Incidence and Reasons for Hardware Removal Following Operative Fixation of Distal Radius Fractures

Snoddy, Mark C.; An, Thomas; Hooe, Benjamin S.; Kay, Harrison F.; Lee, Donald H.; Pappas, Nick

doi:10.1016/j.jhsa.2014.11.022

Cited by 60 publications

(33 citation statements)

References 14 publications

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“…However, we found a relatively high incidence of 17% for plate removal. In previous studies, incidences of 10% or less were found ( Lutsky et al., 2015 ; Snoddy et al., 2015 ). We routinely have a follow-up of one year to assess whether patients have plate-related problems which may account for the higher incidence of plate removal in our population.…”

Section: Discussionmentioning

confidence: 88%

“… Snoddy et al. (2015) also investigated the relationship between Soong grade and tendonitis and plate removal.…”

Section: Discussionmentioning

confidence: 99%

“…Open reduction and internal plate fixation is an increasingly accepted method of treatment for displaced distal radius fractures, offering biomechanically stable fixation and thus allowing for early rehabilitation ( Berglund et al., 2009 ; Boretto et al., 2014 ; Johnson et al., 2017 ; Tanaka et al., 2016 ; Walenkamp et al, 2016 ; Yoon et al., 2017 ). The reported incidence of volar plate removal for distal radius fractures is in the range of 3–10% ( Lutsky et al., 2015 ; Snoddy et al., 2015 ). Indications for removal vary from factors such as pain and stiffness, to tendonitis or tendon rupture, hardware prominence and hardware failure ( Gyuricza et al., 2011 ; Lutsky et al., 2015 ).…”

Section: Introductionmentioning

confidence: 99%

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Relationship between plate removal and Soong grading following surgery for fractured distal radius

Selles

Reerds

Roukema

et al. 2017

J Hand Surg Eur Vol

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The aim of this study was to determine the relationship between volar plate removal and the Soong classification following fixation for fractured distal radius. In this retrospective cohort study, all consecutive patients who had volar plate fixation for a distal radius fracture in 2011–2015 were reviewed. Differences in Soong classification between patients who had plate removal and those who did not were analysed. The total incidence of plate removal was calculated and the indications analysed. A total of 323 patients were included. The incidence of plate removal in all patients was 17%. Soong classification was significantly higher in patients who had plate removal compared with those who did not. For patients with plate placement classified as Soong grade 2, the incidence of plate removal was almost six times higher than those classified as Soong grade 0. The relationship between volar plate removal and a higher Soong grading stresses the importance of accurate plate positioning.Level of evidence: IV

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Section: Discussionmentioning

confidence: 88%

“… Snoddy et al. (2015) also investigated the relationship between Soong grade and tendonitis and plate removal.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relationship between plate removal and Soong grading following surgery for fractured distal radius

Selles

Reerds

Roukema

et al. 2017

J Hand Surg Eur Vol

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“…Introduction and intense marketing of new plating system, especially plates with locking screws, may play a role in this change [17]. In previous studies, the mean length of plate implantation varies between 330 and 440 days, and thus we selected a 2-year follow-up period because 1-year follow-up would have been too short [23,26]. In our study, the mean length of implantation was 367 days.…”

Section: Discussionmentioning

confidence: 90%

“…To date, there have only been a few published studies on plate removals following the surgical treatment of DRF [23,25]. One study reported the reasons for plate removals were the following: pain (30%), tenosynovitis (27%), malunion (24%), infection (12%), nonunion (6%) and tendon rupture (3%) [26]. However, while these previous studies report the reasons for plate removal, they suffer from small sample sizes and selected study populations [23,25,26].…”

Section: Introductionmentioning

confidence: 99%

Incidence for volar locking plate removal following distal radius fracture surgery

Palola

Ponkilainen

Huttunen

et al. 2020

Arch Orthop Trauma Surg

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Introduction Distal radius fracture is the most common fracture in adults. The most common treatment for distal radius fracture is non-operative cast immobilization, although there are injuries that require surgical treatment. During the past decade, studies have reported a large increase in the surgical treatment of distal radius fractures with open reduction and internal fixation using volar locking plates. The aim of this study was to investigate the incidence and trends for plate removal after plate fixation of distal radius fractures. Materials and methods The study covered all patients 18 years of age and older who had a surgically treated distal radius fracture with open reduction and internal fixation in Finland between 1998 and 2016. Patient data were obtained from the Finnish National Hospital Discharge Register. The association between increased number of platings and plate removals was examined by calculating the removal rates. The study population comprises all patients on a national level, and therefore we did not use statistical testing to analyze the data. Results A total of 18,298 patients had surgically treated distal radius fracture with volar plate in Finland during the 19-year study period from January 1, 1998 to December 31, 2016. The number of plate removal operations over the same time period was 2560. The removal rates decreased from over 20% in 1998 to less than 12% in 2016. The mean time period between plating and plate removal operations was 367 days. Most of the plate removals (n = 2235; 87.3%) were conducted during the first 2 years after plating. Conclusion Plate removals have not increased as rapidly as plating operations. The removal rate has declined markedly during the last decade. Nowadays, approximately 11% of distal radius plates are removed.

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The relationship between plate prominence and need for removal after volar plate osteosynthesis of distal radius fractures

Tegels

Theunissen

Loos

et al. 2023

Eur J Trauma Emerg Surg

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Incidence and Reasons for Hardware Removal Following Operative Fixation of Distal Radius Fractures

Cited by 60 publications

References 14 publications

Relationship between plate removal and Soong grading following surgery for fractured distal radius

Relationship between plate removal and Soong grading following surgery for fractured distal radius

Incidence for volar locking plate removal following distal radius fracture surgery

The relationship between plate prominence and need for removal after volar plate osteosynthesis of distal radius fractures

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