The Treatment of Distal Radius Articular Fractures Through LCP System

Adani, R.; Tarallo, Luigi; Amorico, M. G.; Tata, C.; Atzei, Andrea

doi:10.1142/s0218810408003827

Cited by 15 publications

(14 citation statements)

References 11 publications

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“…Similar trend of type C outnumbering type B has been recorded by previous researchers. 8,20,21 Majority of the patients were operated within 3-6 days, with the mean time to surgery being 8 days, similar to the locally relevant study by Jose et al 19 No significant difference was observed in the various radiological parameters at the last follow, as compared to indicating that the fracture fixation was rigid in the present study and no further significant collapse of the fracture occurred post-surgery. Previous clinicians/ researchers also reported similar good radiological outcomes in fractures managed with volar locking plates, making case for surgeon-independence in the studied procedure.…”

Section: Discussionsupporting

confidence: 87%

“…Previous clinicians/ researchers also reported similar good radiological outcomes in fractures managed with volar locking plates, making case for surgeon-independence in the studied procedure. 8,9,19,21 Lidstrom score at last follow up shows good to excellent result in 90% of patient. Jose et al reported Lidstrom score to be good to excellent in 85.6% of the cases; while Kotian P et al observed the same in 75% of the studied participants.…”

Section: Discussionmentioning

confidence: 89%

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Study of clinicoradiological and functional outcomes in intraarticular distal end radius fractures managed by volar locking plate

2019

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Background: Various modalities of fixation are available for management of distal end radius fractures. Assessment of the functional and radiological outcomes of intra-articular distal end radius fractures managed with volar locking plate was attempted with the present study.Methods: In this prospective interventional study, thirty adult patients with closed distal radius fractures with intra-articular extension were comprehensively evaluated and managed. Open reduction and internal fixation (ORIF) was performed via volar approach (modified Henry`s approach) using 2.7mm volar locking compression plates (LCPs). Patients were followed up at 2 weeks, 1 month, 3 months and 6 months after surgery. The patients were evaluated functionally by Mayo score and radiologically by Lidstrom classification.Results: There were 18 (60%) patients having excellent, 8 (26.7) good, 2 (6.7%) fair and 2 (6.7%) with poor result according to Mayo scoring. According to Lidstrom scoring, at the last follow up, 16 (53.3%) patients had excellent, 11 (36.7%) patients good, 2 (6, 7%) patients fair and 1 (3.3%) patient had poor result. The functional status of the patient improved significantly from at 1month (20±3.47) to 6 months post-operative follow up (23.67±2.91). The mean range of motion improved significantly at 1 month, 6 months and last post-operative follow-up.Conclusions: Volar locking plate gives good to excellent clinico-radiological and functional outcomes in most of the fractures of the distal end radius with intraarticular extension.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 89%

Study of clinicoradiological and functional outcomes in intraarticular distal end radius fractures managed by volar locking plate

2019

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“…5 Volar fixed angle locking plates are an effective treatment for unstable extra articular distal radius fractures allowing early post-operative rehabilitation. 6 Because of angular stability of locking compression plates reduction can be maintained over times so that secondary displacement is no longer a problem. 7 Primary stability achieved with locking screw in a plate prevents secondary displacement irrespective of the bone enabling good results in osteoporotic bones and young patients.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Fractures of Distal End Radius With Locking Compression Plate

Kumar¹,

D²,

Sangepu³

2015

jemds

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ABSTRACT:Fractures of distal end of radius continue to pose a therapeutic challenge. Intra articular and extra articular malalignment can lead to various complications like post-traumatic osteoarthrosis, decreased grip strength and endurance, as well as limited motion and carpal instability. Open reduction and internal fixation is indicated to address the unstable distal radius fractures and those with articular incongruity that cannot be anatomically reduced and maintained through external manipulation and ligamentotaxis, provided sufficient bone stock is present to permit early range of motion. METHODS: Sixty adult patients with distal radial fractures treated at Dept. of Orthopaedics, Government General Hospital and Royal Hospital, Vijayawada between May 2010 and April 2015 were included in this study. RESULTS: In this series 9(15%) patients were between 21-30 years, 15(25%) between 31-40 years, 24(40%) between 41-50 years, 9(15%) between 51-60 years and 3(5%) patients between 61-70 years. The age of the patients ranged from 26-62 years with an average of 43.3 years. Out of 60 patients, 48(80%) were males and 12(20%) were females, showing a male preponderance with the ratio being M: F 4: 1. Right side (Dominant wrist) was involved in 42(70%) patients and the left side was involved in 18(30%) patients. In our study there were 36 (60%) patients with road traffic accidents and 24(40%) patients fell on their outstretched hand. Of the 60 cases, 12(20%) of the fractures were of Type I Frykman's classification, 6(10%) of Type II, 21(35%) of Type III, 9(15%) of Type IV, 3(5%) of Type V and 9(15%) of Type VIII. There were no cases of Type VI and VII fractures. SUMMARY: Males were predominant with right wrist affection more than left. All fractures were either due to road traffic accidents or fall on the outstretched hand, with road traffic accidents being more common of the two. Most of the fractures were of Frykman Type I, III and IV. All (100%) the patients had their range of motion within the normal functional range. None of the patients had wrist stiffness. Complications were minimal. There was 3(5%) case of extensor pollicis longus tendon irritation which was because of long volar to dorsal screw and the pain subsided once the screw was removed. There was 3(5%) case with an intra-articular fracture developed grade I radiocarpal arthritis doing well with physiotherapy.

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“…7 Volar fixed angle locking plates are an effective treatment for unstable extra articular distal radius fractures allowing early post-operative rehabilitation. 8 Because of angular stability of locking compression plates reduction can be maintained over times so that secondary displacement is no longer a problem. 9 MATERIALS AND METHODS: 20 patients with fractures of distal radius were selected who were admitted in hospital, during July 2012 to July 2014.…”

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confidence: 99%

Su R Gical Management of Fractures of Distal End of Radius With Locking Compression Plate

Kamareddy¹,

Patil²,

L³

et al. 2014

jemds

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BACKGROUND AND OBJECTIVE:The Irish surgeon Abraham Colles described DRFs (distal radial fractures) in the 1814 volume of the Edinburgh Medical Surgical Journal. Although his description was based on clinical examination alone (because radiography had not yet been invented), it is quite accurate, and it is Colles's name that is most often associated with this fracture in the English-speaking world. Colles stated, "One consolation only remains, that the limb will at some remote period again enjoy perfect freedom in all of its motions and be completely exempt from pain." This claim that all DRFs, despite displacement, will fare well has been a source of criticism. Incidence of fractures of distal radius are increasing due to more geriatric population and road traffic accidents and at the same time surgical treatment option for the same are modified continuously. The fundamental goal treatment of distal radial fractures is restoration of normal or near normal alignment and articular congruity. A recent trend in internal fixation has been a move towards locking screw implants which can rigidly stabilize cancellous fragmented bone that is normally not amenable to screw fixation. RESULT: The study comprised of 15 male and 5 female patients aged from 22 to 70 years with mean age of 42.82 years. The average duration from date of injury to date of surgery was 2.35 days. The follow up ranged from 9 to 18 months. Using the demerit scoring system of Gartland and Werley we had 50% excellent 40% good, 10% fair and 0 poor results. INTERPRETATION AND CONCLUSION:Open reduction and internal fixation of distal radius fracture with volar locking compression plate provides stable fixation, can restore articular congruity and results in good to excellent functional outcome with minimal complication.

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The Treatment of Distal Radius Articular Fractures Through LCP System

Cited by 15 publications

References 11 publications

Study of clinicoradiological and functional outcomes in intraarticular distal end radius fractures managed by volar locking plate

Study of clinicoradiological and functional outcomes in intraarticular distal end radius fractures managed by volar locking plate

Surgical Management of Fractures of Distal End Radius With Locking Compression Plate

Su R Gical Management of Fractures of Distal End of Radius With Locking Compression Plate

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