Volar locking plate fixation of unstable distal radius fractures

Kilic, Ayhan; Kabukçuoğlu, Yavuz; Özkaya, Ufuk; Gül, Murat; Sökücü, Sinem Nedime; Ozdogan, Umit

doi:10.3944/aott.2009.303

Cited by 31 publications

(55 citation statements)

References 18 publications

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“…These findings are comparable with other similar published studies. [13][14][15] Incidence of distal radius fractures were seen higher in males in our study.…”

supporting

confidence: 47%

Comparison of outcome of extra articular lower end radius fracture with percutaneous pinning and volar locking plate

et al. 2017

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INTRODUCTIONFractures of the distal radius are common fractures seen in orthopedics outpatient and trauma care. Data suggests that around 6% of women by age of 80 years will sustain such fracture and 9% women by age of 90.1 As the population continues to age, these figures are likely to increase still further. Its growing incidence may be attributed to a parallel rise of osteoporosis and high energy accidents.2,3 The epidemiology has changed from the times of Colle's fracture to present date due to increased life expectancy and increased in high energy trauma. Various authors have stated the age specific incidence, that ranged from 9 to 100 per 10,000 per year. [4][5][6] Various operative and non-operative treatment options are available, without there being a consensus as to an optimal method according to the patients demographics and fracture pattern. 7,8 Despite this being a topic of discussion there have been very few studies focusing on the functional outcomes following percutaneous K wiring and volar plating in extra articular fractures. Each having their own merits and demerits.Percutaneous wire fixation being a relatively quick and minimally invasive procedure that could be carried out in limited operative environment. However, since the ABSTRACT Background: As fractures of the distal radius are the most common fractures of the upper extremity with no clear guidelines for mode of intervention it was decided to compare two of the most common methods of treatment. The aim of this study was to review a group of patients sustaining extra articular lower end radius fracture treated with percutaneous wiring and volar plating and compare their functional outcome at a significant follow up time. Methods: A prospective study was conducted at tertiary care center. A sample of 45 patients who had a displaced extra articular distal radius fracture and were subjected to treatment with either a plate (n =24) or k wiring (n =21). Outcome assessments were conducted at 6 months. Outcomes were measured on the basis of scores on the DASH questionnaire, wrist range of motion, and radiographic parameters. Results: Patients in the plate group had significantly better DASH scores (p=0.0431) and range of motion at six months compared with patients in the k wiring group. Collapse in radial length was observed in 2 patients with percutaneous wiring which led to suboptimal range of motion and increased DASH scores. Significance arc of motion at 6months in dorsiflexion and palmar flexion were p=0.0038 and when compared with opposite limb were significant in all three planes p=0.0217, p=0.0126 and p=0.0029. Conclusions: Based on our observation we found that treatment of dorsally displaced, unstable extra articular radius fractures across all age groups, volar-locked plates achieve a superior radiological and functional outcome with minimal complications.

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“…These findings are comparable with other similar published studies. [13][14][15] Incidence of distal radius fractures were seen higher in males in our study.…”

supporting

confidence: 47%

Comparison of outcome of extra articular lower end radius fracture with percutaneous pinning and volar locking plate

et al. 2017

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“…In our study, the distal radial fracture was more common in the 3rd and 5th decade with an average of 41 years. It is comparable with other similar studies [17,18] done earlier. Type B3 fractures were included which met the criteria of fracture of volar barton [19] .…”

Section: Discussionsupporting

confidence: 82%

A retrospective clinical study of volar Barton fractures using t- Elli’s plate and locking distal end radius plate and screws

Wali¹,

Mared²

2018

Int. J. Orthop. Sci.

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Aim To evaluate the functional and radiological results of treating unstable volar Barton's fractures of the distal radius with the T-buttress plate and locking plate Methods: This was a retrospective study at our hospital. We used open reduction and internal fixation with a 3.5mmT-buttress plates and lockingplate in volarly displaced, intraarticular fractures of the distal radius which were displaced volarly. The volar tilt, radial length, articular step-off and intraarticular gap between fragments were improved after surgery. We included 40 patients, comprising 37 men and 3 women with a mean age of 31 years (range from 20-62 years).12 patients were treated with locking plate whereas rest of 28 patients were treated with T butress plate and scerws. Preoperative, postoperative, and final follow-up radiographs were compared. The time to initiation of active range of motion was determined. Final follow-up range of motion and complications were reported. Mean follow-up time after injury was 6 months. Results: At final functional assessment, the scores of 18 patients were excellent, 5 patients good, 5 patients fair in patients treated with T butress plate and screws. 7 patients excellent, 4 good, 1fair in patients treated with locking plate and screws according to a criteria described by Gartland and Werley. No non-union or infection occurred. No difference in the improvement was seen in patients treated with locking plate and screws. Conclusion: Treatment of volar Barton's fractures of the distal radius with a 3.5mm T-buttress plate or locking plate leads to satisfactory results, provided the operative technique is carefully performed to prevent complications. Rigid fixation of the fracture is important for good outcome no matter the type of implant used.

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“…In the study of Ayhan Kilic et al also found road traffic accident in 13 patients (48.1%) and fall in 14 patients (51.9%) while Chung KC et al found 42 patients (48.3%) had road traffic accident and 45 patients (51.7%) had trauma due to fall. 11, 13 Arora Rohit et al in his study got 40 patients with road traffic accident and 60 patients due to fall. 12 In present study, Out of 35 patients, 2 patients (5.7%) had an associated injury.…”

Section: Discussionmentioning

confidence: 99%

“…12 In Killic A et al average age of the patients was 45 years with minimum age 18 years and maximum years 77. 13 In Anakwe RE et al average age of the patients was 48 years with minimum age 22 years and maximum years 67. 8 In present study, most of the patients were females 25 (71.4%) as compared with males 10 (28.6%).…”

Section: Discussionmentioning

confidence: 99%

Functional and radiological outcome in distal radius fractures treated with locking compression plate

et al. 2017

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Background: Fractures of distal end of radius are one of the most common skeletal injuries encountered in orthopaedics. There are various modalities for treatment like close reduction and cast application, external fixators, ORIF with plate etc. CR and cast application or K-wire fixation, external fixation is associated with immobilisation, wrist stiffness, loss of reduction postoperatively. So we performed volar plating for distal end radius fractures and calculated its results.Methods: We performed ORIF with plating (Volar approach) in 35 patients (22 male and 13 female) of distal end radius fractures depending on inclusion and exclusion criteria. Fractures were classified according to AO classification. All patients were operated under tourniquet. Results were analysed using Mayo score.Results: Out of 35 patients, 14 had type A, 16 had type B and 5 had type C fractures (AO classification). Average operative time was 45 minutes and blood loss of 50 ml. Average time to clinico-radiological union was 7 weeks. Average follow up time was 8 months. Average time to wrist mobilisation was 8 days. According to Mayo score, 16 patients had excellent results, 15 had well and 4 had satisfactory results.Conclusions: Volar plating for fracture distal end radius reduces chances of wrist joint stiffness and loss of reduction and good results can be obtained. So in our opinion, volar plating for treatment of fracture distal end radius is good method with excellent outcomes.

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Volar locking plate fixation of unstable distal radius fractures

Abstract: Volar locking plate fixation is an effective treatment in the anatomical and functional restoration of unstable distal radius fractures.

Cited by 31 publications

References 18 publications

Comparison of outcome of extra articular lower end radius fracture with percutaneous pinning and volar locking plate

Comparison of outcome of extra articular lower end radius fracture with percutaneous pinning and volar locking plate

A retrospective clinical study of volar Barton fractures using t- Elli’s plate and locking distal end radius plate and screws

Functional and radiological outcome in distal radius fractures treated with locking compression plate

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