Surgical Treatment of Unstable Distal Radius Fractures With a Volar Variable-Angle Locking Plate: Clinical and Radiological Outcomes

Khatri, Kavin; Vp, Sharma; Farooque, Kamran; Tiwari, Vivek

doi:10.5812/atr.25174

Cited by 15 publications

(23 citation statements)

References 26 publications

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“…Incongruity at the joint surface and radius shortening have been found to be associated with compromised function. 4 , 6 , 22 - 25 The present results strengthen these findings when it comes to shortening of the radius and also partly to step-off on the radius joint. In our study, measurable step-off at the joint surface was associated with worse outcome according to PRWE, but not with QuickDASH scores.…”

Section: Discussionsupporting

confidence: 86%

“…Many reports show that better anatomical reduction leads to better functional outcome. 6 , 7 In particular, use of locking volar plates in treating unstable distal-end radius fractures has been shown to be associated with excellent to good functional outcomes. 6 However, and especially among elderly people, it has been suggested that radiological or anatomical outcomes do not correlate with clinical outcome or patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

“… 6 , 7 In particular, use of locking volar plates in treating unstable distal-end radius fractures has been shown to be associated with excellent to good functional outcomes. 6 However, and especially among elderly people, it has been suggested that radiological or anatomical outcomes do not correlate with clinical outcome or patient satisfaction. 8 , 9 , 10 In addition, patients are predisposed to complications of surgery, which are not rare.…”

Section: Introductionmentioning

confidence: 99%

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The importance of radiological results in distal radius fracture operations: Functional outcome after long-term (6.5 years) follow-up

2018

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Background and Aims:Whether or not radiological results correlate with functional outcome after operative treatment of distal radius fractures still remains controversial. We carried out a retrospective study to analyse the long-term (6.5 year) outcome of radius fractures treated by means of surgery in our hospital. The aim of the study was to explore whether step-off on radius joint surface, shortening of the radius versus ulnar height and dorsal or volar tilt of the radius correlate with long-term Patient-Rated Wrist Evaluation or Quick Disability of the Arm, Shoulder and Hand scores among 100 consecutive patients after surgical treatment.Materials and Methods:Of these, 60 patients (63 wrists) participated. They were examined radiologically, clinically and by means of a questionnaire.Results:Shortening of the radius correlated significantly with both Patient-Rated Wrist Evaluation and Quick Disability of the Arm, Shoulder and Hand scores. Step-off on the radius joint surface correlated significantly with worse PRWE scores, with no difference in Quick Disability of the Arm, Shoulder and Hand evaluation. Dorsal or volar tilt showed no statistical correlation (though it was mild in this group). The age of the patients (below 60 years vs 60 years or above) did not affect the PRWE or Quick Disability of the Arm, Shoulder and Hand results.Conclusion:Our results indicate that when it comes to conserving the radial height and congruence of the joint surface, the more precise the reduction of the fracture achieved by surgical means, the better the functional outcome.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The importance of radiological results in distal radius fracture operations: Functional outcome after long-term (6.5 years) follow-up

2018

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“…Paritosh Gogna et al [11] reported road traffic accidents was the commonest with 78.78% (26) cases followed by fall with 21.21% (7). Kavin khatri et al reported commonest cause is road traffic accidents with 18 cases followed by fall with 5 cases [13] . It was found that while assessing the range of movements, ulnar was 25 degrees, radial was 15.60, pronation was 70.75 degrees, supination was 77.42 degrees, palmar flexion was 60.15 degrees and dorsal was 60.45 degrees.…”

Section: Discussionmentioning

confidence: 99%

“…In this study males outnumbered the females that male to female ratio was 6.75:1. we had 4 cases 12.12% females, and 29 cases 87.88% males. Paritosh Gogna et al study 23 males and 10 females with an average age of 44.12 ± 18.63 years (18-61 years) [11] Sohael M. Khan on 60 patients of distal radius fractures found that Male patients predominated female patients (36 males to24 females) [12] Kavin Khatri et al [13] on 23 patients found that 16 were males and 7 were female.…”

Section: Discussionmentioning

confidence: 99%

Evaluate clinical outcome of open reduction and internal fixation with volar locking plates for displaced unstable distal end radius fractures

Ambulgekar¹,

Gurnani²

2020

Int. J. Orthop. Sci.

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Background: Fracture of distal radius usually occur as a result of high energy trauma in younger individual with good bone density and also reported in elderly osteoporotic bone. The management is done by cast immobilization to various operative modalities percutaneous K-wire fixation to provide good to excellent results. This study was done to determine the clinical outcome of displaced unstable distal end radius fracture treated with volar locking plates. Objectives: 1. To study the demographic factors of patients with displaced unstable distal end radius fracture. 2. To determine the clinical outcome of patients who treated with volar locking plates. Materials and Methods: This is a prospective observational study done on 33 patients with distal end of radius fracture. The detailed history of the patient was taken and radiographs were assessed. The data was quantified by Modified Gartland and Werley score in which outcome was evaluated. Patient was discharged on 12 th postoperative day and followed up after 1st, 2nd, 3rd, 6thmonth and then yearly. Results: In the present study, 63.63% cases from were from the age group 20-34 years, we had 29 cases (87.88%) males. Most common mode of injury was road traffic accident, in 18 cases (54.55%). In the present study, as per Frykman type VIII type of fracture was the commonest with 21 cases (63.64%). Ulnar was 25 degrees and radial were 15.60. An equal grip strength of the affected as the normal was noted in 27 cases (81.82%). At the final analysis of the outcome of our study excellent results were noted in 15 cases 45.45%. Conclusions: Fracture of distal end of radius is one of the commonest fractures. This fracture is more common in males (87.8%) with predominance on right side. Road traffic accident is still the common mode of injury than fall. On follow up excellent functional outcome found in 45.45.% cases with 81.82% patients achieved good grip strength.

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Volar locking plate fixation for distal radius fractures: did variable-angle plates make difference?

Abdel-wahed

Khater

El-Desouky

2022

International Orthopaedics (SICOT)

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Purpose Two different locking plate designs are now being used for volar plating of the distal radius fractures based on the freedom of screw direction; the fixed-angle, and the variable-angle (polyaxial) plates. We investigated the clinical and radiographic outcomes of both designs. Methods We reviewed 96 patients with 113 unstable distal radius fractures that were operated on with volar locking plates. The patients’ mean age was 41 years. Fixed-angle volar locking plates were utilized in 65 fractures and variable-angle volar locking plates in 48 fractures through modified Henry approach or extended carpal tunnel approach. Full clinical and radiographic evaluation was done for all patients with a mean follow-up of 14 months. Results All patients had acceptable clinical and radiographic parameters. The overall functional results (Mayo score, Quick Disability of Arm, Shoulder, and Hand (Q-DASH) score, Range of motion (ROM), and grip strength) were in favor of the variable-angle plate. The radiographic parameters were better with the variable-angle group. The variable-angle group recorded less operative time but more mean image intensifier exposure time. There were two cases of flexor tendon rupture with the fixed-angle group. Fixation with the fixed-angle system needed K-wire augmentation more than the variable-angle group. There was a positive correlation between hand dominance and the final score. Conclusion Distal radius volar locking plates yield satisfactory results comparable among different designs. In our series, the variable-angle system showed slightly better function and radiographic outcomes. Supplementary K-wires were needed more frequently with the fixed-angle system.

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Surgical Treatment of Unstable Distal Radius Fractures With a Volar Variable-Angle Locking Plate: Clinical and Radiological Outcomes

Cited by 15 publications

References 26 publications

The importance of radiological results in distal radius fracture operations: Functional outcome after long-term (6.5 years) follow-up

The importance of radiological results in distal radius fracture operations: Functional outcome after long-term (6.5 years) follow-up

Evaluate clinical outcome of open reduction and internal fixation with volar locking plates for displaced unstable distal end radius fractures

Volar locking plate fixation for distal radius fractures: did variable-angle plates make difference?

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