scholarly journals Volar plating in distal end radius fractures and its clinical and radiological outcome as compared to other methods of treatment

2016 ◽  
Vol 4 (1) ◽  
pp. 40
Author(s):  
SohaelM Khan ◽  
NarendraK Saxena ◽  
ShraddhaK Singhania ◽  
Mahendra Gudhe ◽  
Sunil Nikose ◽  
...  
Keyword(s):  
Radiological Outcome ◽  
Volar Plating ◽  
Radius Fractures ◽  
Clinical And Radiological Outcome ◽  
Methods Of Treatment

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 A modified intrafocal pinning technique with three-dimensional planning to facilitate volar plating in dorsally comminuted AO/OTA C2 and C3 distal radius fractures

2020 ◽  
Author(s):  
Xue-yang Gui ◽  
Hong-fei Shi ◽  
Jin Xiong ◽  
Yi-xin Chen ◽  
Jun-fei Wang ◽  
...  
Keyword(s):  
Distal Radius ◽  
Three Dimensional ◽  
Distal Radius Fractures ◽  
Dash Score ◽  
Volar Plating ◽  
Radius Fractures ◽  
Computed Tomographic ◽  
Dorsal Aspect ◽  
Clinical And Radiological Outcome

Abstract Backgrounds: The aim of this study was to assess the efficacy of a modified intrafocal pinning technique with three-dimensional (3D) planning to facilitate volar plating in dorsally comminuted intra-articular distal radius fractures.Methods: In total 35 AO/OTA type C2 and C3 fractures were finally included. The 3D digital model of the fracture was reconstructed based on preoperative computed tomographic (CT) images, with the displacement of the comminuted dorsal fragment and the intra-articular fragment analyzed for preoperative planning. During operation, a modified intrafocal pinning technique was applied percutaneously from the dorsal aspect of the radius to reduce the collapsed intra-articular fragment following volar plating. Adequate reduction was confirmed in all of patients considering radial height, radial inclination and volar tilt in postoperative radiographs.Results: No significant fracture re-displacement was observed in most of the cases during a mean follow-up period of 17.4 months, except for two patients with the C3 fracture. All of the patients achieved adequate clinical ROMs at 12 months postoperatively, with a mean DASH score of 12.0. Most of the patients achieved an excellent (n = 21) or good (n = 12) Gartland and Werley wrist score.Conclusions: Our modified intrafocal pinning technique with 3D planning contributes to a satisfactory clinical and radiological outcome in dorsally comminuted intra-articular distal radius fractures fixed with a volar locking plate.Trial registration: Not applicable because the design of the study is retrospective.

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.

Positivity of cytomegalovirus antibodies predicts a better clinical and radiological outcome in multiple sclerosis patients

2006 ◽  
Vol 28 (3) ◽  
pp. 262-269 ◽  
Author(s):  
Robert Zivadinov ◽  
Davide Nasuelli ◽  
Maria Antonietta Tommasi ◽  
Maurizia Serafin ◽  
Alessio Bratina ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Radiological Outcome ◽  
Clinical And Radiological Outcome ◽  
Multiple Sclerosis Patients

scholarly journals Two Unusual Aspects of Posterior Reversible Encephalopathy Syndrome Mimicking Primary and Secondary Brain Tumor Lesions

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Mazamaesso Tchaou ◽  
Nicoleta Modruz ◽  
Lama K. Agoda-Koussema ◽  
Anthony Michelot ◽  
Samer Naffa ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Cerebral Metastasis ◽  
Atypical Presentation ◽  
Radiological Outcome ◽  
Posterior Reversible Encephalopathy ◽  
First Case ◽  
Clinical And Radiological Outcome ◽  
Reversible Encephalopathy

The posterior reversible encephalopathy syndrome (PRES) is a rare clinical-radiological entity well described with typical clinical and radiological manifestations. Atypical presentation, especially in imaging, exists. The authors report here two cases of posterior reversible encephalopathy in which imaging aspects were atypical, mimicking, in the first case, hemorrhagic cerebral metastasis of cholangiocarcinoma and, in the second case, a brain tumor. The diagnosis has been retrospectively rectified due to clinical and radiological outcome.

Open fixation of acute anterior glenoid rim fractures with bioresorbable pins: analysis of clinical and radiological outcome

2015 ◽  
Vol 135 (7) ◽  
pp. 953-961 ◽  
Author(s):  
Dirk Maier ◽  
Kaywan Izadpanah ◽  
Peter Ogon ◽  
Maximilian Mützel ◽  
Jörg Bayer ◽  
...  
Keyword(s):  
Radiological Outcome ◽  
Clinical And Radiological Outcome ◽  
Anterior Glenoid ◽  
Open Fixation
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