External Fixation or Locked Volar Plating for the Treatment of Complex Distal Radial Fractures?

2012 ◽  
Vol 2 (3) ◽  
Author(s):  
P.V. Giannoudis
Keyword(s):  
External Fixation ◽  
Volar Plating ◽  
Distal Radial Fractures

Management of Comminuted Distal Radial Fractures Using Volar Plating versus External Fixation Augmented by K wires

2022 ◽  
Vol 86 (1) ◽  
pp. 420-426
Author(s):  
Usama Fawzy Attia ◽  
Mohamed El Soufy ◽  
Tarek ElHewala ◽  
Mohamed Adel Abdelrazek
Keyword(s):  
External Fixation ◽  
Volar Plating ◽  
Distal Radial Fractures ◽  
K Wires

145 Outcomes of Unstable Distal Radius Fractures – A Meta-Analysis of Bridging External Fixation Versus Volar Plating

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Mulrain ◽  
K Joshi ◽  
F Doyle ◽  
A Abdulkarim
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Plate Fixation ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Complication Rates ◽  
Volar Plating ◽  
Radius Fractures ◽  
Increased Risk

Abstract Introduction Distal radius fractures are common and trends for fixation have changed with increased use of volar locking plates in recent time. A meta-analysis will summarise the best evidence for treatment. Method A systematic review was conducted using PRISMA methodology to identify studies that reported clinical and/or radiological outcomes in patients with AO type C distal radius fractures when treated with external fixation versus ORIF. Results 10 randomised trials were included in this review, reporting on 967 patients. Clinical outcomes are in favour of volar plating at 3 months post-operation, but no difference between the two groups is seen at 6 or 12 months. Analysis of complication rates shows a minute increase in risk-ratio for volar plating versus external fixation. Subgroup analysis showed significantly higher re-operations after plate fixation and significantly higher infection after external fixation. Conclusions Internal fixation of complex distal radius fractures confers an improved clinical outcome at early follow up only and a minimally increased risk of complications. The improved grip strength with volar plating is only superior at early follow up and no long-term superiority is seen with either intervention. The type of surgery in this injury type therefore remains at the surgeon’s consideration on a case-by-case basis.

Volar plating versus external fixation for unstable dorsal fracture-dislocations of the proximal interphalangeal joint

2021 ◽  
pp. 175319342110593
Author(s):  
Atsuhiko Murayama ◽  
Kentaro Watanabe ◽  
Hideyuki Ota ◽  
Shigeru Kurimoto ◽  
Hitoshi Hirata
Keyword(s):  
External Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plating ◽  
Distal Interphalangeal Joint ◽  
Active Flexion ◽  
Plate Group ◽  
Fracture Dislocations ◽  
Distal Interphalangeal

We retrospectively compared the results of volar plating and dynamic external fixation for acute unstable dorsal fracture-dislocations of the proximal interphalangeal joint with a depressed fragment. We treated 31 patients (31 fingers), 12 with volar buttress plating and 19 with dynamic external fixation. Follow-up averaged 35 and 40 months in the two groups, with a minimal 6-month follow-up. Average active flexion of the proximal interphalangeal joint was 95° after plate fixation and 87° after external fixation, with an active extension lag of –6° and –9°, respectively. Active flexion at the distal interphalangeal joint averaged 67° in the plate group and 58° in the external fixation group, with active extension lags of 0° and –5°, respectively. We conclude that both methods can obtain a good range of motion at the proximal interphalangeal joint. A limitation of the extension of the distal interphalangeal joint occurred with dynamic external fixation but not with volar buttress plating. Level of evidence: IV

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

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

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

Locked volar plating for unstable distal radial fractures: Clinical and radiological outcomes

Injury ◽  
2010 ◽  
Vol 41 (2) ◽  
pp. 184-189 ◽  
Author(s):  
Dominique Knight ◽  
Carol Hajducka ◽  
Elizabeth Will ◽  
Margaret McQueen
Keyword(s):  
Volar Plating ◽  
Distal Radial Fractures
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