CLINICAL APPLICATION OF DOUBLE DORSAL PLATES FOR THE DISTAL RADIUS FRACTURES

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 213-224
Author(s):  
Noriyuki Yoshida ◽  
Kazuhiko Matsushita ◽  
Takeshi Arai ◽  
Ko Izumiyama ◽  
Moroe Beppu ◽  
...  
Keyword(s):  
Cortical Bone ◽  
Clinical Application ◽  
Distal Radius ◽  
Three Dimensional ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Radial Margin ◽  
Dimensional Models ◽  
Three Dimensional Models

The purpose of this study was to develop plates that fit the contour of the distal radius of the Japanese and can be inserted less invasively. Three-dimensional models of 36 radii of 18 volunteers were prepared. Using these models, the shape of the cortical bone on the radial margin of the distal radius and just below the dorsal fourth compartment of the wrist, to which the plates were expected to be applied, was measured, and the curves of the plates were determined. The functions of approximated curves of the plates were: [ y = -2 × 10-8 x 5 - 2 × 10-6 x 4 + 0.0006 x 3 - 0.0312 x 2 + 0.3274 x + 15.224 on the radial margin of the distal radius and [ y = 7 × 10-7 x 5 - 0.0001 x 4 + 0.0078 x 3 - 0.2355 x 2 + 3.1815 x - 5.6383 just below the fourth compartment. The clinical results of the application of double dorsal plates were satisfactory in clinical cases for the distal radius fractures.

OUTCOME OF UNSTABLE DISTAL RADIUS FRACTURES TREATED WITH OPEN REDUCTION AND INTERNAL FIXATION VERSUS EXTERNAL FIXATION

Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 173-179 ◽  
Author(s):  
Emmanuel P. Estrella ◽  
Paulo L. Panti
Keyword(s):  
Grip Strength ◽  
Distal Radius ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Wrist Flexion ◽  
Radius Fractures ◽  
Wrist Extension ◽  
Ulnar Deviation ◽  
Mayo Wrist Score ◽  
Score Range

The objective of this study was to compare the clinical results of unstable distal radius fractures treated with ORIF with plate and screws compared to EF. Patients with unstable distal radius fractures treated with ORIF or EF from January 2005 to December 2010 were reviewed in terms of the Modified Mayo Wrist Score, range of motion, pain, grip strength, and radiologic parameters. Results showed that there was no difference in the Modified Mayo Wrist Score between ORIF (17 patients) and EF (11 patients) (p = 0.07). The ORIF group had better wrist flexion, wrist extension, pronation and supination compared to the EF group (p < 0.05). There were no significant differences in terms of radial and ulnar deviation, grip strength, pain and postoperative radiologic parameters (p < 0.05). Better wrist flexion, wrist extension and forearm rotation can be expected in ORIF compared to EF in the management of unstable distal radius fractures.

scholarly journals Clinical Results of External Fixation for Distal Radius Fractures.

1999 ◽  
Vol 48 (3) ◽  
pp. 966-969
Author(s):  
Ryuya Ochi ◽  
Tetsuo Nakano ◽  
Yasuyuki Abe ◽  
Yasuhiro Shimizu ◽  
Ichiro Seike ◽  
...  
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Radius Fractures

Three-dimensional in vivo kinematics of the distal radioulnar joint in malunited distal radius fractures

2002 ◽  
Vol 27 (2) ◽  
pp. 233-242 ◽  
Author(s):  
Douglas C. Moore ◽  
Kathleen A. Hogan ◽  
Joseph J. Crisco ◽  
Edward Akelman ◽  
Manuel F. DaSilva ◽  
...  
Keyword(s):  
Distal Radius ◽  
Three Dimensional ◽  
Distal Radioulnar Joint ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Radioulnar Joint ◽  
In Vivo Kinematics

scholarly journals Management of Intra-Articular Distal Radius Fractures: Volar or Dorsal Locking Plate—Which Has Fewer Complications?

Hand ◽  
2016 ◽  
Vol 12 (6) ◽  
pp. 561-567 ◽  
Author(s):  
Yoshihiro Abe ◽  
Susumu Tokunaga ◽  
Takuro Moriya
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Complication Rates ◽  
Radius Fractures ◽  
Volar Approach ◽  
Pathologic Fractures ◽  
Dorsal Plating ◽  
Plate System

Background: The aim of this study was to compare the functional outcomes and complications of volar and dorsal plating for the management of intra-articular distal radius fractures, with special regard to indications for dorsal plating. Furthermore, we examine the rationale for choosing dorsal plating and its frequency of use. Methods: Clinical assessments included range of motion measurements at the wrist; grip strength; the Quick Disabilities of the Arm, Shoulder, and Hand score; and the Gartland and Werley score. Clinical results were compared with those achieved using a volarly placed locking plate system. According to Lutsky’s plate theory, the rationale for choosing dorsal plating was based on 4 types of pathologic fractures. Results: Of 112 patients, 38 patients were treated with open reduction internal fixation via a dorsal approach and 68 patients were treated using a volar approach. Except for wrist flexion, there were no other statistical differences in the clinical results between groups for both subjective and objective parameters. There were no statistically significant differences in the complication rates between the volar and dorsal plated groups. One serious complication occurred after volar plating. The most common reason for choosing dorsal plating was irreducible dorsal die-punch fractures. Conclusions: The treatment of displaced intra-articular distal radius fractures with a dorsally versus a volarly placed interlocking plate system demonstrated similar clinical results. Postoperative complications were not readily observed in the patients treated with a dorsal locking plate. Certain fracture patterns are more appropriately stabilized using a dorsal plate fixation.

scholarly journals Clinical Results of Volar Locking Plate Fixation for Distal Radius Fractures

2010 ◽  
Vol 59 (3) ◽  
pp. 497-500
Author(s):  
Takashi Matsumoto ◽  
Toshio Inoue ◽  
Nobuhiro Ikari ◽  
Hitoshi Shirachi
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Plate Fixation ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Locking Plate Fixation

Three-dimensional deformity analysis of malunited distal radius fractures and their influence on wrist and forearm motion

2012 ◽  
Vol 37 (6) ◽  
pp. 506-512 ◽  
Author(s):  
J. Miyake ◽  
T. Murase ◽  
Y. Yamanaka ◽  
H. Moritomo ◽  
K. Sugamoto ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Distal Radius ◽  
Three Dimensional ◽  
Axial Rotation ◽  
Computer Models ◽  
Distal Radius Fractures ◽  
Wrist Flexion ◽  
Radius Fractures ◽  
Ct Data ◽  
Flexion And Extension

Little information exists about three-dimensional (3-D) deformity patterns of malunited distal radius fractures including axial deformity. The current study aimed to clarify the 3-D deformity pattern of malunited distal radius fractures and reveal the influence of osseous deformities, including axial rotation deformity, on wrist and forearm motion. The deformity of 20 dorsally tilted malunions were evaluated using 3-D computer models created from CT data, and correlations between deformity components and range of motion were assessed. The 3-D deformity analysis showed that axial malalignment in pronation, which showed a correlation with the degree of radial tilt deformity, was very common. A radial tilt deformity of > 5° was observed in only 45% of cases. Although the range of wrist flexion and extension showed a correlation with dorsal tilt deformity, the range of forearm pronation and supination did not correlate with distal radius deformities.

Interobserver Reliability and Intraobserver Reproducibility of the Fernandez Classification for Distal Radius Fractures

2009 ◽  
Vol 34 (4) ◽  
pp. 483-485 ◽  
Author(s):  
S. G. A. NAQVI ◽  
T. REYNOLDS ◽  
C. KITSIS
Keyword(s):  
Clinical Practice ◽  
Clinical Application ◽  
Distal Radius ◽  
Interobserver Reliability ◽  
Distal Radius Fractures ◽  
Kappa Statistics ◽  
Radius Fractures ◽  
Scientific Validity ◽  
Intraobserver Reproducibility

We have evaluated the clinical application of the Fernandez classification without questioning the scientific validity, by assessing the interobserver reliability and intraobserver reproducibility. A set of 25 radiographs of distal radius fractures were given to six assessors along with details of Fernandez classification. The assessors classified the fractures on two different occasions 3 months apart. The outcome was assessed using kappa statistics and demonstrated poor interobserver reliability and intraobserver reproducibility. Caution should be exercised when using this classification for clinical practice and research.

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