Intrafocal Pin Plate Fixation of Distal Ulna Fractures Associated With Distal Radius Fractures

Foster, Brian; Bindra, Ranjna

doi:10.1016/j.jhsa.2011.11.013

Cited by 13 publications

(10 citation statements)

References 6 publications

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“…Currently, most authors select surgical treatment for displacement of more than 1~2 mm for intra-articular fractures of the distal radius [15–21]. Therefore, we regarded displaced ICF as unstable fracture for which surgical treatment was indicated, and non-obvious displaced ICF as stable fracture for which conservative treatment was indicated.…”

Section: Discussionmentioning

confidence: 99%

A new classification and its value evaluation for intermediate column fractures of the distal radius

Yang¹,

Yin²,

Li³

et al. 2018

J Orthop Surg Res

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BackgroundIntermediate column fractures of the distal radius (ICF) are fractures only or mainly limited to the lunate fossa of the distal radius. There are no classification systems and its value evaluation for ICF in the literature.MethodsAccording to the characteristics of ICF, ICF were divided into the volar, dorsal, split, collapse, and collapse with split types. Inter- and intra-observer agreements were analyzed with kappa statistics. Seventy-four patients with ICF were retrospectively studied from January 2008 to June 2016. Surgical approach and reduction-fixation method were taken under the guidelines of the classification in 54 patients with displaced fractures, while conservative treatment was taken in 16 patients with non-obvious displaced fractures and 4 patients with displaced fractures who declined surgery.ResultsThe inter- and intra-observer kappa coefficients were 0.875~0.925 and 0.900~0.950, respectively. All patients were followed up for 13~36 months (average, 18.4 months). At the last follow-up, according to Gartland and Werley score of the functional recovery of wrist, all except 3 patients had excellent or good results (the excellent and good rate was 95.95%).ConclusionThe classification reflects the characteristics of ICF and may provide an important reference for choosing treatment and evaluating prognosis.

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Section: Discussionmentioning

confidence: 99%

A new classification and its value evaluation for intermediate column fractures of the distal radius

Yang¹,

Yin²,

Li³

et al. 2018

J Orthop Surg Res

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“…32 Fixation of distal ulna fractures remains technically challenging. 16,17 Surgical man- agement has been described using several methods, including percutaneous K-wires, 1 condylar blade plating, 5 intrafocal pin plating, 12 and locked plating. 4 However, each fixation method has complications.…”

Section: Discussionmentioning

confidence: 99%

“…11 Several reported that unstable or malaligned fractures of the ulnar head or neck can affect distal radioulnar joint function and diminish distal forearm stability, which can contribute to the risk of distal radius nonunion and callus encroachment of the distal radioulnar joint, leading to chronic pain and instability. 1,3,12,13 Furthermore, intraarticular distal ulna head or neck fractures have been associated with disruption of the distal radioulnar ligament, resulting in a loss of structural support for the triangular fibrocartilage complex. 11,14,15 For these reasons, several studies have recommended operative treatment when displaced or unstable intra-articular distal ulna fractures remain after reduction and firm fixation of the concomitant distal radius fracture.…”

Section: A C D Bmentioning

confidence: 99%

Distal Ulna Hook Plate Fixation for Unstable Distal Ulna Fracture Associated With Distal Radius Fracture

Lee¹,

Kim²,

Park³

et al. 2012

Orthopedics

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The significance of distal ulna fractures is often undermined, which can result in inadequate treatment compared with fractures of the radius, the ulna's larger counterpart. However, little guidance exists in the current literature on how to manage distal ulna head or neck fractures and intra-articular ulna head fractures. Therefore, the purpose of this retrospective study was to evaluate the outcomes of distal ulna hook plate fixation for the treatment of an unstable distal ulna fracture associated with a distal radius fracture. Twenty-five patients with unstable distal ulna fractures who underwent stable fixation for an associated distal radius fracture were included in the study. All patients achieved satisfactory reduction and bony union. Average final motion was as follows: wrist flexion, 72° (range, 60°-85°); extension, 69° (range, 65°-80°); pronation, 77° (range, 55°-95°); supination, 82° (range, 65°-90°); ulnar deviation, 35° (range, 15°-50°); and radial deviation, 24° (range, 10°-40°). Average postoperative grip strength was 28 kg (range, 22-30 kg) and was 91% (range, 71%-100%) in the cases in which the dominant hand was injured and 80% (range, 65%-100%) in the cases in which the nondominant hand was injured. Average postoperative modified Mayo wrist score and Disabilities of the Arm, Shoulder and Hand score was 87 points (range, 65-100 points) and 14 points (range, 0-54 points), respectively. Chronic instability of the distal radioulnar joint was not encountered in any patient. Thus, the study demonstrated that distal ulna hook plate fixation for the treatment of unstable distal ulna fractures can achieve healing with good alignment, satisfactory function, and minimal transient morbidity.

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“…27,[49][50][51][52][53][54][55][56][57][58][59] This was followed by an irreducible fracture in 5% (11/213) of the studies. 10,33,40,42,43,[60][61][62][63][64][65] The most frequently used classification system to describe an unstable distal radius fracture was the AO classification (8%, 18/213). 23,[66][67][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82] An AO type C2 was the fifth most commonly mentioned description used to define an unstable distal radius fracture (5%, 10/213).…”

Section: What Were the Most Commonly Mentioned Descriptions Of An Unsmentioning

confidence: 99%

The Unstable Distal Radius Fracture—How Do We Define It? A Systematic Review

et al. 2015

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Background?Unstable distal radius fractures are a popular research subject. However, to appreciate the findings of studies that enrolled patients with unstable distal radius fractures, it should be clear how the authors defined an unstable distal radius fracture. Questions?In what percentage of studies involving patients with unstable distal radius fractures did the authors define unstable distal radius fracture? What are the most common descriptions of an unstable distal radius fracture? And is there one preferred evidence-based definition for future authors? Methods?A systematic search of literature was performed to identify any type of study with the term unstable distal radius fracture. We assessed whether a definition was provided and determined the level of evidence for the most common definitions. Results?The search yielded 2,489 citations, of which 479 were included. In 149 studies, it was explicitly stated that patients with unstable distal radius fractures were enrolled. In 54% (81/149) of these studies, the authors defined an unstable distal radius fracture. Overall, we found 143 different definitions. The seven most common definitions were: displacement following adequate reduction; Lafontaine's definition; irreducibility; an AO type C2 fracture; a volarly displaced fracture; Poigenf?rst's criteria; and Cooney's criteria. Only Lafontaine's definition originated from a clinical study (level IIIb). Conclusion?In only half of the studies involving patients with an unstable distal radius fracture did the authors defined what they considered an unstable distal radius fracture. None of the definitions stood out as the preferred choice. A general consensus definition could help to standardize future research.

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Intrafocal Pin Plate Fixation of Distal Ulna Fractures Associated With Distal Radius Fractures

Cited by 13 publications

References 6 publications

A new classification and its value evaluation for intermediate column fractures of the distal radius

A new classification and its value evaluation for intermediate column fractures of the distal radius

Distal Ulna Hook Plate Fixation for Unstable Distal Ulna Fracture Associated With Distal Radius Fracture

The Unstable Distal Radius Fracture—How Do We Define It? A Systematic Review

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