Meta-analysis for dorsally displaced distal radius fracture fixation: volar locking plate versus percutaneous Kirschner wires

Abstract Background Reduction loss is commonly seen even in the newly designed locking plate fixation for distal radius fractures. Our study purpose is to investigate the efficacy of the variable angle volar locking plate (VAVLP) in maintenance of fracture fixation. Methods A total of 37 patients of unilateral distal radius fractures receiving VAVLP fixation were included. Forearm radiographs immediately after surgery and those at 3 months were retrospectively reviewed for analysis of radiographic parameters including radial height (RH), ulnar variance (UV), radial inclination (RI), volar tilt (VT), tear drop angle (TDA), distal dorsal cortical distance (DDD) and Soong classification (SC). Results By comparing the 3-month measurement and normal data, the difference of RH/UV/TDA was significant (p-value < 0.001) while the difference of RI/VT was insignificant. However, there was no significant difference regarding those five parameters between postoperative and 3-month measurement. Linear regression on DDD exhibited positive dependence with p-value of 0.002 between postoperative and 3-month changes. Postoperative SC was grade 0 in 13 patients, grade 1 in 21, and grade 2 in 3. There were 7 of Gr 0 and 2 of Gr 1 making one grade up.Conclusion VAVLP fixation in distal radius fracture can maintain radiographic alignment without significant reduction loss for at least 3 months. Realignment within normal range was in RI and VT, but not in RH/UV/TDA.

Download Full-text

A COMPARATIVE STUDY OF VOLAR LOCKING PLATE VERSUS EXTERNAL FIXATION FOR DISPLACED INTRAARTICULAR DISTAL END RADIUS FRACTURES AT ORTHOPAEDICS DEPARTMENT OF DMCH, LAHERIASARAI, BIHAR

10.36106/ijsr/2026085 ◽

2021 ◽

pp. 1-3

Author(s):

Kunal Shankar ◽

Vikash M. Harinandan ◽

Laljee Chaudhary ◽

Debarshi Jana

Keyword(s):

External Fixation ◽

Distal Radius Fracture ◽

Distal Radius ◽

External Fixator ◽

Locking Plate ◽

Plate Versus ◽

Radius Fracture ◽

Volar Locking Plate ◽

Radius Fractures

Background: Distal radius fracture is more common accounting for 1/6th of the all fractures. With this background, this study was carried out to compare the functional outcome of volar locking plate and external fixator to the displaced intra-articular distal end radius fractures using Modified Mayo Wrist Score (MMWS). Materials and methods: This study included those patients with distal radius fracture attending the Orthopaedic Department of DMCH, Laheriasarai, Bihar, during January 2019 to December 2019. Patients were randomised based on - even and odd day of the week. This included two set of group with twenty patients in each group- one with volar locking plating and other with external fixation. Patients were followed up at 6 months and 1 year. At each follow up, the pain and range of movements were assessed by MMWS score which was entered in Microsoft excel and analysed in SPSS 20. Results: At the end of one year after surgery, we observed that external fixation technique was superior for treating displaced intra-articular comminuted distal end radius fractures than volar locking plate. Conclusion: External fixator showed more advantageous than volar locking plates after 1year of follow up.

Download Full-text

Effectiveness of early versus delayed motion in patients with distal radius fracture treated with volar locking plate: A systematic review and meta-analysis

Hand Surgery and Rehabilitation ◽

10.1016/j.hansur.2020.10.007 ◽

2020 ◽

Author(s):

Héctor Gutiérrez-Espinoza ◽

Felipe Araya-Quintanilla ◽

Cristian Olguín-Huerta ◽

Rodrigo Gutiérrez-Monclus ◽

Rene Jorquera-Aguilera ◽

...

Keyword(s):

Systematic Review ◽

Distal Radius Fracture ◽

Distal Radius ◽

Locking Plate ◽

Meta Analysis ◽

Radius Fracture ◽

Volar Locking Plate

Download Full-text

Radiographic Analysis in Reduction Loss After Distal Radius Fracture Fixation with Variable Angle Volar Locking Plate

10.21203/rs.3.rs-86534/v1 ◽

2020 ◽

Author(s):

Pin-Chieh Fang ◽

Tak-Yu-Yubie Lo ◽

Chun-Ying Cheng ◽

Ying-Chao Chou ◽

Alvin Chao-Yu Chen

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Fracture Fixation ◽

Locking Plate ◽

Distal Radius Fractures ◽

Radius Fracture ◽

P Value ◽

Volar Locking Plate ◽

Radius Fractures ◽

The Difference

Abstract Background Reduction loss is commonly seen even in the newly designed locking plate fixation for distal radius fractures. Our study purpose is to investigate the efficacy of the variable angle volar locking plate (VAVLP) in maintenance of fracture fixation. Methods A total of 37 patients of unilateral distal radius fractures receiving VAVLP fixation were enrolled. Forearm radiographs immediately after surgery and those at 3 months were retrospectively reviewed by orthopedist, radiologist and medical students for analysis of radiographic parameter including radial height (RH), ulnar variance (UV), radial inclination (RI), volar tilt (VT), tear drop angle (TDA), distal dorsal cortical distance (DDD) and Soong classification (SC). Results By comparing the 3-month measurement and normal data, the difference of RH / UV / TDA was significant (p-value of 0.000) while the difference of RI / VT was insignificant. However, there was no significant difference regarding those five parameters between postoperative and 3-month measurement. Linear regression on DDD exhibited positive dependence with p-value of 0.002 between postoperative and 3-month changes; predictability after modification was 21.3%. Postoperative SC was grade 0 in 13 patients, grade 1 in 21, and grade 2, in 3. There were 7 of Gr 0 and 2 of Gr 1 became one grade up.Conclusion VAVLP fixation in distal radius fracture can maintain radiographic alignment without significant reduction loss for at least 3 months. Realignment within normal range was in RI and VT, but not in RH / UV / TDA.

Download Full-text

Distal radius fracture fixation with a volar locking plate and endoscopic carpal tunnel release using a single 15 mm approach: Feasibility study

Hand Surgery and Rehabilitation ◽

10.1016/j.hansur.2018.03.006 ◽

2018 ◽

Vol 37 (4) ◽

pp. 231-237

Author(s):

A. Zemirline ◽

C. Taleb ◽

K. Naito ◽

P. Vernet ◽

P. Liverneaux ◽

...

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Feasibility Study ◽

Carpal Tunnel ◽

Fracture Fixation ◽

Locking Plate ◽

Carpal Tunnel Release ◽

Radius Fracture ◽

Volar Locking Plate ◽

Endoscopic Carpal Tunnel Release

Download Full-text

Comparative Analysis of the Results of Fixed-angle versus Variable-angle Volar Locking Plate for Distal Radius Fracture Fixation

Journal of the Korean Fracture Society ◽

10.12671/jkfs.2012.25.3.197 ◽

2012 ◽

Vol 25 (3) ◽

pp. 197 ◽

Cited By ~ 2

Author(s):

Seung-Do Cha ◽

Jai-Hyung Park ◽

Hyung-Soo Kim ◽

Soo-Tae Chung ◽

Jeong-Hyun Yoo ◽

...

Keyword(s):

Comparative Analysis ◽

Distal Radius Fracture ◽

Distal Radius ◽

Fracture Fixation ◽

Locking Plate ◽

Radius Fracture ◽

Volar Locking Plate ◽

Fixed Angle ◽

Variable Angle

Download Full-text

Surgical Technique of Corrective Osteotomy for Malunited Distal Radius Fracture Using the Computer-Simulated Patient Matched Instrument

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835516400051 ◽

2016 ◽

Vol 21 (02) ◽

pp. 133-139 ◽

Cited By ~ 8

Author(s):

Tsuyoshi Murase

Keyword(s):

Bone Graft ◽

Distal Radius Fracture ◽

Distal Radius ◽

Locking Plate ◽

Corrective Osteotomy ◽

Extensor Tendon ◽

Radius Fracture ◽

Soft Tissue Release ◽

Dorsal Plate ◽

Volar Locking Plate

The conventional corrective osteotomy for malunited distal radius fracture that employs dorsal approach and insertion of a trapezoidal bone graft does not always lead to precise correction or result in a satisfactory surgical outcome. Corrective osteotomy using a volar locking plate has recently become an alternative technique. In addition, the use of patient-matched instrument (PMI) via computed tomography simulation has been developed and is expected to simplify surgical procedures and improve surgical precision. The use of PMI makes it possible to accurately position screw holes prior to the osteotomy and simultaneously perform the correction and place the volar locking plate once the osteotomy is completed. The bone graft does not necessarily require a precise block form, and the problem of the extensor tendon contacting the dorsal plate is avoided. Although PMI placement and soft tissue release technique require some degree of specialized skill, they comprise a very useful surgical procedure. On the other hand, because patients with osteoporosis are at risk of peri-implant fracture, tandem ulnar shortening surgery should be considered to avoid excessive lengthening of the radius.

Download Full-text