Biomechanics and Biology of Plate Fixation of Distal Radius Fractures

Freeland, Alan E.; Luber, Kurre T.

doi:10.1016/j.hcl.2005.03.002

Cited by 39 publications

(18 citation statements)

References 48 publications

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“…Their early popularity is largely owed to the fact that they were found to provide better fixation in fractures with comminution of the soft metaphyseal bone, diffusely compromised bone quality, or periarticular fractures where unicortical screws are more appropriate to avoid violating the joint space. 22,[37][38][39][40][41] However, the early enthusiasm from favorable outcomes in distal radius fractures has rapidly led to the extension of the use of locking plates and screws in other fractures of the upper extremity, often without clear evidence-based guidelines supporting their use. 37 Locking plates and screws are also relatively more expensive than their non-locking counterparts, and one must therefore be careful when allocating resources to their use without clear evidence of improved outcomes.…”

Section: Discussionmentioning

confidence: 99%

Biomechanical Comparison of Double-Row Locking Plates Versus Single- and Double-Row Non-Locking Plates in a Comminuted Metacarpal Fracture Model

Gajendran

Szabo

Myo

et al. 2009

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 99%

Biomechanical Comparison of Double-Row Locking Plates Versus Single- and Double-Row Non-Locking Plates in a Comminuted Metacarpal Fracture Model

Gajendran

Szabo

Myo

et al. 2009

The Journal of Hand Surgery

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“…Physical and occupational therapy as a key element in rehabilitation starts after the removal of the fixation device. However, during the period of fixation, patients often keep their injured hand in rigid postures, in which the volar plates and adjacent ligaments of the digital joints are shortened[6]. Different methods of treatment, but especially the long immobilization periods lead to overall complication rates ranging from 6 to 80% and have been associated with poor functional outcomes[7].…”

Section: Introductionmentioning

confidence: 99%

Preventing functional loss during immobilization after osteoporotic wrist fractures in elderly patients: a randomized clinical trial

Schott

Korbus

2014

BMC Musculoskelet Disord

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BackgroundDistal radius fractures are among the most common fractures and account for approximately one-sixth of all fractures diagnosed. Therapy results after distal radius fracture, especially of elderly patients, are often suboptimal. The inevitable immobilization for several weeks leads to reduction in range of motion, deterioration of muscle strength, malfunction of fine motor skills as well as changes of motor and sensory representations in the brain. Currently, there are no strategies to counteract these immobilization problems. The overall aim of the study is to investigate the therapeutic potential of motor-cognitive approaches (mental practice or mirror therapy) on hand function after wrist fracture.Methods/DesignThis study is a controlled, randomized, longitudinal intervention study with three intervention groups. One experimental group imagines movements of the fractured upper extremity without executing them (mental practice). The second experimental group receives a mirror therapy program consisting of the performance of functional movement synergies using the unaffected forearm, wrist, and hand. The control group completes a relaxation training regime. Additionally, all patients receive usual care by the general practitioner. We include women aged 60 years and older having a distal radius fracture and sufficient cognitive function. All groups are visited at home for therapy sessions 5 times per week for the first 3 weeks and 3 times per week for weeks 4 to 6. Measurements are taken at therapy onset, and after 3, 6 and 12 weeks. The primary outcome measure will assess upper extremity functioning (Patient-Rated Wrist Evaluation [PRWE]), while secondary outcome measures cover subjective wrist function (Disabilities of the Arm and Shoulder; [DASH], objective impairment (range of motion, grip force) and quality of life (EuroQol-5D, [EQ5D]).DiscussionResults from this trial will contribute to the evidence on motor-cognitive approaches in the early therapy of distal radius fractures.Trial registrationThe trial is registered at ClinicalTrials.gov with registration number NCT01394809 and was granted permission by the Medical Ethical Review Committee of the University of Tübingen in June 2011.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2474-15-287) contains supplementary material, which is available to authorized users.

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“…1,4,5 Operative fixation is the treatment of choice for unstable distal radius fractures. 6,7 The ideal fixation method is one which can maintain a satisfactory reduction and allow early motion to avoid joint stiffness and disuse atrophy. 2,4 Open reduction and internal fixation with a plate placed dorsally provides the greatest degree of biomechanical stability for fractures with dorsal comminution.…”

Section: Introductionmentioning

confidence: 99%

Does a Volar Locking Plate Provide Equivalent Stability as a Dorsal Nonlocking Plate in a Dorsally Comminuted Distal Radius Fracture?

Kandemir¹,

Matityahu²,

Desai³

et al. 2008

Journal of Orthopaedic Trauma

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This study suggests that the fixation obtained with volar locking plates is as stable as fixation with a dorsal plate in acute healing period and can withstand the functional demands of the immediate postoperative period in dorsally comminuted unstable extra-articular distal radius fractures. Elimination of dorsal tendinopathy by using volar locking plates may lead to fewer long-term complications. Locking plates provided better stability in specimens with osteoporosis.

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Biomechanics and Biology of Plate Fixation of Distal Radius Fractures

Cited by 39 publications

References 48 publications

Biomechanical Comparison of Double-Row Locking Plates Versus Single- and Double-Row Non-Locking Plates in a Comminuted Metacarpal Fracture Model

Biomechanical Comparison of Double-Row Locking Plates Versus Single- and Double-Row Non-Locking Plates in a Comminuted Metacarpal Fracture Model

Preventing functional loss during immobilization after osteoporotic wrist fractures in elderly patients: a randomized clinical trial

Does a Volar Locking Plate Provide Equivalent Stability as a Dorsal Nonlocking Plate in a Dorsally Comminuted Distal Radius Fracture?

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