Risk of Tendon Entrapment Under a Dorsal Bridge Plate in a Distal Radius Fracture Model

Lewis, Sarah; Mostofi, Amir; Stevanović, Milan; Ghiassi, Alidad

doi:10.1016/j.jhsa.2014.11.020

Cited by 30 publications

(27 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…14,30 These results support the safety of this surgical method with minimal adverse events. Two patients developed surgical site pain, which is in keeping with other surgical treatment methods.…”

Section: Discussionsupporting

confidence: 67%

Functional Outcomes Following Bridge Plate Fixation for Distal Radius Fractures

Lauder

Agnew

Bakri

et al. 2015

The Journal of Hand Surgery

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 67%

Functional Outcomes Following Bridge Plate Fixation for Distal Radius Fractures

Lauder

Agnew

Bakri

et al. 2015

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…16 In an anatomical study by Lewis et al plating to third metacarpal using a two-incision technique resulted in the entrapment of extensor tendons in all specimen; however, plating to the second metacarpal did not entrap tendons. 9 There are several limitations to this study. The fracture model was performed using fresh cadavers; however, surgically created fractures do not reproduce the fracture morphology or soft tissue injury that occurs in the general trauma population.…”

Section: Discussionmentioning

confidence: 94%

“…Lewis et al demonstrated a higher rate of tendon entrapment with fixation to the third metacarpal and thus advocate for formal exposure of the extensor tendons over the zone of injury when plating to the third metacarpal. 9 Dahl et al also demonstrated increased tendon-plate contact when plating to the third metacarpal in cadaveric models. 18 However, Dahl et al also demonstrate increased contact between the superficial radial nerve and plate when plating the second metacarpal.…”

mentioning

confidence: 94%

Carpal Translocation Following Dorsal Bridge Plate Fixation of Distal Radius Fractures: A Cadaveric Study

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background Dorsal bridge plate fixation is an effective technique for stabilization of highly comminuted, complex distal radius fractures. However, it is unknown whether fixation to the second or third metacarpal is optimal. Given dorsal bridge plating spans the radiocarpal joint, it is unclear if the dorsal spanning plate affects carpal position. This study investigates differences in carpal translocation resulting from bridge plate distal fixation to either the second or third metacarpal. Methods Ten paired cadaveric upper extremities without evidence of gross deformity or prior surgery distal to the elbow were evaluated with three-view wrist fluoroscopic images for baseline radiographic measurements. An unstable distal radius fracture model was created via a volar approach using a 1-cm osteotomy. Following fracture creation, a dorsal bridge plate was applied with random to the second metacarpal on one limb, and the third metacarpal on the contralateral limb. Laterality for distal fixation was chosen randomly. Fluoroscopic images were repeated and radial inclination, radial height, radiocarpal angle, volar tilt, ulnar variance, radiolunate angle, radioscaphoid angle, radial rotation index, and carpal translocation were measured. Results Radial inclination, radial height, radiocarpal angle, volar tilt, ulnar variance, radiolunate angle, and radioscaphoid angle were not statistically different before and after fixation, or when comparing the second or third metacarpal fixation. Additionally, there was no difference in Taleisnik's ulnar translocation index, Chamay's ulnar translation index, or McMurtry's carpal translation index based on which metacarpal was used for distal fixation. Conclusions Dorsal bridge plate fixation of distal radius fractures restores preoperative physiologic measures of the radius, ulna, and carpus. Carpal translocation was similar when comparing distal fixation to the second or third metacarpal in distal radius fractures stabilized with a bridge plate. Level of Evidence This is a Level V, therapeutic study.

show abstract

“…(20,21) Most studies have stated that the severity of anatomical damage during injury and the amount of residual deformity after treatment are effective in the results, especially the strength of the fist and the range of motion. (22) One of the limitations of the study is the lack of examination of effective variables such as physiotherapy and physical training. It is suggested that a study be conducted to assess the ability to return to daily living activity in two groups over a long period.…”

Section: Figure 1 Consort Flow Diagrammentioning

confidence: 99%

Comparison of Radiographic Results between Three Crossed Pinning and Four-Pin Radioulnar Transfixation Methods in the Treatment of Unstable Distal Radius Fracture

Hosseinzadeh¹,

Janmohammadi²,

Esmaeilnejad-Ganji³

et al. 2019

jemds

View full text Add to dashboard Cite

A B S T R A C T BACKGROUNDDistal radius fractures are about one-sixth of the total referral fractures to the emergency department. With increase in distal radius fracture cases, especially in Iran, where many cases of trauma are reported, it seems necessary to determine a better treatment for distal radius fracture. This study was designed to compare radiographic results and side effects between three crossed pinning and four-pin radioulnar transfixation methods in the treatment of patients with unstable distal radius fracture. METHODSThis randomized controlled trial study was conducted on the patients, with distal radius facture, aged 18-65 years, who were referred to the Emergency Department of Shahid Beheshti Hospital in Babol, Northern Iran. Patients with a history of bone surgery in the wrists were excluded from the study. Fifty patients were randomly assigned to the two groups of operation: three crossed pinning (n=25) and four-pin radioulnar transfixation (n=25). Radial length, palmar tilt, radial inclination and ulnar variance were evaluated immediately after surgery and at weeks 6, 12 and 24 of surgery. RESULTSNo significant differences were found between the groups in age and gender. Radiographic results between the two groups showed no any significant differences in various follow-ups. Regarding the post-operative side-effects, pain was similar in 4 patients in each group. Also, pin tract infection was observed only in 1 patient in group of four-pin radioulnar transfixation. There were no significant differences between the two surgeries in the complications. CONCLUSIONSBased on the findings, similar outcomes were seen between three crossed pinning and four-pin radioulnar transfixation methods.

show abstract

Risk of Tendon Entrapment Under a Dorsal Bridge Plate in a Distal Radius Fracture Model

Cited by 30 publications

References 12 publications

Functional Outcomes Following Bridge Plate Fixation for Distal Radius Fractures

Functional Outcomes Following Bridge Plate Fixation for Distal Radius Fractures

Carpal Translocation Following Dorsal Bridge Plate Fixation of Distal Radius Fractures: A Cadaveric Study

Comparison of Radiographic Results between Three Crossed Pinning and Four-Pin Radioulnar Transfixation Methods in the Treatment of Unstable Distal Radius Fracture

Contact Info

Product

Resources

About