scholarly journals Radial Plate Fixation of Distal Radius Fracture

Hand ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 103-110 ◽  
Author(s):  
Sherif Dabash ◽  
Eric Potter ◽  
Elizabeth Pimentel ◽  
Juan Shunia ◽  
Amr Abdelgawad ◽  
...  
Keyword(s):  
Grip Strength ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Plate Fixation ◽  
Radius Fracture ◽  
Pinch Strength ◽  
Volar Approach ◽  
Significant Difference ◽  
Subjective Outcomes ◽  
Radial Plate

Background: A radial incision with radial plate fixation for distal radius fracture has historically been avoided due to its risk to the superficial branch of the radial nerve (SBRN). With careful technique, it is possible to avoid injury to the SBRN, thereby minimizing the soft tissue injury associated with other approaches. We compare subjective and objective functional outcomes of radial plate fixation surgeries that we performed with those of dorsal and volar plate fixation in current literature. Methods: Patients at a single center who underwent radial plate fixation for an AO type A or AO type B distal radius fracture between December 2006 and December 2014 were enrolled in the study. Postoperative grip strength and 3-digit pinch strength were measured systematically in the injured and uninjured wrists. Patients also completed a Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire to assess subjective outcomes. Results: Thirty-six patients met our inclusion criteria and had available medical records. Postoperative grip strength in the injured wrist was significantly lowered—68% compared with the uninjured wrist. After subgroup analysis of dominant and nondominant wrist injuries, there was no significant difference in grip strength between injured and uninjured wrists. There was no significant decrease in postoperative 3-digit pinch strength in the injured wrist—89% compared with the uninjured wrist. The mean QuickDASH score for our study participants was 20.9. Conclusions: Radial plate fixation is an effective approach for distal radius fractures. Objective and subjective outcomes are noninferior to those of a dorsal or volar approach.

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

Supination and Pronation Strength Deficits Persist at 2-4 Years after Treatment of Distal Radius Fractures

Hand Surgery ◽  
2015 ◽  
Vol 20 (03) ◽  
pp. 430-434 ◽  
Author(s):  
Joris Ploegmakers ◽  
Bertram The ◽  
Allan Wang ◽  
Mike Brutty ◽  
Tim Ackland
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Plate Fixation ◽  
Strength Loss ◽  
Radius Fracture ◽  
Forearm Rotation ◽  
Rotational Strength ◽  
Normal Individuals ◽  
Volar Plate Fixation ◽  
Supination Strength

Forearm rotation is a key function in the upper extremity. Following distal radius fracture, residual disability may occur in tasks requiring forearm rotation. The objectives of this study are to define pronation and supination strength profiles tested through the range of forearm rotation in normal individuals, and to evaluate the rotational strength profiles and rotational strength deficits across the testing range in a cohort of patients treated for distal radius fracture associated with an ulnar styloid base fracture. In a normative cohort of 29 subjects the supination strength profile showed an increasing linear relationship from supination to pronation. Twelve subjects were evaluated 2-4 years after anatomical open reduction and volar plate fixation of a distal radius fracture. The injured wrist was consistently weaker (corrected for hand dominance) in both supination and pronation strength in all testing positions, with the greatest loss in 60 degrees supination. Mean supination strength loss across all testing positions was significantly correlated with worse PRWE scores, highlighting the importance of supination in wrist function.

Determinants of Grip Strength in Healthy Subjects Compared to That in Patients Recovering From a Distal Radius Fracture

2012 ◽  
Vol 37 (9) ◽  
pp. 1874-1880 ◽  
Author(s):  
Arjan G.J. Bot ◽  
Marjolein A.M. Mulders ◽  
Sigrid Fostvedt ◽  
David Ring
Keyword(s):  
Grip Strength ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Healthy Subjects ◽  
Radius Fracture

scholarly journals Acute Isolated Flexor Tendon Laceration Associated With a Distal Radius Fracture

Hand ◽  
2016 ◽  
Vol 12 (3) ◽  
pp. NP39-NP42 ◽  
Author(s):  
J. Ryan Hill ◽  
Ram K. Alluri ◽  
Alidad Ghiassi
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Plate Fixation ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Radius Fractures ◽  
Flexor Tendon Rupture ◽  
Tendon Laceration

Background: Subacute rupture of the flexor tendons secondary to distal radius fractures is well documented. Recently, accounts of flexor tendon rupture following open reduction internal fixation have been associated with volar plate fixation. However, discovery of an occult traumatic flexor tendon laceration during fixation of an acute distal radius fracture is not well described. This case indicates the importance of careful preoperative and intraoperative examination of the flexor tendons in the setting of comminuted distal radius fractures. Methods: A forty-seven-year-old male sustained a comminuted, dorsally displaced distal radius fracture. Initial and post-reduction examinations revealed no gross functional abnormalities. Upon operative fixation of the fracture, laceration of the flexor digitorum profundus (FDP) tendon to the index finger was incidentally noted at the level of the fracture site. Results: Due to extensive dorsal comminution, shortening, and the presence of a lunate facet fragment, we performed volar fragment-specific and dorsal spanning bridge plate fixation. The proximal and distal ends of the FDP tendon were marked, but repair was deferred until implant removal. This allowed for proper informed consent and avoided potential compromise of the repair given the presence of a volar implant. Conclusions: Acute flexor tendon rupture secondary to closed distal radius fractures may go unnoticed if a high index of suspicion is not maintained. Delayed diagnosis of these ruptures convolutes the mechanism of injury and disrupts the recovery process. Hand surgeons should be vigilant in examining flexor tendon function during the preoperative evaluation, especially in the setting of acute high-energy injury.

Comparing Outcomes between Arthroscopic-Assisted Reduction and Fluoroscopic Reduction in AO Type C Distal Radius Fracture Treatment

2020 ◽  
Author(s):  
Siu Cheong Jeffrey Justin Koo ◽  
Kam Yiu Adrian Leung ◽  
Wai Wang Chau ◽  
Pak Cheong Ho
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Grip Strength ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fracture Reduction ◽  
Radius Fracture ◽  
Dash Score ◽  
Type C ◽  
Assisted Fracture

Abstract Background Distal radius fracture is one of the most common injuries. Poor functional result with restricted wrist motion can be developed when there is intra-articular fibrous tissue development arising from articular step-off and gapping. Objectives The aim of this study is to compare the functional and radiological outcome between arthroscopic-assisted reduction and fluoroscopic reduction in treating unstable intra-articular distal radius fracture. Methods We retrospectively analyzed 12 patients with intraarticular AO type C distal radius fracture treated with arthroscopic-assisted fracture reduction and internal fixation and compared them with another group of 12 patients in which fracture reduction is assessed by fluoroscopy alone (15 males and 9 females, mean age 57.3, range 27–73). The two cohorts were analyzed for differences in radiological parameters including articular stepping and gapping, palmar tilt, radial inclination, ulnar variance as well as functional outcome in range of motion, grip strength, modified mayo wrist score, and Quick Disabilities of the Arm, Shoulder, and Hand (DASH) score at an average of 12.5 months (range 5–26) after surgery. Results Arthroscopic-assisted fracture reduction group has statistically better restoration of articular stepping and gapping, volar tilt and ulnar variance. Range of motion, grip strength, modified mayo wrist score and Quick DASH score also had statistically significant improvement in arthroscopic group. Conclusion Our study showed arthroscopic-assisted technique can precisely restore radiological parameters in highly comminuted distal radius fracture with good functional outcome. Also, associated intra-articular soft tissue injury can be detected and treated simultaneously. Level of Evidence This is a level III, retrospective cohort study.

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