Radiological results of surgical management of fracture of the distal radius treated with volar locking plates

García-Cepeda, Ignacio; Aguado-Maestro, I.; Blas-Sanz, I. de; Quintanilla-García, A.; García-Alonso, Manuel

doi:10.1016/j.injury.2020.02.106

Cited by 3 publications

(62 citation statements)

References 47 publications

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“…One case developed stiffness of wrist and finger and another had reflex sympathetic dystrophy. In a study conducted by Graciacepeda et al4 and Phadnis et al, 8 complications were present in 21.18% and 15% of cases, respectively. The variability in the complication could be due to variation in surgical technique, expertise and compliance to post-operative rehabilitation program.…”

mentioning

confidence: 85%

“…Each option has got its own pros and cons. 4 Closed reduction and cast application is complicated by mal union, late collapse of the fracture and reflex sympathetic dystrophy. 1 , 5 There is increased risk of stiffness and pin tract infection with treatment by ligamentotaxis 5 and increased risk of loss of reduction and pin tract infection in percutaneous pinning.…”

Section: Introductionmentioning

confidence: 99%

“…5 In addition, locking plate provides angular and axial stability 3 which allows early mobilization of wrist joint. 4 This study was designed to assess the functional and radiological outcome of the displaced distal end radius fracture treated with volar locking plate as primary objective and to assess complications as secondary objective.…”

Section: Introductionmentioning

confidence: 99%

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Functional and Radiological Outcome of Locking Plate in Displaced Fracture of Distal End Radius

Bidary¹,

Pandey

Gupta

et al. 2022

JCMC

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Background: Distal radius fracture is the most common fracture of upper extremity. There are wide variety of treatment options including plaster, ligamentotaxis, percutaneous pinning and plating for the treatment of displaced distal end radius fracture in the adult. Each option has got its own pros and cons. This study was designed with an objective of assessment of functional and radiological outcome of displaced distal end radius fracture treated with volar locking plate. Methods: This was a retrospective study of closed displaced fracture of distal end radius managed with volar locking plate from January 2018 to September 2020. Data were collected from the case chart and included patient’s demography, fracture characteristics, radiological parameters, range of motion and complications. Data analysis was done using Statistical package for social science 20.0 software. Descriptive statistics for categorical variable was used and mean of the continuous data was compared using student’s t-test. P-value <0.05 was considered as statistically significant. Results: The mean age of patient was 35.87 years after analysis of total of 30 patients with mean follow up of 12.87 months. Road traffic accident (76.7%) was the most common mode of injury. There were 36.7% Association of Osteosynthesis (AO) type B and C injuries, each. The mean Quick Disabilities of Arm, Shoulder and Hand (DASH) score was 1.13 (range 0 - 6.81) at the final follow up. The mean union time of the fracture was 6.6 weeks. One patient had stiffness and one developed reflex sympathetic dystrophy. Conclusions: Functional and radiological outcome of the displaced distal end radius in adult treated with open reduction and internal fixation with locking plate was found good to excellent in most of the cases.

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mentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

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Functional and Radiological Outcome of Locking Plate in Displaced Fracture of Distal End Radius

Bidary¹,

Pandey

Gupta

et al. 2022

JCMC

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“…17 Além disso, a IV com desvio dorsal acima de 20°aumenta o risco de osteoartrose. 4,16 Por fim, o nível de satisfação do paciente relacionase com a quantidade de dor, e a função e mobilidade do punho após o tratamento. 19,20 Questiona-se se os ortopedistas têm recebido treinamento suficiente para tratar este tipo de fratura.…”

Section: Introductionunclassified

Comparação de características sociodemográficas e radiográficas no tratamento de fratura de rádio distal: Cirurgiões de mão versus não especialistas

Veiga,

Hobi,

Marot

et al. 2024

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo: Avaliar as características sociodemográficas e radiográficas dos pacientes com fratura de rádio distal tratados em um hospital de trauma no sul do Brasil, comparando os casos tratados pelos especialistas em cirurgia da mão (grupo 1) com aqueles tratados por não especialistas (grupo 2). Métodos: Coorte retrospectiva realizada com 200 pacientes, no ano de 2020. Por meio da revisão de prontuários e radiografias, analisaram-se: idade, sexo, mecanismo de trauma, lateralidade, presença de comorbidades e fraturas associadas, classificação da fratura (AO), altura radial, inclinação radial e, inclinação volar. Comparou-se os dois grupos por meio do teste t de Student, qui-quadrado ou exato de Fisher. Resultados: A maioria era de pacientes do sexo feminino (54%), traumas de baixa energia (58%) e lateralidade esquerda (53%). O grupo 1 apresentou média de idade menor (50,2 anos), traumas de alta energia (54%), e fraturas tipo C (73%), enquanto no grupo 2 fraturas tipo A prevaleceram (72%). As radiografias apresentaram diferença significativa quanto à média de valores de inclinação radial (21,5° no grupo 1 e 16,5° no grupo 2 [p < 0,001] nas mulheres e, 21,3° no grupo 1 e 17° no grupo 2 [p < 0,001] nos homens) e inclinação volar (10,1° e 12,8° no grupo 1 e 2, respectivamente [p < 0,001]), bem como no número absoluto de casos que reestabeleceram os parâmetros anatômicos nas três variáveis avaliadas, sendo todos melhores no grupo 1. Conclusão: Os cirurgiões de mão trataram as fraturas mais graves e apresentaram os melhores resultados radiográficos.

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“…4,5 Las indicaciones del tratamiento quirúrgico siguen evolucionando con base en los resultados de los estudios más recientes. 6 Aunque los avances de la última década han ampliado la gama de opciones de fijación, la superioridad clínica de una modalidad terapéutica sigue sin consenso. En general, se deben considerar varios factores en la toma de decisiones, incluyendo el patrón de la fractura, los requisitos funcionales y la integridad de los tejidos blandos vecinos.…”

Section: Introductionunclassified

Reproducibilidad de parámetros radiográficos para determinar el éxito quirúrgico de fracturas de radio distal

García-González¹,

Berumen-Nafarrate²,

Ávila-Carrasco³

et al. 2022

Acta Ortopédica Mexicana

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Radiological results of surgical management of fracture of the distal radius treated with volar locking plates

Cited by 3 publications

References 47 publications

Functional and Radiological Outcome of Locking Plate in Displaced Fracture of Distal End Radius

Functional and Radiological Outcome of Locking Plate in Displaced Fracture of Distal End Radius

Comparação de características sociodemográficas e radiográficas no tratamento de fratura de rádio distal: Cirurgiões de mão versus não especialistas

Reproducibilidad de parámetros radiográficos para determinar el éxito quirúrgico de fracturas de radio distal

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