scholarly journals Combined palmar and dorsal plating of four-part distal radius fractures: Our clinical and radiological results

2021 ◽  
Vol 32 (1) ◽  
pp. 59-66
Author(s):  
Birkan Kibar
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Radiological Results ◽  
Clinical And Radiological Results ◽  
Dorsal Plating

Mini-Invasive Surgery for Distal Radius Fractures: A Double Incision under 12 mm

2020 ◽  
Author(s):  
Elisabete Ribeiro ◽  
Gustavo Campanholi ◽  
Marcelo Acherboim ◽  
Gustavo Mantovani Ruggiero
Keyword(s):  
Distal Radius ◽  
Surgical Techniques ◽  
Case Series ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Level Of Evidence ◽  
Radiological Results ◽  
Normal Ranges ◽  
Case Series Study ◽  
Clinical And Radiological Results

Abstract Background Distal radius fracture is one of the most common lesions in adults. Surgical techniques have evolved considerably with a clear tendency toward mini-invasive techniques. Objective Our aim is to push the limits to a 12 mm approach and evaluate its clinical and radiological results. Patients and Methods Ten fractures in nine patients were operated by a double incision with mean size 11.50 ± 3.41 mm (range 8.00–1.00) and using a specially designed volar distal locking plate. Results At the latest follow-up, visual analogue scale score for pain (0.20 ± 0.63 during rest and 0.60 ± 1.07 while making efforts) and quick DASH (quick Disabilities of the Arm, Shoulder and Hand) score (6.14 ± 7.43) were extremely low. All the range of motion parameters and grip strength were above the 95% barrier of the contralateral side, with exception of ulnar deviation. Radiological parameters obtained were located within the normal ranges. Time to return to independent daily tasks and work was 6.67 ± 5.15 and 10.14 ± 14.24 days, respectively. One case of transient carpal tunnel syndrome was solved with watchful waiting and one case of extensor tendons impingement was improved after plate removal. All patients were completely satisfied at the end of the treatment. Conclusion In conclusion, mini-invasive volar technique for distal radius fractures with special designed plates in carefully selected patients allowed us to obtain good clinical and radiological results, minimal complications, fast recovery, and high-satisfactory rates. Level of Evidence This is a Level IV, case series study.

scholarly journals Resultados clínico-radiológicos en pacientes jóvenes con fractura articular completa de radio distal tratados con placa palmar bloqueada. [Clinical and Radiological Results in Young Patients with Complete Articular Distal Radius Fractures Treated with Volar Locked Plate.]

10.15417/496 ◽  
2016 ◽  
Vol 81 (1) ◽  
pp. 42
Author(s):  
Pablo De Carli ◽  
Ezequiel Ernesto Zaidenberg ◽  
Gerardo Gallucci ◽  
Nicolas Santiago Piuzzi ◽  
Jorge Guillermo Boretto
Keyword(s):  
Distal Radius ◽  
Young Patients ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Locked Plate ◽  
Radiological Results ◽  
Quick Dash ◽  
Clinical And Radiological Results

<p><strong>Introducción:</strong> Las fracturas articulares completas del radio distal (tipo C - AO) en pacientes jóvenes representan un desafío por la demanda funcional que tiene este subgrupo de pacientes y la necesidad de una reducción articular para evitar artrosis postraumática.</p><p>El <strong><em>objetivo</em></strong> del estudio es evaluar los resultados clínicos y radiológicos de pacientes menores de 65 años con fracturas de radio distal (FRD) tipo C tratadas mediante placa palmar bloqueada (PPB).</p><p><strong>Material y métodos:</strong> Se analizaron 292 pacientes con FRD, de los cuales 71 cumplieron los criterios de inclusión (FRD articular completa, tratados con PPB, edad entre 18-65 años y un seguimiento mínimo de 6 meses). 45 pacientes eran mujeres. La edad media fue de 51 años (20-64 años). El seguimiento promedio fue de 28 meses (6-71 meses). Se realizo una evaluación clinica objetiva (rango de movilidad) y subjetiva de la funcion (Quick DASH y EVA funcional) y del dolor (EVA reposo y escala de Swanson), además de una valoración radiológica.</p><p><strong>Resultados:</strong> El Quick-DASH promedio fue de 8,7 (0 - 60), con un EVA funcional 8,9 (3-10). La movilidad final promedio y comparativa con el lado sano fue: flexo-extensión 91%, pronosupinación 97%, desvíos cubital-radial 90%. Respecto del dolor, la EVA promedio de 0,4  (0 - 10). Recuperación de los parámetros radiológicos extra-articulares en todos los casos, con corrección de 26 de los 29 escalones articulares preoperatorios.</p><strong>Conclusión: </strong>El tratamiento de las fracturas de radio distal tipo C en pacientes jóvenes con placa palmar bloqueada muestra resultados clínicos y radiológicos favorables con corrección de la mayoría de los escalones articulares.

scholarly journals Surgical Strategy and Techniques for Low-Profile Dorsal Plating in Treating Dorsally Displaced Unstable Distal Radius Fractures

2016 ◽  
Vol 06 (02) ◽  
pp. 163-169
Author(s):  
Hiroyuki Gotani ◽  
Naohito Hibino ◽  
Yoshitaka Tanaka ◽  
Ryousuke Satoh ◽  
Kousuke Sasaki ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Surgical Strategy ◽  
Radius Fractures ◽  
Low Profile ◽  
Dorsal Plating

R-S1.4 Distal radius fractures: volar vs. dorsal plating

Injury ◽  
2012 ◽  
Vol 43 ◽  
pp. S25-S26 ◽  
Author(s):  
D. Machó ◽  
S. Tsitsilonis ◽  
K.-D. Schaser ◽  
N.P. Haas ◽  
F. Wichlas
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Dorsal Plating

scholarly journals Management of Intra-Articular Distal Radius Fractures: Volar or Dorsal Locking Plate—Which Has Fewer Complications?

Hand ◽  
2016 ◽  
Vol 12 (6) ◽  
pp. 561-567 ◽  
Author(s):  
Yoshihiro Abe ◽  
Susumu Tokunaga ◽  
Takuro Moriya
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Complication Rates ◽  
Radius Fractures ◽  
Volar Approach ◽  
Pathologic Fractures ◽  
Dorsal Plating ◽  
Plate System

Background: The aim of this study was to compare the functional outcomes and complications of volar and dorsal plating for the management of intra-articular distal radius fractures, with special regard to indications for dorsal plating. Furthermore, we examine the rationale for choosing dorsal plating and its frequency of use. Methods: Clinical assessments included range of motion measurements at the wrist; grip strength; the Quick Disabilities of the Arm, Shoulder, and Hand score; and the Gartland and Werley score. Clinical results were compared with those achieved using a volarly placed locking plate system. According to Lutsky’s plate theory, the rationale for choosing dorsal plating was based on 4 types of pathologic fractures. Results: Of 112 patients, 38 patients were treated with open reduction internal fixation via a dorsal approach and 68 patients were treated using a volar approach. Except for wrist flexion, there were no other statistical differences in the clinical results between groups for both subjective and objective parameters. There were no statistically significant differences in the complication rates between the volar and dorsal plated groups. One serious complication occurred after volar plating. The most common reason for choosing dorsal plating was irreducible dorsal die-punch fractures. Conclusions: The treatment of displaced intra-articular distal radius fractures with a dorsally versus a volarly placed interlocking plate system demonstrated similar clinical results. Postoperative complications were not readily observed in the patients treated with a dorsal locking plate. Certain fracture patterns are more appropriately stabilized using a dorsal plate fixation.

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