Palmar Fixation of Dorsally Displaced Distal Radius Fractures Using Locking Plates with Smartlock Locking Screws

2009 ◽  
Vol 34 (2) ◽  
pp. 173-178 ◽  
Author(s):  
T. C. WONG ◽  
C. C. YEUNG ◽  
Y. CHIU ◽  
S. H. YEUNG ◽  
F. K. IP
Keyword(s):  
Distal Radius ◽  
Plate Fixation ◽  
Pain Syndrome ◽  
Distal Radius Fractures ◽  
Consecutive Series ◽  
Locking Plates ◽  
Radius Fractures ◽  
Fracture Union ◽  
Locking Screws ◽  
Palmar Plate

We performed a prospective cohort study on a consecutive series of 35 unstable, dorsally displaced distal radius fractures, which were treated with palmar locking plates and SmartLock locking screws. There were 17 men and 18 women with a mean age of 44 years who were reviewed at a mean follow-up of 10 months. All the fractures healed at a mean time of 7 weeks. Radiographs did not show any change in alignment from the initial postoperative period until fracture union. The average Mayo wrist score was 90 after fracture union. One patient had an early loss of fracture reduction and one patient developed complex regional pain syndrome. There was no difference in the quality of life before and after surgery. Palmar plate fixation using SmartLock locking screws is effective and safe in stabilising unstable dorsally displaced distal radius fracture and produces good radiological and functional outcomes.

Complications following palmar plate fixation of distal radius fractures: a review of 665 cases

2013 ◽  
Vol 133 (8) ◽  
pp. 1155-1162 ◽  
Author(s):  
P. Esenwein ◽  
J. Sonderegger ◽  
J. Gruenert ◽  
B. Ellenrieder ◽  
J. Tawfik ◽  
...  
Keyword(s):  
Distal Radius ◽  
Plate Fixation ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Palmar Plate ◽  
Palmar Plate Fixation

Locking Versus Nonlocking Palmar Plate Fixation of Distal Radius Fractures

Orthopedics ◽  
2012 ◽  
Vol 35 (11) ◽  
pp. e1613-e1617 ◽  
Author(s):  
Michael Osti ◽  
Christoph Mittler ◽  
Richard Zinnecker ◽  
Christoph Westreicher ◽  
Clemens Allhoff ◽  
...  
Keyword(s):  
Distal Radius ◽  
Plate Fixation ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Palmar Plate ◽  
Palmar Plate Fixation

scholarly journals Comparison of Fluoroscopically and Arthroscopically Assisted Volar Plating of Articular Distal Radius Fractures

2021 ◽  
Vol 75 (1) ◽  
pp. 58-64
Author(s):  
Uldis Krustiņš ◽  
Vadims Nefjodovs ◽  
Diāna Bringina ◽  
Aija Jaudzema ◽  
Andris Jumtiņš
Keyword(s):  
Distal Radius ◽  
Arthroscopic Surgery ◽  
Pain Syndrome ◽  
Distal Radius Fractures ◽  
Fixation Method ◽  
Control Group ◽  
Locking Plates ◽  
Radius Fractures ◽  
Surgery Group ◽  
Arthroscopically Assisted

Abstract The article presents the results of a retrospective study that included 70 patients with intraarticular (AO Type C [Arbeitsgemeinschaft für Osteosynthesefragen]) distal radius fractures, who were treated using an arthroscopically assisted approach with volar locking plates or just a fluoroscopically assisted surgery. Thirty-seven of them were treated using volar locking plates using only fluoroscopically guided surgery and 33 patients were treated with the arthroscopically assisted fracture fixation method. Data of the patients who attended a full cycle of the postoperative observation within the first year after the surgery and postponed to the last visit 1 to 5 years after the surgery were included in the analysis for both groups. Postoperative analysis was carried out using X-ray assessment, clinical data, patient-rated wrist evaluation score, Gartland and Werley score, Modern Activity Subjective Survey of 2007 score, range of motion, grip, pinch and tripod pinch assessment at 1, 3, 6 and 12 months postoperatively. Despite the statistically significant differences found in a number of parameters during the follow-up period, there were no clinically relevant differences determined between the two methods in the long-term period. There was a greater arch of motions in extension and radial deviation in the arthroscopic surgery group. Duration of the surgery was longer in the arthroscopic surgery group, but comminuted or AO-C3 type fractures also were more often presented in this group. One complex regional pain syndrome occurred in the arthroscopic surgery group and two in the control group. None of patients suffered tendon ruptures, hardware migration or infections.

Anatomic Variations of the Flexor Carpi Radialis Brevis: A Report of Five Cases

2016 ◽  
Vol 21 (01) ◽  
pp. 113-115 ◽  
Author(s):  
Junichi Nagata ◽  
Yasuhiro Kojima ◽  
Kenshi Satomura ◽  
Toshiyuki Ishiko ◽  
Takashi Ajiki
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Consecutive Series ◽  
Locking Plates ◽  
Anatomic Variations ◽  
Radius Fractures ◽  
Flexor Carpi Radialis

The flexor carpi radialis brevis (FCRB) is a rare, anomalous musculotendinous structure of the wrist. Here, we report five cases of FCRB in a consecutive series of 123 distal radius fractures that were repaired by using volar locking plates.

scholarly journals Minimising the risk of extensor pollicis longus rupture following volar plate fixation of distal radius fractures: a cadaveric study

2011 ◽  
Vol 93 (1) ◽  
pp. 57-60 ◽  
Author(s):  
DC Perry ◽  
DMG Machin ◽  
JA Casaletto ◽  
DJ Brown
Keyword(s):  
High Risk ◽  
Distal Radius ◽  
Plate Fixation ◽  
Tendon Injury ◽  
Distal Radius Fractures ◽  
Volar Plate ◽  
Radius Fractures ◽  
Extensor Pollicis Longus ◽  
Fixed Angle ◽  
Volar Plate Fixation

INTRODUCTION Rupture of extensor pollicis longus (EPL) tendon is a recognised complication following volar plate fixation of distal radius fractures, usually from attrition caused by prominent screws. We sought to identify the screw holes in some of the most commonly used plates which may precipitate tendon injury. SUBJECTS AND METHODS Three fixed-angle volar locking plates were sequentially positioned into 18 cadaveric arms. A wire was passed through each of the holes in the plates using a locking guide and the dorsal relationships noted. RESULTS Each plate had specific ‘high-risk’ holes which directed the wire towards the EPL groove. The central screw holes appeared mostly implicated in EPL injury. CONCLUSIONS Awareness of ‘high-risk’ holes and appropriate minor alterations in surgical technique may consequently decrease the incidence of EPL irritation and rupture.

Plate Fixation of Distal Radius Fractures

Hand Clinics ◽  
2021 ◽  
Vol 37 (2) ◽  
pp. 259-266
Author(s):  
Lili E. Schindelar ◽  
Asif M. Ilyas
Keyword(s):  
Distal Radius ◽  
Plate Fixation ◽  
Distal Radius Fractures ◽  
Radius Fractures
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