scholarly journals Resultados clínico-radiológicos en pacientes jóvenes con fractura articular completa de radio distal tratados con placa palmar bloqueada. [Clinical and Radiological Results in Young Patients with Complete Articular Distal Radius Fractures Treated with Volar Locked Plate.]

10.15417/496 ◽  
2016 ◽  
Vol 81 (1) ◽  
pp. 42
Author(s):  
Pablo De Carli ◽  
Ezequiel Ernesto Zaidenberg ◽  
Gerardo Gallucci ◽  
Nicolas Santiago Piuzzi ◽  
Jorge Guillermo Boretto
Keyword(s):  
Distal Radius ◽  
Young Patients ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Locked Plate ◽  
Radiological Results ◽  
Quick Dash ◽  
Clinical And Radiological Results

<p><strong>Introducción:</strong> Las fracturas articulares completas del radio distal (tipo C - AO) en pacientes jóvenes representan un desafío por la demanda funcional que tiene este subgrupo de pacientes y la necesidad de una reducción articular para evitar artrosis postraumática.</p><p>El <strong><em>objetivo</em></strong> del estudio es evaluar los resultados clínicos y radiológicos de pacientes menores de 65 años con fracturas de radio distal (FRD) tipo C tratadas mediante placa palmar bloqueada (PPB).</p><p><strong>Material y métodos:</strong> Se analizaron 292 pacientes con FRD, de los cuales 71 cumplieron los criterios de inclusión (FRD articular completa, tratados con PPB, edad entre 18-65 años y un seguimiento mínimo de 6 meses). 45 pacientes eran mujeres. La edad media fue de 51 años (20-64 años). El seguimiento promedio fue de 28 meses (6-71 meses). Se realizo una evaluación clinica objetiva (rango de movilidad) y subjetiva de la funcion (Quick DASH y EVA funcional) y del dolor (EVA reposo y escala de Swanson), además de una valoración radiológica.</p><p><strong>Resultados:</strong> El Quick-DASH promedio fue de 8,7 (0 - 60), con un EVA funcional 8,9 (3-10). La movilidad final promedio y comparativa con el lado sano fue: flexo-extensión 91%, pronosupinación 97%, desvíos cubital-radial 90%. Respecto del dolor, la EVA promedio de 0,4  (0 - 10). Recuperación de los parámetros radiológicos extra-articulares en todos los casos, con corrección de 26 de los 29 escalones articulares preoperatorios.</p><strong>Conclusión: </strong>El tratamiento de las fracturas de radio distal tipo C en pacientes jóvenes con placa palmar bloqueada muestra resultados clínicos y radiológicos favorables con corrección de la mayoría de los escalones articulares.

Mini-Invasive Surgery for Distal Radius Fractures: A Double Incision under 12 mm

2020 ◽  
Author(s):  
Elisabete Ribeiro ◽  
Gustavo Campanholi ◽  
Marcelo Acherboim ◽  
Gustavo Mantovani Ruggiero
Keyword(s):  
Distal Radius ◽  
Surgical Techniques ◽  
Case Series ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Level Of Evidence ◽  
Radiological Results ◽  
Normal Ranges ◽  
Case Series Study ◽  
Clinical And Radiological Results

Abstract Background Distal radius fracture is one of the most common lesions in adults. Surgical techniques have evolved considerably with a clear tendency toward mini-invasive techniques. Objective Our aim is to push the limits to a 12 mm approach and evaluate its clinical and radiological results. Patients and Methods Ten fractures in nine patients were operated by a double incision with mean size 11.50 ± 3.41 mm (range 8.00–1.00) and using a specially designed volar distal locking plate. Results At the latest follow-up, visual analogue scale score for pain (0.20 ± 0.63 during rest and 0.60 ± 1.07 while making efforts) and quick DASH (quick Disabilities of the Arm, Shoulder and Hand) score (6.14 ± 7.43) were extremely low. All the range of motion parameters and grip strength were above the 95% barrier of the contralateral side, with exception of ulnar deviation. Radiological parameters obtained were located within the normal ranges. Time to return to independent daily tasks and work was 6.67 ± 5.15 and 10.14 ± 14.24 days, respectively. One case of transient carpal tunnel syndrome was solved with watchful waiting and one case of extensor tendons impingement was improved after plate removal. All patients were completely satisfied at the end of the treatment. Conclusion In conclusion, mini-invasive volar technique for distal radius fractures with special designed plates in carefully selected patients allowed us to obtain good clinical and radiological results, minimal complications, fast recovery, and high-satisfactory rates. Level of Evidence This is a Level IV, case series study.

Biomechanical Properties of Volar Hybrid and Locked Plate Fixation in Distal Radius Fractures

2011 ◽  
Vol 36 (4) ◽  
pp. 591-597 ◽  
Author(s):  
Shima C. Sokol ◽  
Derek F. Amanatullah ◽  
Shane Curtiss ◽  
Robert M. Szabo
Keyword(s):  
Distal Radius ◽  
Plate Fixation ◽  
Biomechanical Properties ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Locked Plate

scholarly journals Correlation of clinical and radiological outcome of distal radius fractures treated with volar plating

2021 ◽  
Author(s):  
Rajath H. P. Gowda ◽  
Ravi M. Daddimani ◽  
Srinath K. Madhava Murthy
Keyword(s):  
Distal Radius ◽  
Wrist Joint ◽  
Excellent Result ◽  
Young Patients ◽  
Distal Radius Fractures ◽  
Radiological Outcome ◽  
Volar Plating ◽  
Radius Fractures ◽  
Anatomical Reduction ◽  
Volar Approach

<p class="abstract"><strong>Background:</strong> Distal radius fractures are one of the most common injuries treated by an orthopaedic surgeon, accounting for approximately one sixth of all fractures. Due to increase in incidence of high velocity trauma, the injury is seen occurring in young patients more often. A displaced fracture deranges the wrist anatomy causing deformity and loss of function at the wrist joint. Open reduction and internal fixation with plate using a volar approach allows anatomical reduction of the fracture, stable fixation aiding in early mobilization.</p><p class="abstract"><strong>Methods:</strong> Our study was a hospital-based study conducted during the period June 2016 to November 2018. A total of 30 patients with distal radius fracture were treated with ORIF with a volar plate. They were followed up for a year and clinical and radiological outcomes were evaluated.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among the 30 patients studied 25 were males and 5 were females with mean age of 36.23 years. According to Gartland and Werley demerit scoring system, 15 of them had excellent result at the end of one year. 13 Of them had good and 2 of them had fair results. Radiological assessment was done by Sarmiento’s modification of the Lind storm criteria and 15 of them had excellent results. 15 patients had good radiological outcome.</p><p class="abstract"><strong>Conclusions:</strong> From this study we conclude that ORIF with volar plating can provide good clinical and functional outcome in distal radius fractures. Anatomical reduction of the fracture fragments is the key in achieving good results.</p>

scholarly journals SURGICAL TREATMENT OF DISTAL RADIUS FRACTURES WITH A VOLAR LOCKED PLATE: CORRELATION OF CLINICAL AND RADIOGRAPHIC RESULTS

2011 ◽  
Vol 46 (5) ◽  
pp. 505-513 ◽  
Author(s):  
Claudio Roberto Martins Xavier ◽  
Danilo Canesin Dal Molin ◽  
Rafael Mota Marins dos Santos ◽  
Roberto Della Torre dos Santos ◽  
Julio Cezar Ferreira Neto
Keyword(s):  
Surgical Treatment ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Locked Plate

scholarly journals Effect of Bone Mineral Density on Functional and Radiological Results in Conservatively Treated Distal Radius Fractures

2015 ◽  
Vol 21 (2) ◽  
pp. 40-45
Author(s):  
Tolga Onay ◽  
Mehmet Müfit Orak ◽  
İsmail Oltulu ◽  
Talat Çağırmaz ◽  
Seyit Ali Gümüştaş ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Distal Radius ◽  
Bone Mineral ◽  
Distal Radius Fractures ◽  
Mineral Density ◽  
Radius Fractures ◽  
Radiological Results ◽  
Functional And Radiological Results

scholarly journals Functional Evaluation of Surgical Fixation of Distal Radius Fractures

2020 ◽  
Vol 7 (48) ◽  
pp. 2825-2830
Author(s):  
Madhu R.G. ◽  
Manikumar C.J.
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Distal Radius ◽  
Road Traffic ◽  
Distal Radius Fractures ◽  
Dash Score ◽  
Functional Evaluation ◽  
Radius Fractures ◽  
Articular Fractures ◽  
Quick Dash

BACKGROUND Distal radius fracture is the most common orthopaedic injury in adults. It has an approximate incidence of 1:10,000 people and 16 % are of skeletal and 74 % of forearm fractures. Many fractures of the distal radius are relatively uncomplicated and can be effectively managed with closed reduction and immobilization in a cast. Over the past twenty years, more sophisticated internal and external fixation techniques and devices for the treatment of distal radius fractures have been developed keeping up with the demands of the modern day. Functional outcome seems to follow the surgical treatment which results in more anatomical results. METHODS A total of thirty (n = 30) distal radial fractures were treated surgically by various methods at Government General Hospital, Kakinada. They were evaluated functionally with Quick Dash score at one and half, 3 and 6 months duration. Twenty cases were treated with a volar plate through Henry’s approach. Six cases were treated with per cutaneous k wire fixation and four cases were treated with forearm external fixator application (Ligamentotaxis). Final outcome was evaluated by QUICK DASH evaluation questionnaire. In each patient Quick Dash score were taken at 6 weeks, 3 months & 6 months interval along with range of motion at 6months interval up to 2 years. RESULTS There were 22 (73.3 %) males and 8 (26.6 %) females. The age group ranged between 15 - 80 years. Eleven (36.6 %) patients had right side involvement. Nineteen (63.3 %) had left side involvement. Of the 30 cases, mode of injury was fall on outstretched hand in 21 (70 %) patients and road traffic accident in 9 (30 %) patients. Functional outcome correlated positively with the degree of anatomical reduction. CONCLUSIONS Functional outcome correlated positively with the degree of radial length, volar tilt and radial inclination achieved when compared to normal side. The method of internal fixation with volar locking plate appears to be favoured by many akin to its ability to sustain the reduction. Comminuted intra articular fractures fared less well with more number of complications. However, fracture union time seems to be unaffected by the method of fixation. KEYWORDS Radius A02.835.232.087.090.700, Orthopaedic Procedures E02.718, Range of Motion, Articular E01.370.600.700

scholarly journals Volar Locking Plate for Distal Radius Fractures: Functional Outcomes and Complication Rates with a Minimum of One Year Follow-Up

2021 ◽  
Vol 6 (05) ◽  
pp. 358-365
Author(s):  
Kastanis G ◽  
Pantouvaki A ◽  
Kapsetakis P ◽  
Spyrantis M ◽  
Magarakis G ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Grip Strength ◽  
Distal Radius ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
One Year ◽  
Quick Dash

Distal radius fractures (DRF) are the most common type of fractures of the upper extremities with an incidence of 44% of all types of forearm and hand fractures. In unstable DRF, the aim of surgical treatment is to restore a functional wrist. Volar locking plate is supported in literature as a promising surgical method in treatment of these fractures. The aim of this study is to analyze the type and complication rate with applied volar locking plate, the percentage of revision surgery and the functional outcomes in a minimum of one year follow up. Material &Methods: 104 fractures in 98 patients with a mean range of 48,5 years-old age underwent for unstable distal radius fractures with volar locking plate. The main cause was simple fall to an outstretched hand. In ten cases the fracture was open while in 28 cases the DRF was accompanied with ulnar styloid. All fractures classified by AO/OTA in A2-3 27 cases, B1-3 in 45 and C1-3 in 32 cases. The majority of patients were operated within 48-72 hours after injury. In all cases an extended flexor carpi radialis approach was performed and a volar locking plate was applied in all DRF’s. In sixteen cases with base of ulnar styloid fractures, low profile locking plates were applied, while in the rest of patients Kirschner wires were used. Postoperatively all patients followed a standard protocol rehabilitation program with passive and active motion of fingers and wrist. Results: Patients were evaluated according to complication (type and rate), time to fracture union, range of motion, Visual analogue pain scale, Quick Dash Score and patients-rated wrist evaluation score. Complications were distinguished in major and minor. Patients under 60 years-old with type fracture A2-3 and B1-3 showed better range of motion and grip strength than patients over 65 years old. In cases with type fractures C1-3 and age over 65 years old, ROM and grip strength decreased compared with the unilateral side. The percentage of complication and reoperation appeared more increased in type C1-3 related to the other two types of fractures. Finally the mean Quick DASH was 11,1±12,8, RPWE was 9.8±13,6 and the range of motion was in extension 75,2±7,3, in flexion 74±8,9, in pronation 85,6±1,9, in supination 88,5±2,4 in radial deviation 9,8±1,2 and in ulnar deviation 41,1±4,6 and grip strength was an average of 84,7% of uninjured hand. Conclusion: Unstable fractures required operative treatment with volar locking plate to be the gold standard in recently years. Unfortunately VPL presents postoperative complications related with plate and screw position with comminuted fracture or soft tissue damage which cannot be ignored, and for these reasons may be inadequate for all types of distal radius fractures.

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