scholarly journals The importance of pronator quadratus repair in the treatment of distal radius fractures with volar plating

Hand ◽  
2012 ◽  
Vol 7 (3) ◽  
pp. 276-280 ◽  
Author(s):  
Zahab S. Ahsan ◽  
Jeffrey Yao
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures ◽  
Pronator Quadratus

scholarly journals Pronator quadratus repair after volar plating of distal radius fractures or not? Results of a prospective randomized trial

2015 ◽  
Vol 20 (1) ◽  
Author(s):  
Sandra Häberle ◽  
Gunther Hubertus Sandmann ◽  
Stephan Deiler ◽  
Tobias Maximilian Kraus ◽  
Florian Fensky ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Prospective Randomized Trial ◽  
Volar Plating ◽  
Radius Fractures ◽  
Pronator Quadratus

The Effects of Pronator Quadratus Repair on Outcomes After Volar Plating of Distal Radius Fractures

2013 ◽  
Vol 27 (3) ◽  
pp. 130-133 ◽  
Author(s):  
Stuart H. Hershman ◽  
Igor Immerman ◽  
Christopher Bechtel ◽  
Nikola Lekic ◽  
Nader Paksima ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures ◽  
Pronator Quadratus

145 Outcomes of Unstable Distal Radius Fractures – A Meta-Analysis of Bridging External Fixation Versus Volar Plating

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Mulrain ◽  
K Joshi ◽  
F Doyle ◽  
A Abdulkarim
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Plate Fixation ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Complication Rates ◽  
Volar Plating ◽  
Radius Fractures ◽  
Increased Risk

Abstract Introduction Distal radius fractures are common and trends for fixation have changed with increased use of volar locking plates in recent time. A meta-analysis will summarise the best evidence for treatment. Method A systematic review was conducted using PRISMA methodology to identify studies that reported clinical and/or radiological outcomes in patients with AO type C distal radius fractures when treated with external fixation versus ORIF. Results 10 randomised trials were included in this review, reporting on 967 patients. Clinical outcomes are in favour of volar plating at 3 months post-operation, but no difference between the two groups is seen at 6 or 12 months. Analysis of complication rates shows a minute increase in risk-ratio for volar plating versus external fixation. Subgroup analysis showed significantly higher re-operations after plate fixation and significantly higher infection after external fixation. Conclusions Internal fixation of complex distal radius fractures confers an improved clinical outcome at early follow up only and a minimally increased risk of complications. The improved grip strength with volar plating is only superior at early follow up and no long-term superiority is seen with either intervention. The type of surgery in this injury type therefore remains at the surgeon’s consideration on a case-by-case basis.

Classification and Management of Failed Fixation of the Volar Marginal Fragment in Distal Radius Fractures

2021 ◽  
Author(s):  
M. Carolina Orbay ◽  
Jorge L. Orbay
Keyword(s):  
Distal Radius ◽  
Patient Characteristics ◽  
Distal Radioulnar Joint ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures ◽  
Fracture Patterns ◽  
Loss Of Reduction ◽  
Operative Fixation ◽  
Specific Fracture

AbstractGreater understanding of specific fracture patterns following distal radius fractures has arisen with the advent of volar plating. The volar marginal fragment (VMF) is a small peripheral piece of bone which is critical to carpal stability. Failure to achieve good fixation of the VMF can result in volar subluxation of the carpus and distal radioulnar joint instability. Due to its small, distal nature, this fragment can be easily missed and difficult to fix. Loss of reduction of the VMF following operative fixation presents specific challenges and surgical considerations dictated by patient characteristics and timing. Our goal of this review is to present a classification system for these failed VMFs which can help guide surgical treatment as well as expected outcomes.

The Fate of Pronator Quadratus Muscle after Volar Locking Plating of Unstable Distal Radius Fractures

2014 ◽  
Vol 27 (3) ◽  
pp. 191
Author(s):  
Chae-Hyun Lim ◽  
Heun-Guyn Jung ◽  
Ju-Yeong Heo ◽  
Young-Jae Jang ◽  
Yong-Soo Choi
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Pronator Quadratus ◽  
Pronator Quadratus Muscle

Intra-articular distal radius fractures in elderly patients: a randomized prospective study of casting versus volar plating

2017 ◽  
Vol 43 (2) ◽  
pp. 142-147 ◽  
Author(s):  
Daniel Martinez-Mendez ◽  
Alejandro Lizaur-Utrilla ◽  
Joaquin de-Juan-Herrero
Keyword(s):  
Conservative Treatment ◽  
Elderly Patients ◽  
Distal Radius ◽  
Articular Surface ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures ◽  
Level Of Evidence ◽  
Loss Of Reduction

We compared outcomes in elderly patients with intra-articular distal radius fractures treated by closed reduction and plaster immobilization or open reduction and internal fixation with a volar plate. Ninety-seven patients older than 60 years were randomly allocated to conservative (47 patients) or surgical (50 patients) treatment. Over a 2-year period, we assessed patient-rated wrist evaluation score, DASH (disability arm, shoulder and hand) questionnaire, pain, wrist range of motion, grip strength, and radiological parameters. The functional outcomes and quality of life were significantly better after volar plating fixation compared with conservative treatment. We found that restoration of the articular surface, radial inclination, and ulnar variance affected the outcomes, but the articular step-off did not. Twenty-five per cent of the patients with conservative treatment had secondary loss of reduction. We conclude that surgical plating leads to better outcomes than conservative treatment for elderly patients with intra-articular distal radius fractures. Level of evidence: I

Volar Plating of Distal Radius Fractures

2021 ◽  
pp. 445-459
Author(s):  
Stephanie Catherine Spence ◽  
Benjamin Hope ◽  
Mark Ross
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures
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