Comparison of 2 Surgical Approaches for Volar Locking Plate Osteosynthesis of the Distal Radius

2008 ◽  
Vol 33 (7) ◽  
pp. 1135-1143 ◽  
Author(s):  
Thomas Lattmann ◽  
Michael Dietrich ◽  
Christoph Meier ◽  
Martin Kilgus ◽  
Andreas Platz
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Surgical Approaches ◽  
Volar Locking Plate ◽  
Locking Plate Osteosynthesis

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.

Results of Volar Locking Plate Osteosynthesis for Distal Radial Fractures

2011 ◽  
Vol 70 (6) ◽  
pp. 1510-1518 ◽  
Author(s):  
Thomas Lattmann ◽  
Christoph Meier ◽  
Michael Dietrich ◽  
Jens Forberger ◽  
Andreas Platz
Keyword(s):  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Volar Locking Plate ◽  
Distal Radial Fractures ◽  
Locking Plate Osteosynthesis

scholarly journals COMPARATIVE STUDY EVALUATING OUTCOMES OF CONSERVATIVE VERSUS VOLAR LOCKING PLATE OSTEOSYNTHESIS FOR UNSTABLE DISTAL RADIUS FRACTURES

2020 ◽  
pp. 9-11
Author(s):  
Abhimanyu Kakralia ◽  
Zakir Hussain ◽  
Amit Jain ◽  
R.C. Meena
Keyword(s):  
Comparative Study ◽  
Distal Radius ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Functional Results ◽  
Distal Radius Fractures ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Conservative Group ◽  
Prospective Comparative Study

Background: The objective of the study was to compare the results of conservative management and volar locking plate by assessing the functional and radiological parameters using Stewart et al. system (1) and Sarmiento’s modification of Gartland and Werley scores (2) respectively in cases of unstable distal radius fractures. Materials & Methods: This was a prospective comparative study, which included 50 cases of distal radius fractures with 32 cases in the conservative group and 18 cases in the operative group. Radiographic and functional outcomes were assessed at 2 weeks, 3 months and 6 months using Stewart et al. system and Sarmiento’s modification of Gartland and Werley scores respectively. Results: In operative group, radiological results were well to excellent results in 100% of the patients while in conservative group, 30% had excellent results, 17% had good results and 53% had fair result. At 6 months after surgery, functional results in both groups were improved. In operative group, 100% had excellent results while in conservative group 48% had excellent, 44.44% had good, and 7% had fair results. Conclusion: This study shows that volar locking plates evidently has better results in terms of achieved faster and accelerated functional recovery.

scholarly journals Volar Locking Plate Osteosynthesis for Distal Radial Fractures

2015 ◽  
Vol 23 (3) ◽  
pp. 323-326 ◽  
Author(s):  
Saqib Javed ◽  
Rizwan Shahid ◽  
Ravi Thimmiah ◽  
Muj El-Deen
Keyword(s):  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Volar Locking Plate ◽  
Distal Radial Fractures ◽  
Locking Plate Osteosynthesis

Use of Computed Tomography in Determining the Occurrence of Dorsal and Intra-articular Screw Penetration in Volar Locking Plate Osteosynthesis of Distal Radius Fracture

2018 ◽  
Vol 23 (01) ◽  
pp. 26-32 ◽  
Author(s):  
Teik Wei Diong ◽  
Nor Hazla Mohamed Haflah ◽  
Abdul Yazid Mohd Kassim ◽  
Sharifah Majedah Idrus Al Habshi ◽  
Mohd Hassan Shukur
Keyword(s):  
Ct Scan ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Plain Radiograph ◽  
Radius Fracture ◽  
Volar Locking Plate ◽  
Screw Length ◽  
Screw Penetration

Background: The use of volar locking plate in distal radius fracture can lead to extensor tendon rupture due to dorsal screw penetration. The aim of our study was to investigate the occurrence of dorsal and intra-articular screw penetration using CT scan after volar distal radius osteosynthesis for distal radius fractures.Methods: Thirty patients who underwent distal volar locking plate for distal radius fracture were included in a retrospective study. In all 30 patients no dorsal and intra-articular screw penetration were detected on standard AP and lateral views of a plain radiograph. CT scan of the operated wrist was performed to determine the number of intra-articular and dorsal screw penetrations. Clinical examination was performed to determine the wrist functions in comparison to the normal wrist.Results: Nineteen wrists were noted to have screw penetration either dorsally or intraarticularly. The highest incidence is in the 2nd extensor compartment where 13 screws had penetrated with a mean of 2.46 mm. Six screws penetrated into the distal radial ulnar joint and five screws into the wrist joint with a mean of 2.83 mm and 2.6 mm, respectively. However, there was no incidence of tendon irritation or rupture.Conclusions: This study demonstrated a high incidence of dorsal and intra-articular screw penetration detected by CT scan which was not apparent in plain radiograph. We recommend that surgeons adhere to the principle of only near cortex fixation and downsizing the locking screw length by 2 mm.

scholarly journals Comparison of a ceiling-mounted 3D flat panel detector vs. conventional intraoperative 2D fluoroscopy in plate osteosynthesis of distal radius fractures with volar locking plate systems

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Raphael Seuthe ◽  
Andreas Seekamp ◽  
Bodo Kurz ◽  
Julian Pfarr ◽  
Jost Philipp Schaefer ◽  
...  
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Distal Radius Fractures ◽  
Fracture Reduction ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Flat Panel ◽  
Flat Panel Detector

Abstract Objectives To compare intraoperative 3D fluoroscopy with a ceiling-mounted flat panel detector in plate osteosynthesis of distal radius fractures (AO/OTA 2R3C1.2) with volar locking plate systems to conventional 2D fluoroscopy for detection of insufficient fracture reduction, plate misplacement and protruding screws. Methods Using a common volar approach on 12 cadaver forearms, total intraarticular distal radius fractures were induced, manually reduced and internally fixated with a 2.4 distal radius locking compression plate. 2D (anterior-posterior and lateral) and 3D (rotational) fluoroscopic images were taken as well as computed tomographies. Fluoroscopic images, Cone Beam CT (CBCT), 360° rotating sequences (so called “Movies”) and CT scans were co-evaluated by a specialist orthopedic surgeon and a specialist radiologist regarding quality of fracture reduction, position of plate, position of the three distal locking screws and position of the three diaphyseal screws. In reference to gold standard CT, sensitivity and specifity were analyzed. Results “Movie” showed highest sensitivity for detection of insufficient fracture reduction (88%). Sensitivity for detection of incorrect position of plate was 100% for CBCT and 90% for “Movie.” For intraarticular position of screws, 2D fluoroscopy and CBCT showed highest sensitivity and specifity (100 and 91%, respectively). Regarding detection of only marginal intraarticular position of screws, sensitivity and specifity of 2D fluoroscopy reached 100% (CBCT: 100 and 83%). “Movie” showed highest sensitivity for detection of overlapping position of screws (100%). When it comes to specifity, CBCT achieved 100%. Regarding detection of only marginal overlapping position of screws, 2D fluoroscopy and “Movie” showed highest sensitivity (100%). CBCT achieved highest specifity (100%). Conclusion As for assessment of quality of fracture reduction and detection of incorrect position of plate as well as overlapping position of the three diaphyseal screws CBCT and “Movie” are comparable to CT – especially when combined. Particularly sensitivity is high compared to standard 2D fluoroscopy.

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