Comparative Study between Bridging External Fixation vs Volar Plating (Ellis-T Plate) for Comminuted Fracture of the Distal End Radius

ABSTRACT Background The purpose of this study is to compare between the open reduction and internal fixation (ORIF) using a volar plate and external fixation with K-wire fixation for the treatment of unstable distal radius fractures. Materials and methods This investigation was designed to prospectively evaluate the outcomes of similar distal radius fracture patterns treated by ORIF with volar plating vs closed reduction and pinning with external fixation. Results Open reduction and internal fixation with volar locking plate group has overall decrease incidence of complications significantly less radial shortening and significantly greater postoperative wrist motion when compared to external fixation. Conclusion Use of volar locking plate resulted in a faster recovery of function compared with external fixation. Use of volar locking plate resulted in better anatomical function and grip strength. However, no functional advantage was demonstrated at or beyond 12 weeks or 1 year. Gupta SKV, Mandapalli P. Comparative Study between Bridging External Fixation vs Volar Plating (Ellis-T Plate) for Comminuted Fracture of the Distal End Radius. The Duke Orthop J 2015;5(1):20-24.

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A Prospective Study on Treatment of Distal Radial Fractures Using Volar Locking Plate

10.33140/ijor.03.01.07 ◽

2020 ◽

Vol 3 (1) ◽

Keyword(s):

Internal Fixation ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Small Sample ◽

Care Hospital ◽

Volar Locking Plate ◽

Distal Radial Fractures ◽

Compression Plating

Introduction: Distal radius fractures are one of the most common injuries which come to the orthopaedic surgeons. Displaced extra-or intra-articular fractures require anatomical reduction for a good outcome. Historically, these fractures were treated with manipulation and casting, with or without Kirschner (K) wire fixation. Modern plating techniques have been advocated to restore anatomical alignment and allow early mobilisation. Despite the wide variety of treatment options available there is still debate about the best way to treat these fractures. The aim of this study was to evaluate fifty cases of fracture distal end radius treated by open reduction and internal fixation using locking compression plating (LCP). Methods: The present study was carried out on 50 cases of acute fracture distal radius admitted at a tertiary care hospital treated by open reduction and internal fixation using locking compression plating (LCP) between January 2018 and December 2018. Functional results were rated at the end of the study as excellent, good or poor as criteria laid down by Gartland and Werley’s combined subjective and objective criteria. Results: 50 cases of fracture distal radius were selected for study that fulfill the inclusion criteria, were operated and studied. 10 fractures were fixed using Extra-articular Locking Compression T-Plates, 40 fractures were fixed using Juxtaarticular Locking Compression T-Plates. According to the Gartland and Werley’s rating scale, 20 had excellent results, 23 good results, and 07 fair results during latest follow up. Conclusion: Notwithstanding a very small sample size and a short follow up, Volar locking plate osteosynthesis at the distal radius signifies a significant improvement in the treatment of distal radial fractures in terms of restoration of the shape and function of the wrist.

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External and internal fixation for comminuted intra-articular fractures of distal radius

Kathmandu University Medical Journal ◽

10.3126/kumj.v7i4.2756 ◽

1970 ◽

Vol 7 (4) ◽

pp. 369-373 ◽

Cited By ~ 1

Author(s):

RL Pradhan ◽

S Lakhey ◽

BK Pandey ◽

RR Manandhar ◽

KP Rijal ◽

...

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

External Fixation ◽

Distal Radius ◽

Open Reduction ◽

Distal Radius Fractures ◽

High Rate ◽

Volar Plating ◽

Radius Fractures ◽

Articular Fractures

Background: Distal radius fractures are a common injury and without proper treatment leads to high functional impairment and frequent complications. Objective: The aim of this study was to see the functional outcome in patients with comminuted distal radius fractures treated with combined external fixation and open reduction with volar plating. Materials and methods: All comminuted distal radius fractures classified as type C in AO/OTA classification were enrolled for the study from 2005 till 2008. The clinical scoring chart modified by Cooney was used to evaluate the functional outcome. Results: There were twenty-two patients with the average age of 42.18 years (range 19-60) with 15 male and 7 females. The follow-up period was from 14 to 46 months. Accordingly, there were 11 (50%) excellent, 7 (31%) good, 2 (9%) fair and 2 (9%) poor results. There were very few complications in our series. In three patients additional K-wire supplementation was necessary along with external and open internal fixation. Conclusions: Comminuted intra-articular fractures of distal radius should be treated by open reduction and combined internal and external fixation to achieve a high rate of patient satisfaction and satisfactory functional outcome. Key words: distal radius fractures; volar plating; external fixationDOI: 10.3126/kumj.v7i4.2756 Kathmandu University Medical Journal (2009) Vol.7, No.4 Issue 28, 369-373

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Functional analysis of extra-articular and intra-articular distal radius fractures managed with open reduction and internal fixation using volar locking plate

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2020.v6.i3i.2256 ◽

2020 ◽

Vol 6 (3) ◽

pp. 576-582

Author(s):

Dr. Sanjeev Dhanda ◽

Dr. Amit Saoji ◽

Dr. Jaskaram Singh Virk ◽

Dr. Vikram Singh Bath

Keyword(s):

Functional Analysis ◽

Internal Fixation ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Distal Radius Fractures ◽

Volar Locking Plate ◽

Radius Fractures

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External fixation versus volar locking plate for displaced intra-articular distal radius fractures: a prospective randomized comparative study of the functional outcomes

Journal of Orthopaedics and Traumatology ◽

10.1007/s10195-014-0317-8 ◽

2014 ◽

Vol 15 (4) ◽

pp. 265-270 ◽

Cited By ~ 14

Author(s):

Rajeev Shukla ◽

Ravi Kant Jain ◽

Neeraj K. Sharma ◽

Ravindra Kumar

Keyword(s):

Comparative Study ◽

External Fixation ◽

Distal Radius ◽

Functional Outcomes ◽

Locking Plate ◽

Distal Radius Fractures ◽

Volar Locking Plate ◽

Radius Fractures

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Polyaxial Locking Plate in Fractures of the Distal Radius

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2020/v32i2230709 ◽

2020 ◽

pp. 79-88

Author(s):

Mostafa F. Mohamed ◽

Ali M. Emran ◽

Osama A. Selim ◽

Mahmoud A. El Rosasy

Keyword(s):

Internal Fixation ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Locking Plates ◽

Volar Locking Plate ◽

Radiological Assessment ◽

Radius Fractures ◽

The Mean

Introduction: Volar locking plate represents the gold standard method of treatment of unstable distal end radius fractures. Objectives: The Present study aimed to identify the functional and radiological outcomes of distal radius fractures treated by open reduction and internal fixation using polyaxial volar locking plate. Patients and Methods: We reviewed 25 unstable distal end radius fractures that were operated in Orthopedic Department in Tanta University Hospital with polyaxial volar locking plates June 2018 to June 2019. The mean age of the patients was 40.8±14.34 years (range 24 to 65) and the mean duration of follow-up was 8.61 ± 3.19 months (range 6 to 17). All of the patients underwent open reduction and internal fixation with polyaxial locking plate through over flexor carpi radialis approach. After three months, pain, tendon functions, ROM, hand grip as well as radial median and ulnar nerves functions were well assessed. X-rays were done to assure full fracture consolidation. At the end of follow up, clinical results were evaluated according to Quick DASH Score. Castaign radiological assessment score was used for radiological evaluation. Results: There was a significant improvement in the functional indices from twelve weeks to the final follow-up. According to Castaign radiological assessment score 10 patients (40%) had excellent results, 14 patients (56%) had good results and 1 patient (4%) had fair results, no patients had poor results at the final follow up. Compared the performance of the polyaxial locking plate to another monoaxial plate and reported an improved range of radial and ulnar deviation with the variable angle device but they use another plate system. Conclusions: The use of polyaxial locking plates in treating unstable distal end radius fractures is associated with excellent to good functional results with minimal complications.

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Open Reduction & Internal Fixation of a Distal Radius Fracture with a Volar Locking Plate: A Case Report

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i60a34451 ◽

2021 ◽

pp. 37-40

Author(s):

P. M. Mervinrosario ◽

Vijay Narasimman Reddy ◽

Aravind Ravichandran

Keyword(s):

Case Report ◽

Internal Fixation ◽

Distal Radius Fracture ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Radius Fracture ◽

Treatment Modalities ◽

Locking Plates ◽

Volar Locking Plate

The present case report describe Open Reduction & Internal Fixation of a Distal Radius Fracture With a Volar Locking Plate. Anatomical reduction & stable fixation of fracture with or without bone grafting, greatly reduces the incidence of post-traumatic osteoarthritis & stiffness. The accuracy of fracture reduction co- relates directly to the final outcome. A 34-year-old man fell on his right outstretched h&. He presented to the casuality & on physical examination, he was noted to have deformity about his right wrist with moderate swelling. There was no neuro-vascular deficit. Various treatment modalities have been developed for distal radius fracture fixation. Treatment options range from closed reduction & cast application to open reduction with plates & screws. Locking plates address intra-articular & metaphyseal comminution. Biomechanical studies comparing volar fixed- angle locking plates with that of conventional dorsal plates report volar fixed-angled plates to be superior in terms of their strength.

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