Incidence of tendon ruptures after locking plate fixation of distal radial fractures: are the cited rates still accurate?

2020 ◽  
pp. 175319342094846
Author(s):  
Daniel J. Brown ◽  
Neal Ormsby ◽  
Olivia C. Brown ◽  
Graham Cheung
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
Large Change ◽  
Contributing Factors ◽  
Locking Plate Fixation ◽  
Distal Radial Fractures ◽  
Level Of Evidence ◽  
Plate Design ◽  
Tendon Ruptures

With the introduction of the anterior locking plate in the early part of this century, there was a large change in how distal radial fractures were treated. Early articles about the techniques reported tendon ruptures occurring in as many as 10%, although studies from our unit reported rates closer to 2%. Subsequent refinements in surgical technique and improvements in plate design have been made with the aim of reducing the number of ruptures. Despite this, the original articles and their rates continue to be quoted. In this retrospective study of 798 cases treated with anterior locking plates, tendon ruptures have been significantly reduced and are now as low as 0.5%. Contributing factors leading to this improvement are identified and discussed. Level of evidence: III

Complications following volar locking plate fixation for distal radial fractures: a systematic review

2013 ◽  
Vol 39 (7) ◽  
pp. 745-754 ◽  
Author(s):  
A. Bentohami ◽  
K. de Burlet ◽  
N. de Korte ◽  
M. P. J. van den Bekerom ◽  
J. C. Goslings ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quality Assessment ◽  
Locking Plate ◽  
Assessment Tool ◽  
Plate Fixation ◽  
Assessment Tools ◽  
Volar Locking Plate ◽  
Locking Plate Fixation ◽  
Distal Radial Fractures ◽  
Level Of Evidence

The purpose of this systematic review is to assess the prevalence of complications following volar locking plate fixation of distal radial fractures. A computer-based search was carried out using EMBASE and PUBMED/MEDLINE. Only prospective comparative and prospective cohort studies that presented data concerning complications after treatment of distal radial fractures with a volar locking plate in human adults with a minimal follow-up of 6 months were included. Two quality assessment tools were used to assess the methodological quality of the studies (level of evidence rating according to the Oxford Centre of Evidence Based Medicine and the modified version of the Cochrane Bone, Joint and Muscle Trauma Group’s former quality assessment tool). Thirty three studies were eligible for final assessment. Most complications were problems with nerve and tendon function as well as complex regional pain syndrome. With an overall complication rate of 16.5%, most of which were ‘minor’ complications and low rates of nonunion and malunion, volar locking plate fixation can be considered a reasonably safe treatment option for patients with distal radial fractures.

Intra-articular comminution worsens outcomes of distal radial fractures treated by open reduction and palmar locking plate fixation

2016 ◽  
Vol 42 (3) ◽  
pp. 260-265 ◽  
Author(s):  
J. O. Yoon ◽  
S. L. You ◽  
J. K. Kim
Keyword(s):  
Open Reduction ◽  
Locking Plate ◽  
Plate Fixation ◽  
Wrist Flexion ◽  
Locking Plate Fixation ◽  
Distal Radial Fractures ◽  
Level Of Evidence ◽  
Clinical Assessments ◽  
Radiographic Outcomes

We studied 50 patients with AO type C2 distal radial fractures and 35 with AO type C3 distal radial fractures treated by open reduction and palmar locking plate fixation. At 3-month clinical assessments, mean wrist flexion arcs, grip strengths and disabilities of the arm, shoulder and hand scores were significantly better for AO type C2 fractures. At 2-year post-operative clinical assessments, mean disabilities of the arm, shoulder and hand scores were significantly better for AO type C2 fractures than for AO type C3 fractures. At 2-year radiographic examinations, anterior angulations, ulnar variances and arthritis grades were also significantly better for AO type C2 fractures. This study showed that AO type C3 distal radial fractures, which have intra-articular comminution, had poorer clinical and radiographic outcomes than AO type C2 fractures, despite open reduction and palmar locking plate fixation. Level of evidence: IV

Nonoperative Treatment Compared with Volar Locking Plate Fixation for Dorsally Displaced Distal Radial Fractures in the Elderly

2019 ◽  
Vol 101 (11) ◽  
pp. 961-969 ◽  
Author(s):  
Jenny Saving ◽  
Sara Severin Wahlgren ◽  
Kristin Olsson ◽  
Anders Enocson ◽  
Sari Ponzer ◽  
...  
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
The Elderly ◽  
Nonoperative Treatment ◽  
Volar Locking Plate ◽  
Locking Plate Fixation ◽  
Distal Radial Fractures

Clinical outcomes of unstable metacarpal and phalangeal fractures treated with a locking plate system: a prospective study

2020 ◽  
Vol 45 (6) ◽  
pp. 582-587
Author(s):  
Takeshi Katayama ◽  
Kazuhiko Furuta ◽  
Hiroshi Ono ◽  
Shohei Omokawa
Keyword(s):  
Clinical Outcomes ◽  
Locking Plate ◽  
Plate Fixation ◽  
Bony Union ◽  
Complication Rates ◽  
Locking Plate Fixation ◽  
Level Of Evidence ◽  
Finger Motion ◽  
Phalangeal Fractures

We prospectively assessed clinical and radiological outcomes of locking plate fixation in treating unstable fractures in 11 metacarpals, 15 proximal phalanges, and eight middle phalanges in 34 consecutive patients from October 2011 to December 2016. Median length of follow-up was 14 months (range 12–24). The motion of finger joints, bony union, and complication rates were recorded. The median postoperative range of motion of the two interphalangeal joints and the metacarpophalangeal joint was 82% of the contralateral hands. Fractures in the three locations had significantly different recovery of the finger motion, with the best recovery for the metacarpal fractures. Closer distance between the plate edge and joint line was associated with a more limited range of the finger motion. The clinical outcomes approached an acceptable level at final follow-up. Finger stiffness is unavoidable after locking plate fixation of metacarpal and phalangeal fractures even with early hand therapy, with stiffness occurring in 10 out of 34 cases at the time of final follow-up 1 year after surgery. Level of evidence: II

scholarly journals Screw Length in Volar Locking Plate Fixation for Distal Radial Fractures

2015 ◽  
Vol 23 (2) ◽  
pp. 164-167 ◽  
Author(s):  
Grace Yuen ◽  
Dennis KH Yee ◽  
Christian Fang ◽  
Tak-Wing Lau ◽  
Frankie Leung
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
Volar Locking Plate ◽  
Locking Plate Fixation ◽  
Distal Radial Fractures ◽  
Screw Length
Sign in / Sign up

Export Citation Format

Share Document