scholarly journals Corrective Osteotomy for Deformity of the Distal Radius Using a Volar Locking Plate

Hand ◽  
2007 ◽  
Vol 3 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Brett Peterson ◽  
Varun Gajendran ◽  
Robert M. Szabo
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Corrective Osteotomy ◽  
Volar Locking Plate

Surgical Technique of Corrective Osteotomy for Malunited Distal Radius Fracture Using the Computer-Simulated Patient Matched Instrument

2016 ◽  
Vol 21 (02) ◽  
pp. 133-139 ◽  
Author(s):  
Tsuyoshi Murase
Keyword(s):  
Bone Graft ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Corrective Osteotomy ◽  
Extensor Tendon ◽  
Radius Fracture ◽  
Soft Tissue Release ◽  
Dorsal Plate ◽  
Volar Locking Plate

The conventional corrective osteotomy for malunited distal radius fracture that employs dorsal approach and insertion of a trapezoidal bone graft does not always lead to precise correction or result in a satisfactory surgical outcome. Corrective osteotomy using a volar locking plate has recently become an alternative technique. In addition, the use of patient-matched instrument (PMI) via computed tomography simulation has been developed and is expected to simplify surgical procedures and improve surgical precision. The use of PMI makes it possible to accurately position screw holes prior to the osteotomy and simultaneously perform the correction and place the volar locking plate once the osteotomy is completed. The bone graft does not necessarily require a precise block form, and the problem of the extensor tendon contacting the dorsal plate is avoided. Although PMI placement and soft tissue release technique require some degree of specialized skill, they comprise a very useful surgical procedure. On the other hand, because patients with osteoporosis are at risk of peri-implant fracture, tandem ulnar shortening surgery should be considered to avoid excessive lengthening of the radius.

Corrective osteotomy of distal radial deformities: a new method of guided locking fixed screw positioning

2011 ◽  
Vol 38 (1) ◽  
pp. 29-34 ◽  
Author(s):  
M. Farshad ◽  
F. Hess ◽  
L. Nagy ◽  
A. Schweizer
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Corrective Osteotomy ◽  
Standard Technique ◽  
New Method ◽  
New Technique ◽  
Clinical Use ◽  
Volar Locking Plate ◽  
New Device ◽  
Radial Inclination

Corrective osteotomy for distal radial malunion is a valuable but at times technically challenging operation. We have developed a new device to aid in the performance of the operation. We compared clinical use of the new technique with the standard technique. In 11 patients treated with the new technique the volar locking plate needed repositioning only once. With the standard technique in 17 patients the plate was repositioned in nine cases and needed bending in six cases. The new method corrected radial inclination (SD of 3° vs. 9°) and ulnar variance (SD of 0.9 mm vs. 1.4 mm) more predictably than the standard technique but there was no advantage in correction of volar tilt (SD of 6° vs. 4°). In our experience the new device makes corrective osteotomy of the distal radius easier and more reliable.

MALUNITED FRACTURES OF THE DISTAL RADIUS TREATED WITH CORRECTIVE OSTEOTOMY USING VOLAR LOCKING PLATE AND A CORTICOCANCELLOUS BONE GRAFT FOLLOWING IMMEDIATE MOBILISATION

Hand Surgery ◽  
2007 ◽  
Vol 12 (03) ◽  
pp. 183-190 ◽  
Author(s):  
Denju Osada ◽  
Shuzo Kamei ◽  
Morimitsu Takai ◽  
Kazuo Tomizawa ◽  
Kazuya Tamai
Keyword(s):  
Distal Radius ◽  
Bone Grafting ◽  
Locking Plate ◽  
Corrective Osteotomy ◽  
Treatment Method ◽  
Contralateral Side ◽  
Volar Locking Plate ◽  
Forearm Rotation ◽  
Volar Approach

We describe our experience of using a volar locking plate for corrective osteotomy and bone grafting combined with early mobilisation in the treatment of distal radius malunions. Corrective osteotomy of the distal radius was performed through a volar approach, and fixated by a volar locking plate associated with corticocancellous iliac bone grafting in three patients aged 16, 71 and 75 years. Two patients had had volarly displaced malunion and one dorsally displaced malunion. Wrist motin was started immediately after surgery. The average follow-up was 15 months (range, 12–20 months). All osteotomies healed at an average 5.7 weeks post-operatively, resulting in a total arc of wrist motion of 133°, forearm rotation of 167°, and grip strength of 70% of that of the contralateral side. This treatment method proved to be effective and safe.

scholarly journals Volar Locking Plate Breakage after Nonunion of a Distal Radius Osteotomy

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Sergi Barrera-Ochoa ◽  
Sergi Rodríguez-Alabau ◽  
Andrea Sallent ◽  
Francisco Soldado ◽  
Xavier Mir
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Demineralized Bone Matrix ◽  
Plate Fixation ◽  
Corrective Osteotomy ◽  
Bone Matrix ◽  
Early Mobilization ◽  
Osteotomy Site ◽  
Volar Locking Plate ◽  
Plate Breakage

We report a 38-year-old male with a nonunion followed by plate breakage after volar plating of a distal radius osteotomy. Volar locking plates have added a new approach to the treatment of distal radius malunions, due to a lower morbidity of the surgical approach and the strength of the final construction, allowing early mobilization and return to function. Conclusion. Plate breakage is an uncommon complication of volar locking plate fixation. To our knowledge, few cases have been described after a distal radius fracture and no case has been described after a distal radius corrective osteotomy. In the present case, plate breakage appears to have occurred as a result of a combination of multiple factors as the large corrective lengthening osteotomy, the use of demineralized bone matrix instead of bone graft, and the inappropriate fixation technique as an unfilled screw on the osteotomy site, rather than the choice of plate.

Corrective distal radius osteotomy following fracture malunion using a fixed-angle volar locking plate

2013 ◽  
Vol 39 (4) ◽  
pp. 431-435 ◽  
Author(s):  
S. Opel ◽  
S. Konan ◽  
E. Sorene
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Wrist Joint ◽  
Corrective Osteotomy ◽  
Volar Locking Plate ◽  
Short Term ◽  
Fixed Angle ◽  
Post Traumatic ◽  
Radiological Union

Post-traumatic distal radius deformity may cause severe morbidity, and corrective osteotomy is often necessary to realign the functional axis of the wrist to correct symptomatic malunion. The aim of this retrospective study was to review the short-term results of a single surgeon’s series of distal radius corrective osteotomies following fracture malunion using a fixed-angle volar locking plate for 20 patients (26 women) of an average age of 57 (range 19–83) years. At short-term follow up (average 14 months, range 12–15 months), no complications were noted and radiological union was confirmed in all cases at an average of 3 months. The average post-operative Disability of the Arm, Shoulder and Hand score was 13.48 (range 0–48.33) and an objective improvement was noted in movements at the wrist joint. A statistically significant improvement was achieved in ulnar variance, radial inclination, dorsal tilt, and supination.

Volar locking plate vs epibloc system for distal radius fractures in the elderly

Injury ◽  
2016 ◽  
Vol 47 ◽  
pp. S84-S90 ◽  
Author(s):  
Giuseppe Solarino ◽  
Giovanni Vicenti ◽  
Antonella Abate ◽  
Massimiliano Carrozzo ◽  
Girolamo Picca ◽  
...  
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
The Elderly ◽  
Distal Radius Fractures ◽  
Volar Locking Plate ◽  
Radius Fractures

scholarly journals Minimally Invasive Plate Osteosynthesis for a Distal Radius Fracture with Forearm Skin Problem

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Kiyohito Naito ◽  
Yoichi Sugiyama ◽  
Mayuko Kinoshita ◽  
Ahmed Zemirline ◽  
Chihab Taleb ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Distal Radius ◽  
Skin Disorder ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Volar Locking Plate ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Locking Plate Osteosynthesis ◽  
The Right

In this study, we performed osteosynthesis for a distal radius fracture using a minimally invasive approach for a patient with skin disorder of the forearm and obtained favorable results. This case report may provide new findings confirming the usefulness of this surgical approach for distal radius fractures. Blister formation on the right forearm was observed in a 53-year-old female who was diagnosed with a distal fracture of the right radius and underwent splinting in a local hospital, and she was referred to our hospital 2 days after the injury. Minimally invasive locking plate osteosynthesis was performed, and there was no skin lesion at this incision site. Postoperatively, there were no complications in soft tissues and the operative scar was almost unrecognizable. We reported volar locking plate osteosynthesis using the minimally invasive approach in a patient with skin disorder of the forearm. Such patients are rarely encountered. However, this minimally invasive approach is extremely useful for utilizing the advantages of volar locking plate fixation without being affected by the soft tissue environment.

scholarly journals Clinical and Functional Outcome of Volar Locking Plate Fixation for Distal Radius Fracture

2009 ◽  
Vol 58 (2) ◽  
pp. 283-286 ◽  
Author(s):  
Shoichi Kuba ◽  
Itaru Furuichi ◽  
Masakazu Murata ◽  
Takeshi Miyaji ◽  
Noriaki Miyata ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Plate Fixation ◽  
Radius Fracture ◽  
Volar Locking Plate ◽  
Locking Plate Fixation
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