Possibility of Fixation of a Distal Radius Fracture With a Volar Locking Plate Through a 10 mm Approach

Naïto, Kiyohito; Zemirline, A.; Sugiyama, Yoichi; Obata, Hiroyuki; Liverneaux, Philippe

doi:10.1097/bth.0000000000000118

Cited by 21 publications

(25 citation statements)

References 21 publications

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“…For volar displaced fractures, good functional outcomes can be obtained using DVLP in our study. These outcomes were comparable to our previous study about dorsal displaced fractures 14 (►Table 2). It was suggested that surgical treatment using DVLP is useful to treat DRF with marginal rim fragments.…”

Section: Videosupporting

confidence: 90%

Functional Outcomes in Volar-Displaced Distal Radius Fractures Patients with Marginal Rim Fragment Treated by Volar Distal Locking Plates

Naïto

Sugiyama

Kinoshita

et al. 2019

Journal of Hand and Microsurgery

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Background Treatment of volar-displaced distal radius fractures (DRF) accompanied by marginal rim fragment has recently been actively discussed. It is difficult to obtain a sufficient buttress effect on this fragment. Therefore, we actively apply a distal volar locking plate (DVLP) to fractures with this fragment. Here, we report the treatment outcomes and caveats of surgery of fractures with this fragment. Materials and Methods The subjects were 32 patients (male: 11, female: 21, and mean age: 59.4 years) with volar dislocated DRF accompanied by the marginal rim fragment treated using DVLP. The fracture type of AO classification was B3 in 6 patients, C1 in 12, C2 in 6, and C3 in 8. Results The mean duration of follow-up was 13.8 (12–30) months. The plate could be covered with the pronator quadratus muscle in surgery in all patients. On the final follow-up, visual analog scale score was 1.4/10, quick disabilities of the arm, shoulder, and hand score was 9.2/100, and the Mayo wrist score was 93.7/100. No complication was observed in the soft tissue, such as the nerves and flexor tendons. Conclusion The factor determining retention of the reduction position of the marginal rim fragment is a sufficient buttress effect, and DVLP is a useful implant in terms of this point.

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Section: Videosupporting

confidence: 90%

Functional Outcomes in Volar-Displaced Distal Radius Fractures Patients with Marginal Rim Fragment Treated by Volar Distal Locking Plates

Naïto

Sugiyama

Kinoshita

et al. 2019

Journal of Hand and Microsurgery

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“…A recent study by Naito et al explored the possibility of distal radius fixations with a mere 10-mm incision for a volar locking plate. (12) Most surgeons are more familiar with the traditional longitudinal approach, and our results showed that patients were not averse to such incisions. However, perceptions of scar aesthetics vary with individual choice and show marked interpersonal variability, as seen from our survey of first impressions of volar wrist scars.…”

Section: Discussionmentioning

confidence: 62%

Transverse or longitudinal? A survey of volar wrist incision preferences

Siow¹,

Tong²,

Satku³

et al. 2020

smedj

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Introduction:In volar wrist surgery, the traditional longitudinal incision leaves a scar that may be considered cosmetically unpleasant. Recent studies suggest that transverse wrist incisions result in more aesthetically pleasing scars that are well hidden in the wrist crease. The aim of our study was to explore the public's perceptions of longitudinal versus transverse wrist scars. Methods:A prospective survey was conducted among the general public. Inclusion criteria were patients aged over 18 years with no prior surgery to the wrist. Survey questions assessed included: (a) longitudinal or transverse scar preference; (b) reasons for preference; and (c) demographic information. Results: There were 107 respondents from the general public. More respondents preferred longitudinal scars. Top three reasons for longitudinal scar preference were: (a) perceived damage to wrist structures by a transverse incision; (b) better cosmesis; and (c) scar from the transverse incision appearing like a self-inflicted injury. Top three reasons for transverse scar preference were: (a) easily concealed by accessories; (b) less noticeable; and (c) better cosmesis. Respondents aged 60 years and above were most concerned about possible damage to wrist structures; younger respondents were most concerned that transverse scars appeared like self-inflicted injuries. Conclusion: Respondents from the general public preferred a longitudinal scar to a transverse one. Younger respondents were most concerned about how the transverse scar appeared like a self-inflicted injury while older respondents were most concerned with perceived functional implications of the incisions.

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“…13 The most common complications of this treatment are extensor tendon or flexor tendon injury, flexor pollicis rupture, complex regional pain syndrome, and loss of reduction. 3 Hardware failure is a relatively rare occurrence.…”

Section: Discussionmentioning

confidence: 99%

Re-fracture of Distal Radius and Hardware Repair in the Setting of Trauma

Lucke‐Wold

Bonasso

Jacob

2016

Medical Student Research Journal

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Distal radius fractures are one of the most common fractures in the elderly. Falls and motor vehicle collisions lead to increased risk for this type of fracture. A seventy-three year-old female had a previous history of distal radius fracture with repair by open reduction and internal fixation. She was involved in a motor vehicle collision that re-fractured the distal radius. The plate was bent and required removal, which is a very rare but potentially serious complication. Surgery was done to fix the open reduction and internal fixation with volar locking plates while removing damaged hardware. Only a select few cases have reported hardware failure as a cause of complications. Among those cases, high-energy activities and maintained stress on the hardware were likely causes. Distal radius fractures are the most common upper extremity fracture in the elderly. We highlight a unique case of re-fracture in the setting of trauma with prior hardware failure and describe the strategy for hardware repair.

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Possibility of Fixation of a Distal Radius Fracture With a Volar Locking Plate Through a 10 mm Approach

Cited by 21 publications

References 21 publications

Functional Outcomes in Volar-Displaced Distal Radius Fractures Patients with Marginal Rim Fragment Treated by Volar Distal Locking Plates

Functional Outcomes in Volar-Displaced Distal Radius Fractures Patients with Marginal Rim Fragment Treated by Volar Distal Locking Plates

Transverse or longitudinal? A survey of volar wrist incision preferences

Re-fracture of Distal Radius and Hardware Repair in the Setting of Trauma

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