A Modification of the Use of Extraskeletal Immobilization for Comminuted Fractures of the Distal Radius

1977 ◽  
Vol &NA; (123) ◽  
pp. 83???86
Author(s):  
KENNETH G. JONES
Keyword(s):  
Distal Radius ◽  
Comminuted Fractures

DORSAL PLATING FOR COMMINUTED INTRA-ARTICULAR FRACTURES OF THE DISTAL END OF THE RADIUS

Hand Surgery ◽  
2004 ◽  
Vol 09 (02) ◽  
pp. 181-190 ◽  
Author(s):  
D. Osada ◽  
K. Tamai ◽  
A. Iwamoto ◽  
S. Fujita ◽  
K. Saotome
Keyword(s):  
Distal Radius ◽  
Open Reduction ◽  
Ulnar Variance ◽  
Radius Fractures ◽  
Radial Inclination ◽  
Articular Fractures ◽  
Radial Length ◽  
Comminuted Fractures ◽  
Dorsal Plating

Forty-one dorsally displaced intra-articular fractures of the distal radius were treated by open reduction and internal fixation with the dorsal Symmetry® plates. The average age at the time of the injury was 49 years. An average follow-up period was 15 months. The final radial length averaged 11 mm, radial inclination 23°, volar tilt 7°, ulnar variance 1.5 mm, and articular incongruity 0.3 mm. According to the Gartland and Werly scales, 36 fractures were excellent and five were good. However, ulnar variance increased more than 3 mm during follow-up in eight patients, and volar tilt increased more than 5° during follow-up in ten patients. Use of dorsal Symmetry® plate is effective for unstable comminuted intra-articular distal radius fractures, but severely comminuted fractures may possibly undergo re-displacement post-operatively.

PRIMARY SHORTENING OF THE FOREARM AND SAUVÉ-KAPANDJI FOR SEVERELY COMMINUTED FRACTURES OF THE DISTAL FOREARM IN ELDERLY PATIENTS: A CASE REPORT

Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 399-402 ◽  
Author(s):  
Chul Ki Goorens ◽  
Ghislain Geurts ◽  
Jean F. Goubau
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Distal Radius ◽  
Distal Forearm ◽  
Volar Plating ◽  
Elderly Female ◽  
Ulnar Fracture ◽  
Comminuted Fractures

We report a case of an elderly female who sustained a severely comminuted distal radial and ulnar fracture, treated by shortening of the forearm, combined with a primary Sauvé-Kapandji procedure and volar plating of the distal radius.

Radioscapholunate Fusion Following Comminuted Fractures of the Distal Radius

2000 ◽  
Vol 26 (4) ◽  
pp. 169-175 ◽  
Author(s):  
Kirsten Beyermann ◽  
Karl-Josef Prommersberger ◽  
Ulrich Lanz
Keyword(s):  
Distal Radius ◽  
Radioscapholunate Fusion ◽  
Comminuted Fractures

Screw prominences related to palmar locking plating of distal radius

2011 ◽  
Vol 36 (4) ◽  
pp. 320-324 ◽  
Author(s):  
T. S. Sügün ◽  
N. Karabay ◽  
Y. Gürbüz ◽  
K. Özaksar ◽  
T. Toros ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Dorsal Cortex ◽  
Radius Fractures ◽  
Early Return ◽  
First Extensor Compartment ◽  
Comminuted Fractures ◽  
Standard Radiographs ◽  
Stable Reduction

Fixation of unstable distal radius fractures with palmar locking plates provides a stable reduction and early return of function, but complications arising from unrecognized dorsally prominent screws penetrating the extensor compartments are increasingly reported. Standard radiographs and fluoroscopy may not adequately visualize screw lengths, owing to the complex shape of the dorsum of the distal radius. We examined 46 distal radius fractures treated with palmar locking plates by ultrasound. Of the total 230 locking screws, 59 protruded from the dorsal cortical surface by 0.5 mm or more (range 0.5–6.1 mm). The first extensor compartment was violated by one screw, the second compartment by 22 screws, the third compartment by 15 screws, and the fourth compartment by 21 screws. Asymptomatic tenosynovitis was detected in four and symptomatic tenosynovitis in 14 of the 59 prominent screws. Ultrasound imaging may be useful in cases where intra-articular and/or comminuted fractures require distal plate placement and engagement of screws in the dorsal cortex.

FIXATION OF COMMINUTED DISTAL RADIUS FRACTURES WITH A MIXTURE OF CALCIUM PHOSPHATE AND CALCIUM SULFATE CEMENT

Hand Surgery ◽  
2011 ◽  
Vol 16 (02) ◽  
pp. 223-228 ◽  
Author(s):  
Mario G. Solari ◽  
Emily Spangler ◽  
Andrew Lee ◽  
Ronit Wollstein
Keyword(s):  
Calcium Phosphate ◽  
Bone Cement ◽  
Distal Radius ◽  
Calcium Sulfate ◽  
Distal Radius Fractures ◽  
Bone Cements ◽  
Radius Fractures ◽  
Autologous Bone Grafting ◽  
The Face ◽  
Comminuted Fractures

Distal radius fracture alignment and stabilization can be a surgical challenge in the face of severe comminution and bone loss. We describe a technique using a calcium phosphate/sulfate bone cement, as an adjunct to internal fixation. This bone cement is biocompatible, osteoconductive, and sets quickly with an isothermic reaction. The use of bone cement eliminates the need for primary autologous bone grafting and allows for easier reduction and retention of reduction at the time of surgery. Bone cement is employed for the following purposes in comminuted fractures: (1) to fill a void due to lost or crushed cancellous bone, (2) to hold larger unstable fragments while hardware is placed, and (3) to retain fragments too small to take hardware. Available bone cements, studies involving the use of bone cement for distal radius fractures, indications, and surgical technique will be reviewed.

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