Volar Locking Plates Versus Augmented External Fixation of Intra-Articular Distal Radial Fractures

2019 ◽  
Vol 101 (4) ◽  
pp. 311-321 ◽  
Author(s):  
Ola-Lars Hammer ◽  
Ståle Clementsen ◽  
Joakim Hast ◽  
Jūratė Šaltytė Benth ◽  
Jan Erik Madsen ◽  
...  
Keyword(s):  
External Fixation ◽  
Locking Plates ◽  
Distal Radial Fractures

Surgical treatment of fractures of the distal radius – ORIF vs external fixation with ligamentotaxis

2020 ◽  
Vol 99 (8) ◽  
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Locking Plates ◽  
X Rays ◽  
Ao Classification ◽  
Radial Inclination ◽  
First Choice ◽  
Sagittal Tilt ◽  
Radial Length ◽  
The Mean

Introduction: The study compares the results of open reduction using volar locking plates with ligamentotaxis by external fixation in fractures of distal radius type 2R3C according to AO classification. Methods: A retrospective study evaluating the results of osteosynthesis in patients with distal radius fractures type 2R3C according to AO classification, operated until December 2018. The ORIF method with volar locking plates (LCP) was used in 54 patients, and closed reduction with ligamentotaxis using external fixation (EF) was used in 33 patients. The mean age of the patients was 46.7 years in the LCP group and 59.6 years in the EF group. All were evaluated for their X-ray and functional outcomes and according to the Green and O’Brien score at 6 and 12 months after surgery. Results: According to X-rays at 12 months in the LCP group, the mean sagittal tilt was 10.13°, the mean radial inclination was 23.89°, and the mean radial length was 11.84 mm. In the EF group, the mean sagittal tilt was 6.32°, the mean radial inclination was 24.78°, and the mean radial length was 9.89 mm. According to the Green and O’Brien score, we recorded a mean score of 84.44 points in the LCP group at 12 month; we achieved good and excellent results in 83.33% of the patients and no poor result was observed. In the EF group the final mean score was 77.27; good and excellent results were achieved in 45.46% of the patients and a poor result in one patient. Conclusion: Based on the results in our group of patients, the internal type osteosynthesis using LCP implants can be recommended as a first-choice technique in the treatment of 2R3C fractures according to AO classification.

Three-dimensional dynamic AO external fixation of distal radial fractures — A preliminary report

Injury ◽  
1994 ◽  
Vol 25 ◽  
pp. SD85-SD89 ◽  
Author(s):  
J.C. Goslings ◽  
S. Tepic ◽  
A.H. Broekhuizen ◽  
R.P. Jakob ◽  
S.M. Perren
Keyword(s):  
External Fixation ◽  
Preliminary Report ◽  
Three Dimensional ◽  
Distal Radial Fractures

Three-dimensional dynamic external fixation of distal radial fractures. A prospective study

Injury ◽  
1999 ◽  
Vol 30 (6) ◽  
pp. 421-430 ◽  
Author(s):  
J.C. Goslings ◽  
A.H. Broekhuizen ◽  
H. Boxma ◽  
E.J. Hauet ◽  
Y.E.A. van Riet ◽  
...  
Keyword(s):  
Prospective Study ◽  
External Fixation ◽  
Three Dimensional ◽  
Distal Radial Fractures ◽  
A Prospective Study

Is intramedullary nailing better than the use of volar locking plates for fractures of the distal radius? A meta-analysis of randomized controlled trials

2016 ◽  
Vol 41 (5) ◽  
pp. 543-552 ◽  
Author(s):  
J. Wang ◽  
L. Zhang ◽  
J. Ma ◽  
Y. Yang ◽  
H. Jia ◽  
...  
Keyword(s):  
Randomized Controlled Trials ◽  
Intramedullary Nailing ◽  
Meta Analysis ◽  
Cochrane Collaboration ◽  
Controlled Trials ◽  
Locking Plates ◽  
Distal Radial Fractures ◽  
Eligibility Criteria ◽  
Level Of Evidence ◽  
Randomized Controlled

We conducted a meta-analysis of randomized controlled trials that compared the use of intramedullary nails and volar locking plates in distal radial fractures. PubMed, EMBASE and the Cochrane Collaboration Central database were used to find randomized controlled trials that met the eligibility criteria. Two reviewers screened the studies, extracted the data, evaluated the methodological quality and analysed the data with RevMan 5.1 software. No statistically significant differences were detected in the disability of the arm, shoulder and hand and the Gartland and Werley scores, radiographic parameters, wrist range of motion, grip strength, total complication rate and incidence of tendon rupture between the two groups. However, carpal tunnel syndrome occurred less often after intramedullary nailing. The two fixation methods achieved equal clinical, functional and radiological outcomes for primary fixation of the indicated types of distal radial fractures. Level of evidence: Therapeutic/LevelI

scholarly journals Open reduction and internal fixation compared to closed reduction and external fixation in distal radial fractures

2009 ◽  
Vol 80 (4) ◽  
pp. 478-485 ◽  
Author(s):  
Antonio Abramo ◽  
Philippe Kopylov ◽  
Mats Geijer ◽  
Magnus Tägil
Keyword(s):  
Internal Fixation ◽  
External Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Distal Radial Fractures
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