Internal Fixation of Dorsally Displaced Fractures of the Distal Part of the Radius

Willis, Andrew A.; Kutsumi, Keiji; Zobitz, Mark E.; Cooney, William P.

doi:10.2106/jbjs.e.00946

Cited by 119 publications

(115 citation statements)

References 25 publications

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“…The biomechanical results show that locking volar plates provides significantly greater resistance to fracture gap motion compared with standard volar plates in a dorsally comminuted distal radius fractures. 22 Biomechanical studies comparing volar fixedangle fixation plates with conventional dorsal implants report volar fixed-angle fixation plates are stronger. 13 Fixed-angle volar plates prove stronger under cyclical loading tests than dorsal implants as the implant-bone interface is the limiting factor.…”

Section: Discussionmentioning

confidence: 99%

Osteosynthesis of Unstable Fractures of Distal Radius with Volar Locking Plate

Pradhan

Sharma

Pandey

et al. 2013

Nepal Ortho. Assoc. J.

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BACkGROUND: Various surgical treatment methods are available for unstable distal radius fractures. Clinical and radiological outcome with volar locking plate has been very satisfactory. The purpose of this prospective study is to evaluate the results of the treatment of unstable fractures with the volar locking plate with regard to loss of reduction, functional outcome and complications. METHODS:Unstable distal radius fractures were enrolled for the study from May 2008 until July 2010. All patients were treated with 3.5 mm distal radius volar locking plate and assessed by clinical and radiological examination. The clinical scoring chart modified by Cooney was used to evaluate the functional outcome.RESULTS: eighteen male and 12 female patients with the average age of 42.53 (range 30-64years) were followed up for a period of 9 to 34 months (average.23 months). There were fourteen A3 fractures, nine C1 fractures, six C2 fractures, and one C3 fracture, whereas one had a Gustilo grade I open wound on the volar aspect. Seven of the fractures had associate fracture of the ulnar styloid. The functional outcome was excellent in 23 (76%), good in 6 (20%), fair in 1 (4%) and none had poor outcome. There were very few complications in our series. CONCLUSION:Unstable fractures of distal radius treated by open reduction with volar locking plate provides adequate fixation with no collapse in reduction and also have satisfactory functional outcome with minimal complications.

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Section: Discussionmentioning

confidence: 99%

Osteosynthesis of Unstable Fractures of Distal Radius with Volar Locking Plate

Pradhan

Sharma

Pandey

et al. 2013

Nepal Ortho. Assoc. J.

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“…Dorsal metaphyseal comminution renders most of these fractures unstable [2,3], and misalignment after manipulative reduction and cast immobilization is common without surgical fixation [4]. Open reduction and volar plate and screw fixation using distal locked screws has become a popular alternative for treatment of dorsally displaced fractures with dorsal metaphyseal comminution [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Functional Outcome Between Early and Delayed Internal Fixation Using Volar Locking Plate for Distal Radius Fractures

Yamashita

Zenke

Sakai

et al. 2015

J UOEH

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: The purpose of this study was to assess the effect of timing (Early (E) group vs Delayed (D) group) of internal fixation for distal radius fractures on forearm and wrist function in patients who underwent the surgery. The subjects were one hundred six patients who had extra-articular fractures of the dorsally displaced distal radius and were treated with a volar locking plate. The subjects were divided into two groups: E group (Operation on the day of injury or the next day, n = 76 ; and the D group (Operation at 7 days after injury or later, n = 30). Follow-up examinations conducted at 4, 12, and 48 weeks after surgery included measurements of wrist and forearm ranges of motion (ROM), measurement of grip strength (GS), Disability of the Arm, Shoulder and Hand score (DASH), and complications, retrospectively. The patients in both groups improved significantly with respect to ROM, GS, and DASH. At 4 weeks, the patients in the E group had better forearm motion, At 4 and 12 weeks, those who had undergone early surgery had significantly better wrist motion, GS and DASH. At 48 weeks, there were no differences between the groups in ROM, GS, or DASH. Patients with dorsally displaced extra-articular fractures of the distal radius can expect to have better short-term outcomes with early treatment, open reduction and internal fixation using a volar locking plates.

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“…Cerrahi yöntemlerdeki geliş-meler ve kullanılan implantların teknolojilerinin ilerlemesi cerrahlara yeni olanaklar sağlamaktadır. [10,11] Radius alt uç eklem içi kırıklarının cerrahi tedavisinde açık redüksiyon ve plak-vida ile tespit yaygın olarak kullanılmaktadır. [12,13] Anatomik yapıya sahip, plak ve vidaların birbirlerine kilitlendiği kilitli plak sistemleri biyomekanik açıdan daha dayanıklıdırlar.…”

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“…[12,13] Anatomik yapıya sahip, plak ve vidaların birbirlerine kilitlendiği kilitli plak sistemleri biyomekanik açıdan daha dayanıklıdırlar. [10,11] Öncele-ri sadece osteoporotik kırıklar için tercih edilen kilitli plaklar, günümüzde kilitsiz plakların yerini almaktadır. [10,11] Bu çalışmada, erişkin radius alt uç kırıklarında volar yaklaşımla volar plak uygulamalarımızın sonuçla-rının değerlendirilmesini amaçladık.…”

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“…[10,11] Öncele-ri sadece osteoporotik kırıklar için tercih edilen kilitli plaklar, günümüzde kilitsiz plakların yerini almaktadır. [10,11] Bu çalışmada, erişkin radius alt uç kırıklarında volar yaklaşımla volar plak uygulamalarımızın sonuçla-rının değerlendirilmesini amaçladık. Kliniğimizde 2004Kliniğimizde -2010 yılları arasında radius alt uç kırığı tanısı ile volar yerleşimli plak uygulanan, eş zamanlı karşı taraf el bileğinde yaralanması olmayan ortalama 24,0±16,3 ay takip edilen erişkin 34 hasta çalışmaya alındı.…”

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Volar plate fixation of distal radius fractures

Demirbaş¹,

Uğraş²,

Kaya³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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AMAÇErişkin radius alt uç kırıklarında volar yaklaşımla kilitli ve kilitsiz plak uygulamalarının sonuçları değerlendirildi. GEREÇ VE YÖNTEMDistal radius kırığı nedeni ile cerrahi tedavi uygulanan 34 hasta (14 kadın, 20 erkek; ort. yaş 48,5±17,9 yaş) geriye dönük olarak incelendi. Kırıkların tipi AO sınıflaması-na göre %17,6 B3, %11,8 C2 ve %70,6 C3 olarak dağılım göstermekteydi. Klinik sonuçlar Gartland ve Werley değer-lendirme skalası, Görsel analog ölçüt (VAS), kol omuz el sorunları anketi (DASH) ile, radyolojik değerlendirme ise Stewart değerlendirme ölçütleri ile yapıldı. BULGULARHastaların ortalama takip süresi 24±16,3 aydı. GartlandWerley değerlendirme skalasına göre hastaların %29,4'ünde mükemmel, %55,9'unda iyi, %11,8'inde orta ve %2,9'unda kötü sonuç alındı. Ortalama VAS skoru 0,5±1,1, ortalama DASH subjektif sorgulama puanı 26,1 olarak bulundu. Stewart skoruna göre %44,1 mükemmel, %52,9 iyi ve %2,9 orta sonuç elde edildi. Olguların kavrama gücü geri kazanımları sağlam tarafa göre %43,1 olarak bulundu. İki hastada kompleks rejyonel ağrı sendromu, bir karpal tünel sendromu ve bir tenosinovit görüldü. SONUÇRadius distal uç kırıklarının tedavisinde volar plak ile tespit etkin ve iyi bir yöntemdir. Plak uygun şekilde yerleştiril-meli ve ameliyat sonrası rehabilitasyon ihmal edilmemelidir.Anahtar Sözcükler: Distal radius kırığı; kilitli plak; plak fiksasyonu.

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Internal Fixation of Dorsally Displaced Fractures of the Distal Part of the Radius

Cited by 119 publications

References 25 publications

Osteosynthesis of Unstable Fractures of Distal Radius with Volar Locking Plate

Osteosynthesis of Unstable Fractures of Distal Radius with Volar Locking Plate

Comparison of Functional Outcome Between Early and Delayed Internal Fixation Using Volar Locking Plate for Distal Radius Fractures

Volar plate fixation of distal radius fractures

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