Distal, metaphyseal radius fractures. Results after open reduction, internal plate fixation and cortico-cancellous iliac bone grafting

Object Monomelic amyotrophy (MMA) is a benign, self-limiting lower motor neuron disease. Optimal surgical strategies—discectomy decompression and fusion (DDF) or corpectomy decompression and fusion (CDF)—for patients with aggravated symptoms (within 6 months of presentation) are controversial, particularly in those who are ineligible for conventional treatment. These 2 methods of anterior cervical decompression and fusion for MMA in patients unwilling or unable to wear a conventional cervical collar long term were evaluated. Methods Anterior cervical decompression and fusion were performed in 48 male patients with MMA between September 2007 and September 2010. Patients were randomly treated with anterior cervical discectomy decompression with autologous iliac crest bone grafting and internal plate fixation (DDF group: 24 patients) or anterior cervical corpectomy, posterior longitudinal ligament resection, autologous iliac crest bone grafting, and internal plate fixation (CDF group: 24 patients). Subjective symptom assessments and electromyography (EMG) examinations were conducted both preoperatively and postoperatively. Results Subjective assessments and EMG studies (mean follow-up duration 25.9 months) indicated improvement in 64.6% and 60% of patients, respectively. No significant correlations between the effectiveness of surgery and age at symptom onset, preoperative symptom duration, or postoperative follow-up time were found. Conclusions The lack of a significant difference in effectiveness between DDF and CDF favors DDF as more clinically applicable because of its lower procedural risks. As a second-line alternative to cervical collar treatment, surgical anterior cervical decompression and fusion via DDF or CDF may prevent further deterioration and produce good short-term therapeutic effects in patients with MMA; however, cervical collar treatment is recommended for eligible patients because of its lower associated risks.

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Volar Internal Plate Fixation Versus Plaster in Displaced Extra-articular Distal Radius Fractures: A Randomized Controlled Trial

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2017.06.028 ◽

2017 ◽

Vol 42 (9) ◽

pp. S7-S8

Author(s):

Marjolein A.M. Mulders ◽

Monique M.J. Walenkamp ◽

J. Carel Goslings ◽

Niels W.L. Schep

Keyword(s):

Randomized Controlled Trial ◽

Distal Radius ◽

Controlled Trial ◽

Plate Fixation ◽

Distal Radius Fractures ◽

Radius Fractures ◽

Randomized Controlled ◽

Internal Plate Fixation

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Comparative study of the closed reduction percutaneous cannulated screw fixation and open reduction palmar locking plate fixation in the treatment of AO type A2 distal radius fractures

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-013-1866-7 ◽

2013 ◽

Vol 134 (1) ◽

pp. 121-129 ◽

Cited By ~ 2

Author(s):

Arel Gereli ◽

Ufuk Nalbantoglu ◽

Baris Kocaoglu ◽

Metin Turkmen

Keyword(s):

Comparative Study ◽

Distal Radius ◽

Closed Reduction ◽

Open Reduction ◽

Locking Plate ◽

Screw Fixation ◽

Plate Fixation ◽

Cannulated Screw ◽

Radius Fractures ◽

Locking Plate Fixation

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Results of open reduction and fixed angle locked volar plate fixation for fracture lower end of radius

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20194246 ◽

2019 ◽

Vol 5 (6) ◽

pp. 1055

Author(s):

Gaurav Kumar ◽

Varun Vijay

Keyword(s):

Functional Outcome ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Plate Fixation ◽

Volar Plate ◽

Volar Locking Plate ◽

Radius Fractures ◽

Fixed Angle ◽

Volar Plate Fixation

Background: The fracture of lower end radius is the most common fracture of upper extremity encountered in practice. Intra-articular fractures of distal radius present a challenging task to the operating surgeon. Open reduction and internal fixation using volar fixed-angle plates has shown to be a valid treatment option for unstable, dorsally displaced distal radial fractures. The present study was undertaken to evaluate the functional outcome of unstable distal radius fractures treated with fixed angle volar locking plate.Methods: The current study aimed at using fixed angle volar locking plate to treat unstable distal radius fractures. A total of 25 patients records were studied comprising of 19 males and 6 females with a mean of 44.5 years and followed up for a maximum of 1.5 year. Fractures were classified using the AO classification. The interpretation of functional outcome was done according to Mayo Wrist Score.Results: At final functional assessment, according to the Mayo wrist score, the scores of 6 patients were excellent, 10 patients good, 8 patients satisfactory and 1 patient poor. No non-union was reported in any patients. 3 patients developed minor complications in the form of superficial infection, hypertrophic scar and reflex sympathetic dystrophy and 1 patient developed major complication in the form of deep infection.Conclusions: Primary volar plate fixation of unstable distal radius fracture provides a stable construct that helps in early mobilization, better functional outcome and minimizes chances of complications and thereby is the treatment of choice for fracture distal end of radius.

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