Is early mobilization after volar locking plate fixation in distal radius fractures really beneficial? A meta-analysis of prospective randomized studies

Lee, Jun-Ku; Yoon, Byung‐Ho; Kim, Byungsoo; Ha, Cheungsoo; Kil, Minkyu; Shon, Jeong In; Lee, Hyun Il

doi:10.1016/j.jht.2021.10.003

Cited by 2 publications

(3 citation statements)

References 30 publications

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“…The benefits of immediate postoperative motion after VLP fixation have been thoroughly elucidated. 15 , 16 , 17 These advantages may be even more pronounced in patients with distal radius malunion given the functional detriment that has been described in these cases. 18 …”

Section: Discussionmentioning

confidence: 99%

Acute on Chronic Distal Radius Fracture: A Case Series and Technique Description

Heifner

Halpern

Wahood

et al. 2022

Journal of Hand Surgery Global Online

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Section: Discussionmentioning

confidence: 99%

Acute on Chronic Distal Radius Fracture: A Case Series and Technique Description

Heifner

Halpern

Wahood

et al. 2022

Journal of Hand Surgery Global Online

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“…There is increasing evidence for accelerated recovery when rehabilitation is performed immediately following DRF fixation. [18][19][20]27 The momentum for immediate postoperative rehabilitation highlights the importance of the stability provided by VLP constructs. 17 Under cyclic loading meant to simulate postoperative rehabilitation demands, results showed no significant difference in construct stiffness between the articular and non-articular fracture patterns.…”

Section: Discussionmentioning

confidence: 99%

“…16,17 Furthermore, recent evidence strengthens the value of mobilization that is initiated in the immediate postoperative period. [18][19][20] Satisfactory outcomes following these protocols are predicated on VLPs providing adequate stability to the fracture repair. Prior reports have biomechanically evaluated VLP stability in articular DRF patterns.…”

Section: Introductionmentioning

confidence: 99%

A Volar Locking Plate With Fossa Specific Fixation Provides Comparable Stability Between Articular and Nonarticular Cadaveric Models of Distal Radius Fracture

Heifner

McIver

Salas

et al. 2022

Hand (New York, N,Y.)

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Background: Distal radius fractures often present with a 3-part articular fragmentation pattern, with separation of the dorsal and volar lunate fossa. The column concept of distal radius fixation addresses the importance of stabilizing both the scaphoid fossa lateral column and the lunate fossa intermediate column. Recent evidence strengthens the value of immediate postoperative mobilization. Satisfactory outcomes following these protocols are predicated on volar locking plates (VLPs) providing adequate stability to the fracture repair. We hypothesize that a VLP which individually supports both lateral and intermediate distal radius columns may provide comparable stability between articular and non-articular cadaveric fracture models under parameters meant to simulate postoperative loading. Methods: Eleven cadaveric matched pair specimens were randomized to receive a simulated AO Type A2 non-articular distal radius fracture on one side with an AO Type C3 articular fracture on the contralateral side. Stiffness during cyclic loading was compared between fracture groups. A matched-paired Student t-test was used to determine statistical significance ( P = .05). Results: There were no significant differences ( P = .35) in stiffness between the articular models (mean 370.0 N/mm, +/-93.5) and the non-articular models (360.4 N/mm, +/-60.0) of distal radius fracture. Conclusion: A VLP that individually supports the scaphoid and lunate fossa with fixed angle subchondral support may provide comparable fixation strength with resistance to displacement between articular and non-articular fracture patterns. The current results suggest that fossa-specific VLP fixation in articular fractures can maintain construct stability during postoperative loading.

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Is early mobilization after volar locking plate fixation in distal radius fractures really beneficial? A meta-analysis of prospective randomized studies

Cited by 2 publications

References 30 publications

Acute on Chronic Distal Radius Fracture: A Case Series and Technique Description

Acute on Chronic Distal Radius Fracture: A Case Series and Technique Description

A Volar Locking Plate With Fossa Specific Fixation Provides Comparable Stability Between Articular and Nonarticular Cadaveric Models of Distal Radius Fracture

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