. Second, Vanhaecke et al [ 16 ] believe that the key to this technology’s success is its ability to obtain solid fixation and perfect subchondral support. The DVR plate fits the “watershed line” of the distal radius on the volar side, providing strong support for volar marginal bone mass.…”

Section: Discussionmentioning

confidence: 99%

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The treatment of complex intra-articular distal radius fractures with turning radius and distal volaris radius plate fixation

Jia¹,

Wang

Jiang³

et al. 2020

Eur J Med Res

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Background Although distal radius fractures (DRFs) are clinically common, intra-articular DRFs accompanied by dorsally displaced free fragments are much less so. At present, it is very difficult to fix and stabilize the intra-articular distal radius fractures accompanying dorsally displaced free fragments with a plate. Our aim was to investigate the clinical effect of DRFs with distally displaced dorsal free mass treated with distal volaris radius (DVR) combined with turning of the radius via the distal palmar approach. Methods From 2015 to 2019, 25 patients with intra-articular distal radius fractures associated with dorsally displaced free fragments were selected and treated with distal volaris radius (DVR) combined with turning of the radius via the distal palmar approach. This study involved 14 males and 11 females, with an average age of 34.5 years (ranging from 21 to 50 years). The mean follow-up period was 16.5 months (ranging from 12 to 22 months). The dorsal displacement of the free fragments was analyzed by X-ray and three-dimensional computed tomography, allowing characterization of postoperative recovery effects by radial height, volar tilt and radial inclination. For the follow-up, we evaluated effects of the surgery by analyzing range of motion (ROM); Modified Mayo Wrist Score (MMWS); and Disabilities of Arm, Shoulder and Hand (DASH) score. Postoperative wound recovery and complications were also monitored to evaluate the clinical therapeutic effects of the surgical procedures. Results X-ray showed that all patients showed reduced fractures, well-healed wounds and recovered function with no obvious complications. Based on the follow-up, patients had a mean radial height of 10.5 mm (ranging from 8.1 to 12.6 mm), mean MMWS of 78.8° (ranging from 61° to 90°), mean DASH score of 16.25 (ranging from 11 to 21), mean ROM for volar flexion of 76.5° (ranging from 62° to 81°), mean ROM for dorsiflexion of 77.1° (ranging from 59 to 83) and mean VAS score of 1.4 (ranging from 1 to 3). Conclusion Treatment of the intra-articular distal radius fractures accompanying dorsally displaced free fragments with turning of the radius and the DVR plate system via the distal palmar approach is effective and has no obvious complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The treatment of complex intra-articular distal radius fractures with turning radius and distal volaris radius plate fixation

Jia¹,

Wang

Jiang³

et al. 2020

Eur J Med Res

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“…This seems consistent with potential clinical and biomechanical benefits of minimally invasive intramedullary nail fixation, including load transfer across the fracture site, minimized risk of soft tissue disruption and irritation, and less postoperative adhesion formation, decreased postoperative pain, and promoted fracture healing [ 7 , 24 , 53 ]. Notably, volar plate fixation has also consistently been associated with favorable radiological and clinical outcomes in past studies among patients with distal radius fractures [ 8 , 9 , 12 – 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Volar locking plate fixation is increasingly used in treating distal radius fractures, given its advantages over standard volar fixation because it provides stable fixation, even in comminuted fractures of osteoporotic bone [ 8 , 9 ], it has a lower rate of complications than dorsal fixation [ 10 , 11 ], and many studies of patients with distal radius fractures showed favorable radiological and clinical outcomes, with early mobilization and rapid recovery and improved wrist function reported [ 8 , 9 , 12 – 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, while volar plating of the distal radius provides an improved soft tissue envelope during re-approximation of pronator quadratus over the implant, tendon ruptures and hardware problems are still reported [ 7 , 19 – 23 ]. In addition, the improved function achieved during the early period after surgery, functional and radiographic outcomes may become similar to those of other treatment modalities during later periods of follow up [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Use of Volar Locking Plate Versus Intramedullary Nailing for Fixation of Distal Radius Fractures: A Retrospective Analysis of Clinical and Radiographic Outcomes

Çalbıyık

İpek

2018

Med Sci Monit

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BackgroundThe objective of this study was to evaluate clinical and radiographic outcomes of volar plate versus intramedullary nailing for fixation of distal radius fractures.Material/MethodsThis retrospective study included 64 patients with extra-articular and simple intra-articular fractures of the distal radius who underwent intramedullary fixation using volar locking plate (n=35, mean age 47.3±16.4 years, 82.9% female) or intramedullary nailing (n=29, mean age 51.3±10.1 years, 58.6% female). Outcome measures were range of motion (ROM); visual analog scale (VAS); Disabilities of the Arm, Shoulder, and Hand (DASH) score; Gartland-Werley score; Stewart score; and radiographic findings.ResultsTime to fracture union was 5.5±1.2 and 5.2±0.6 weeks after volar plate fixation and intramedullary nailing, respectively (p>0.05). Compared to volar plate fixation, intramedullary nailing provided better restoration of volar tilt (6.9±6.3° vs. 9.4±1.6°, p=0.004) and wrist flexion (74.3±15.1° vs. 67.9±13.1°, p=0.003). However, volar plate fixation was significantly better in restoration of supination (85.0±8.3° vs. 81.9±5.1°, p=0.001) and radio-ulnar variance (0.7±0.8 mm vs. 1.1±0.9 mm, p=0.05), DASH score (9.2± 9.0 vs. 15.0 ±3.3, p=0.035), and Gartland-Werley score (1.8±0.9 vs. 4.9±5.4, p=0.004). Volar plate and intramedullary nailing groups were comparable with respect to Stewart score (1.5±0.7 and 1.6±1.3, p>0.05) and complication rates (34.3% vs. 37.9%, p>0.05).ConclusionsBoth volar plate fixation and intramedullary nail fixation provide good clinical and radiographic outcomes for primarily extra-articular or simple intra-articular distal radius fractures. As intramedullary nailing provides better restoration of volar tilt and wrist flexion, volar plate fixation provides better restoration of radio-ulnar variance and wrist supination.

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Intraoperative three-dimensional imaging in the treatment of distal radius fractures

Schnetzke

Fuchs

Vetter

et al. 2018

Arch Orthop Trauma Surg

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DVR plating of distal radius fractures

Cited by 11 publications

References 9 publications

The treatment of complex intra-articular distal radius fractures with turning radius and distal volaris radius plate fixation

The treatment of complex intra-articular distal radius fractures with turning radius and distal volaris radius plate fixation

Use of Volar Locking Plate Versus Intramedullary Nailing for Fixation of Distal Radius Fractures: A Retrospective Analysis of Clinical and Radiographic Outcomes

Intraoperative three-dimensional imaging in the treatment of distal radius fractures

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