Ligamentotaxis supplemented by K wires fixation versus volar plate and screws fixation for management of unstable fractures of the distal radius

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
El Sayed Said ◽  
Hesham H. Refae ◽  
Abdelrahman Elmodather Ali ◽  
Hamdy H. Tammam
Keyword(s):  
Distal Radius ◽  
Volar Plate ◽  
K Wires ◽  
Unstable Fractures

Use of the "y" volar plate in the osteosynthesis of fractures of the distal radius

2019 ◽  
Vol 70 (4) ◽  
Author(s):  
Salvatore Bonfiglio ◽  
Giancarlo Salvo ◽  
Gianfranco Longo ◽  
Rocco Ortuso ◽  
Antonio Kory
Keyword(s):  
Distal Radius ◽  
Volar Plate

scholarly journals Minimising the risk of extensor pollicis longus rupture following volar plate fixation of distal radius fractures: a cadaveric study

2011 ◽  
Vol 93 (1) ◽  
pp. 57-60 ◽  
Author(s):  
DC Perry ◽  
DMG Machin ◽  
JA Casaletto ◽  
DJ Brown
Keyword(s):  
High Risk ◽  
Distal Radius ◽  
Plate Fixation ◽  
Tendon Injury ◽  
Distal Radius Fractures ◽  
Volar Plate ◽  
Radius Fractures ◽  
Extensor Pollicis Longus ◽  
Fixed Angle ◽  
Volar Plate Fixation

INTRODUCTION Rupture of extensor pollicis longus (EPL) tendon is a recognised complication following volar plate fixation of distal radius fractures, usually from attrition caused by prominent screws. We sought to identify the screw holes in some of the most commonly used plates which may precipitate tendon injury. SUBJECTS AND METHODS Three fixed-angle volar locking plates were sequentially positioned into 18 cadaveric arms. A wire was passed through each of the holes in the plates using a locking guide and the dorsal relationships noted. RESULTS Each plate had specific ‘high-risk’ holes which directed the wire towards the EPL groove. The central screw holes appeared mostly implicated in EPL injury. CONCLUSIONS Awareness of ‘high-risk’ holes and appropriate minor alterations in surgical technique may consequently decrease the incidence of EPL irritation and rupture.

scholarly journals A New Volar Plate DiPhos-RM for Fixation of Distal Radius Fracture

2013 ◽  
Vol 17 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Luigi Tarallo ◽  
Raffaele Mugnai ◽  
Roberto Adani ◽  
Fabio Catani
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Volar Plate ◽  
Radius Fracture

scholarly journals Fixation Strength in Full and Limited Fixation of Osteoporotic Distal Radius Fractures

Hand ◽  
2017 ◽  
Vol 13 (4) ◽  
pp. 461-465 ◽  
Author(s):  
P. Kaveh Mansuripur ◽  
Joseph A. Gil ◽  
Dale Cassidy ◽  
Patrick Kane ◽  
Augusta Kluk ◽  
...  
Keyword(s):  
Distal Radius ◽  
Peak Load ◽  
Distal Radius Fractures ◽  
Volar Plate ◽  
Fixation Strength ◽  
Joint Surface ◽  
Clinical Failure ◽  
Radius Fractures ◽  
Yield Load ◽  
Load Peak

Background: The purpose of this investigation is to determine whether osteoporotic intra-articular distal radius fractures surgically treated by filling all 7 distal screws of a volar plate will have a higher load to failure than those treated by filling only 4 distal screws. Methods: Ten matched pairs of fresh frozen cadaveric forearms were randomized within each pair to be treated by using either all 7 of the distal holes of a volar plate or only 4 distal screws. The distal radius fixation was performed with unicortical screws going to but not through the dorsal cortex, and the most distal screws were placed within 4 mm of the joint surface. An AO C2 type fracture was then created. All specimens were tested cyclically, with an axial load of 60 N, at 3 Hz for 1000 cycles to simulate early postoperative motion. All specimens were subsequently tested to mechanical failure. Results: There were no failures in either group during cyclic testing. There was no difference detected between groups for mean stiffness, yield load, peak load, or load to clinical failure. In both groups, the yield load, peak load, and load to clinical failure were higher than the 60- to 100-N forces encountered during postoperative rehabilitation. Conclusions: There was no difference detected between osteoporotic intra-articular distal radius fractures treated by utilizing all 7 of the distal screws of a volar plate compared with those treated with only 4 distal screws.

FIXATION OF AN ULNODORSAL FRAGMENT WHEN TREATING AN INTRA-ARTICULAR FRACTURE IN THE DISTAL RADIUS

Hand Surgery ◽  
2014 ◽  
Vol 19 (01) ◽  
pp. 139-144 ◽  
Author(s):  
Kazuo Ikeda ◽  
Naoki Osamura ◽  
Kaoru Tada
Keyword(s):  
Distal Radius ◽  
Surgical Procedure ◽  
Plate Fixation ◽  
Volar Plate ◽  
Dorsal Approach ◽  
Articular Fracture ◽  
Low Profile ◽  
Volar Plate Fixation ◽  
Mini Plate

If fixation of an ulnodorsal fragment in an intra-articular fracture of the distal radius is not stable, it is sometimes caused by dorsal displacement after surgery. Hence, we recommend the volar plate fixation with an additional dorsal approach and fixation of irreducible ulnodorsal fragments using a low-profile dorsal mini plate. The details of the surgical procedure and indications are discussed in this article.

scholarly journals Volar Plate Fixation with AO Distal Radius Plate (DRP) for Distal Radius Fractures

2005 ◽  
Vol 54 (3) ◽  
pp. 611-616
Author(s):  
Kazunobu Arakaki ◽  
Hikaru Tashima ◽  
Yosuke Asahara ◽  
Chikara Deguchi ◽  
Futoshi Kuga
Keyword(s):  
Distal Radius ◽  
Plate Fixation ◽  
Distal Radius Fractures ◽  
Volar Plate ◽  
Radius Fractures ◽  
Volar Plate Fixation

Intrafocal (Kapandji) Pinning of Unstable Fractures of the Distal Radius

1993 ◽  
Vol 24 (2) ◽  
pp. 301-307 ◽  
Author(s):  
Mark D. Greatting ◽  
Allen T. Bishop
Keyword(s):  
Distal Radius ◽  
Unstable Fractures

scholarly journals Volar Fixation of Dorsally Displaced Distal Radial Fracture Using Locking Compression Plate

2005 ◽  
Vol 13 (2) ◽  
pp. 153-157 ◽  
Author(s):  
KK Wong ◽  
KW Chan ◽  
TK Kwok ◽  
KH Mak
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Locking Compression Plate ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Compression Plate ◽  
One Year ◽  
Compression Plating ◽  
Unstable Fractures

Purpose. To evaluate the functional and radiological results of treating unstable fractures of the dorsal distal radius with a volar locking plate. Methods. Dorsally displaced distal radial fractures in 30 patients (11 men and 19 women; mean age, 58.6 years) were fixed by volar locking compression plate and followed up for a minimum of one year. Results. At final functional assessment, 24 patients achieved excellent and 5 achieved good outcomes, with one patient exhibiting fair results. Radiological scores demonstrated 22 excellent and 8 good outcomes. No nonunion or infection occurred. Conclusion. Volar locking compression plating is a safe and effective treatment for unstable fractures of the dorsal distal radius.

Comparison of distal radius fracture intra-articular step reduction with volar locking plates and K wires: a retrospective review of quality and maintenance of fracture reduction

2016 ◽  
Vol 42 (2) ◽  
pp. 144-150 ◽  
Author(s):  
N. A. Johnson ◽  
J. J. Dias ◽  
C. J. Wildin ◽  
L. Cutler ◽  
B. Bhowal ◽  
...  
Keyword(s):  
Distal Radius ◽  
Retrospective Review ◽  
Locking Plate ◽  
Treatment Method ◽  
Volar Locking Plate ◽  
Initial Displacement ◽  
Level Of Evidence ◽  
Initial Reduction ◽  
Multiple Variables ◽  
K Wires

This study investigated the accuracy and maintenance of reduction of intra-articular steps achieved with closed reduction and percutaneous K wires and open reduction and a volar locking plate for the treatment of intra-articular distal radius fractures. We performed a retrospective review of 359 patients with an intra-articular fracture of their distal radius. Multivariate linear regression was undertaken to investigate the influence of multiple variables such as age, gender, initial displacement and treatment method on reduction despite differences between groups. A total of 36% of patients treated with K wires and 29% with volar locking plate had a step greater than or equal to 1 mm present on the first post-operative radiograph. A total of 23% treated with K wires and 28% with volar locking plate had a residual step of 1 mm or more on the last available radiograph. There was no difference identified between the two techniques for quality of initial reduction or persisting step on the last available radiographs. Step behaviour and further reduction of step post-operatively was similar for both treatment methods. Initial displacement and increased age influenced initial reduction. Initial fracture displacement shown radiologically was the only variable identified that influenced the persistence of a step on post-operative radiographs. Level of evidence: IV

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