Évaluation des techniques actuelles du traitement des fractures du radius distal chez les chirurgiens orthopédistes Belges

Schaik, David Van; Goorens, Chul Ki; Wernaers, Pascal; Hendrickx, Benoit; Scheerlinck, Thierry; Goubau, Jean

doi:10.1016/j.main.2013.10.158

Chirurgie de la Main

2013

DOI: 10.1016/j.main.2013.10.158

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Évaluation des techniques actuelles du traitement des fractures du radius distal chez les chirurgiens orthopédistes Belges

David Van Schaik¹,

Chul Ki Goorens²,

Pascal Wernaers³

et al.

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“…Open reduction and anatomical fixation with an anatomical volar locking plate has become the golden standard to treat distal radius fractures. 1 2 3 Although results are generally good, care should be taken to avoid specific iatrogenic and preventable complications. Incidence of these complications ranges from 14 to 18%.…”

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A Stepwise Intraoperative Protocol to Minimize Complications after Volar Plating

et al. 2023

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Background Although outcome of volar plating is generally good, care should be taken to avoid specific iatrogenic and preventable complications, with an incidence reporting averaging 15%. Flexor tendon rupture due to a prominent plate, extensor tendon rupture due to a dorsal protruding screw tips, cartilage lesions due to intra-articular screw placement, loss of reduction due to insufficient stability, and persisting ulnar pain with distal radioulnar joint instability due to unstable triangular fibrocartilaginous complex lesions or unstable ulnar styloid base fractures all have been described. Purpose We believe that a majority of these complications can be prevented by meticulous assessment of several intraoperative parameters during volar plating. Therefore, we introduce the WRIST protocol, a stepwise easy-to-remember manual that combines multiple fluoroscopic measurements to guide intraoperative decision making. Conclusion Large prospective studies of the “WRIST” protocol are needed for validation. But we believe that it may help surgeons to optimize surgical technique, functional and radiographic outcome, and prevent complications when treating distal radial fractures.

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A Stepwise Intraoperative Protocol to Minimize Complications after Volar Plating

et al. 2023

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Évaluation des techniques actuelles du traitement des fractures du radius distal chez les chirurgiens orthopédistes Belges

Cited by 1 publication

References 0 publications

A Stepwise Intraoperative Protocol to Minimize Complications after Volar Plating

A Stepwise Intraoperative Protocol to Minimize Complications after Volar Plating

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