Intra-articular comminution worsens outcomes of distal radial fractures treated by open reduction and palmar locking plate fixation

Abstract

IV.

Intra-articular distal radius fractures in elderly patients: a randomized prospective study of casting versus volar plating

“…Yoon et al. (2017) reported better functional and radiological outcomes in C2 fractures than C3 fractures, but the follow-up was only 3 months.…”

“…Chou et al (2011) reported no differences in radiological parameters between dorsal versus volar plating, while Ruch and Papadonikolakis (2006) reported a higher incidence of fracture collapse in dorsal than volar plating. Yoon et al (2017) reported better functional and radiological outcomes in C2 fractures than C3 fractures, but the follow-up was only 3 months. Other studies found no differences in functional outcomes between volar plating and external fixation for complex or unstable distal radius fractures, although radiological results were better in patients with volar plating (Wright et al, 2005).…”

Relationship between plate removal and Soong grading following surgery for fractured distal radius

“…Open reduction and internal plate fixation is an increasingly accepted method of treatment for displaced distal radius fractures, offering biomechanically stable fixation and thus allowing for early rehabilitation ( Berglund et al., 2009 ; Boretto et al., 2014 ; Johnson et al., 2017 ; Tanaka et al., 2016 ; Walenkamp et al, 2016 ; Yoon et al., 2017 ). The reported incidence of volar plate removal for distal radius fractures is in the range of 3–10% ( Lutsky et al., 2015 ; Snoddy et al., 2015 ).…”

The minimally invasive approach for distal radius fractures and malunions

“…Minimally invasive plate osteosynthesis (MIPO) of the distal radius was mentioned by Geissler and Fernandes (2000), but it is only after 2013 a number of articles regarding this approach for distal radius fractures emerged. This approach intends to decrease the skin incision (Figure 1) and to preserve the pronator quadratus and periosteum, which theoretically favours bone healing (Zenke et al., 2011), in contrast to a conventional long skin incision, which has been used extensively (Johnson et al., 2017; Tanaka et al., 2016; Teunis et al., 2017; Yoon et al., 2017). The cosmetic advantage of the minimally invasive technique is obvious (Yoshikawa et al., 2008).…”