Unstable Distal Radius Fractures Treated  by Volar Locking Anatomical Plates

Jose, Anto; Suranigi, Shishir Murugharaj; DeNiese, Pascal; Babu, Abey Thomas; Kanagasabai, R; Najimudeen, Syed

doi:10.7860/jcdr/2017/24114.9261

Cited by 22 publications

(32 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is in line with observations of previous similar studies. 1,8,19,20 In present study, Out of 30 patients, 13 patients (43.3%) had an AO type B and 17 (56.7%) had AO type C fracture. Similar trend of type C outnumbering type B has been recorded by previous researchers.…”

Section: Discussionsupporting

confidence: 47%

“…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. 19,23 Further, the scores were superior to those achieved with dorsal plates or unlocked volar plates. 16,18 Decreasing trend in VAS score was observed at preoperative period, at 3 months and 6 months postoperatively, which is similar to the finding of Kotian et al 23 There was significant improvement in the pain status and grip strength (compared to opposite side) from 1 month to the last follow up, similar to the observations of Jose et al and Lattman et al, in previous similar studies.…”

Section: Discussionmentioning

confidence: 85%

“…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%

“…16,18 Decreasing trend in VAS score was observed at preoperative period, at 3 months and 6 months postoperatively, which is similar to the finding of Kotian et al 23 There was significant improvement in the pain status and grip strength (compared to opposite side) from 1 month to the last follow up, similar to the observations of Jose et al and Lattman et al, in previous similar studies. 19,24 Functional status of the patient improved significantly, from restricted work (20 patients) at 6 months to return to work (25 patients) at last follow up. There was significant improvement in the range of motion (flexion, extension, supination and pronation) at 1 month, 6 months and last post-operative follow-up.…”

Section: Discussionmentioning

confidence: 94%

See 3 more Smart Citations

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

2019

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 47%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 94%

See 2 more Smart Citations

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

2019

View full text Add to dashboard Cite

show abstract

“…The fracture line of the middle column of the distal radius is usually vertical. The radial column of the distal radius mainly stabilizes the wrist and controls rotation and its fracture line is usually horizontal (11)(12)(13)(14). Different types of die-punch fractures may occur, depending on the type of impact and stress, the position of the wrist, and the effects of local anatomy and bone condition (2,5,11).…”

Section: Discussionmentioning

confidence: 99%

Identification of a novel three‑column classification for double‑column die‑punch fractures of the distal radius

Liu¹,

Liu

et al. 2020

Exp Ther Med

View full text Add to dashboard Cite

The present study aimed to classify double-column die-punch fractures of the distal radius according to imaging data, and to evaluate their clinical features. A retrospective analysis of imaging data derived from 498 patients diagnosed with a double-column die-punch fracture of the distal radius was performed. The fractures were divided into those with middle-column avulsion with fracture of the radial-column articular surface (type I), those with middle-column collapse with fracture of the radial-column articular surface (type II), those with middle-column collapse with fracture of epiphysis of the radial column (type III) or mixed-type fractures (type IV). The intra-and inter-observer consistency between assessors was analyzed with kappa statistics. The patients with double-column die-punch fractures of the distal radius were followed up. There were 21 cases of type I fracture, 135 cases of type II fracture, 130 cases of type III fracture and 212 cases of type IV fracture. The intra-observer kappa coefficient ranged from 0.810-0.861, whereas the inter-observer kappa coefficient range was 0.830-0.876, with high consistency. Following 13 months of follow-up, the patients were assessed for functional recovery of the wrist and hand using the Gartland-Werley scoring system. The analysis indicated that in 95.78% of the patients, wrist function was rated as excellent or good (n=477), while in 4.22% of patients it was rated as fair (n=21), mainly due to the development of post-traumatic arthritis of the wrist following inappropriate therapy. All of the cases were type IV and type III fractures. These data demonstrated the application of a novel classification system named the Three-Column Classification, used to classify double-column die-punch fractures of the distal radius. This method reflected the mechanisms and severity of the fractures, conforming to the principle of AO fracture classification. Furthermore, it exhibited high consistency and may provide reference values for clinical diagnosis, treatment and prognostic evaluation.

show abstract

Anatomical reduction and precise internal fixation of intra-articular fractures of the distal radius with virtual X-ray and 3D printing

Zhang

et al. 2019

Phys Eng Sci Med

View full text Add to dashboard Cite

To evaluate and precisely internal fix intra-articular distal radial fracture (IDRF) using the virtual X-ray and three-dimensional (3D) printing technologies. Twenty-one patients with IDRF were recruited, and the data from digital design group (DDG) and real surgery group (RSG) were collected and analyzed. In DDG, the data from thin-slice computed tomography scan, virtual X-ray measurement parameters, including volar tilt, palmar tilt, radius length (D1), ulnar variation (D2), locking plate position parameter (D3) and distance between key nail and joint surface (D4) were collected. The bone was virtually fixed with the locking plate, and the final model of radius with the screw was obtained by 3D printing. In RSG, the locking plate was precisely pre-bended and used in surgery. During the surgery, the key K-wire was accurately placed and the locking plate was adjusted with the aid of the U-shaped navigation arm. The C-arm was used to observe the positions of key K-wires and the locking plate, and the same above-mentioned parameters were measured intra-and post-operatively. The data from RSG and DDG were compared statistically by t test. This approach proved to be successful in all 21 patients, and none of the screws pierced through the wrist joint surface. All the measured parameters, including the volar tilt, palmar tilt, D1-4, in RSG were not significantly different from preoperative DDG data. Virtual X-ray measurement of anatomical reduction parameters and 3D printing can help the anatomical reduction and precise internal fixation by providing quantitative references, preoperatively, intraoperatively and postoperatively.

show abstract

Unstable Distal Radius Fractures Treated by Volar Locking Anatomical Plates

Cited by 22 publications

References 23 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

Identification of a novel three‑column classification for double‑column die‑punch fractures of the distal radius

Anatomical reduction and precise internal fixation of intra-articular fractures of the distal radius with virtual X-ray and 3D printing

Contact Info

Product

Resources

About