Die gleichzeitige Versorgung mehrfragmentärer distaler Radiusfrakturen von einem palmaren und dorsalen Zugang***

Abstract

Reconstruction of the articular anatomy can be extremely difficult in distal radius fractures with severe comminution of both the dorsal and palmar cortices. In these cases, neither open reduction using an unilateral approach nor closed reduction with ligamentotaxis and fixateur externe will be successful. Reconstruction of both the dorsal and palmar cortical column is necessary. Sixteen of nineteen patients with unstable bicolumnar distal radius fractures treated by a combined plate osteosynthesis were studied retrospectively. Follow-up time averaged 32.5 months (8 to 74). At the time of re-examination the average grip strength and range of motion were reduced by 30% compared with the uninjured side. The average DASH-score was 11.2 points. Radiographic measurements revealed a satisfactory restoration of the radius concerning length and form. There were no signs of higher graded arthrosis.

Results of Dorsal or Volar Plate Fixation of AO Type C3 Distal Radius Fractures: A Retrospective Study

“…27,28 Grip strength of 70% to 85% of the contralateral side is reported after combined dorsal and volar plate osteosynthesis. 25,26 The average grip strength was 85% of the contralateral side in group 2 in our study, which is in contrast with another study, where the grip strength was 56% of the opposite side after dorsal plate osteosynthesis. 5 In the current study, 2 patients in group 1 and 3 patients in group 2 were polytraumatized, which could be a reason for prolonged immobilization or delayed secondary treatment.…”

“…10 The mean DASH score differs from 11 to 18 points after combined dorsal and volar plate osteosynthesis in the literature. 25,26 Rozental et al reported a mean DASH score of 15 points after dorsal plate osteosynthesis of 28 patients. 2 These results are similar to ours.…”

Prevalence of posttraumatic arthritis and the association with outcome measures following distal radius fractures in non-osteoporotic patients: a systematic review

“…Five studies did not find a statistically significant association between PA and ROM. [ 16 – 19 , 36 ] In the six remaining studies the association between PA and ROM was not analysed [ 14 , 29 , 30 , 37 – 39 ].…”

Winkelstabile, volare Plattenosteosynthese komplexer artikul�rer Frakturen am distalen Radius

“…Über den komplikationsarmen volaren Zugang [4,24] konnten bisher komplexe Radiusfrakturen mit dorsaler Trümmer-zone nicht sicher versorgt werden [21,27]. Auf der Suche nach ausreichender Stabilität wurden Doppelplattenosteosynthesen [5,7] am distalen Radiusende durchgeführt.…”