Mid-term functional outcome after the internal fixation of distal radius fractures

Phadnis, Joideep; Trompeter, Alex; Gallagher, Kieran; Bradshaw, Lucy; Elliott, David; Newman, Kevin

doi:10.1186/1749-799x-7-4

Cited by 59 publications

(52 citation statements)

References 36 publications

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“…15 In their large series of 170 patients with distal end radius fractures, Kanabar et al noticed that parameters such as range of motion and grip strength were regained by up to 94% in the three months after volar plating. 16 Also, the shorter the trauma surgery interval and better achievement of volar tilt resulted in better functional outcome as also found in study by Phadnis et al 17 The overall complication rate in our study was 18%, which is comparable to that reported by Jagodzinski et al in a bicentric study on distal radius variable angle locking plates. 18 They reported a complication rate of 19.6%, although the majority had screw misplacement, while Kawasaki et al had no reported cases of screw misplacement.…”

Section: Discussionsupporting

confidence: 87%

Intra articular distal radius fractures and volar plate fixation: a prospective study

et al. 2017

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Background: Despite being one of the most common fractures encountered in patients, intra-articular distal radius fractures still pose therapeutic challenge to Orthopaedic surgeons. With the advent of locking plates, the fixation of these fractures has been made better, specifically by fixed angle volar locking plate. This study investigates the efficacy of these plates using volar approach, functional and clinical outcome, in addition to the radiological alignment.Methods: Thirty patients with closed distal radius fractures, with AO TYPE B3, B4, AND C fracture pattern, operated with distal radius plate fixation using volar approach, were included in the study during the period of August 2014 to August 2016. With a minimum follow up of six months, radiological outcome was analysed and functional outcome recorded (Gartland and Werley’s demerit scoring system).Results: With a mean age of 42 years and follow up of six months, the range of movement of the wrist was very satisfactory, and the mean grip strength was 80% of the opposite wrist. Radiological parameters were well‑maintained, and functional parameters by Gartland and Werley showed a significant improvement in most of the patients during the follow‑up period. The complication rate was less and insignificant.Conclusions: Primary volar plate fixation of intraarticular distal radius fracture provides a stable construct that helps in early mobilization, thereby better functional outcomes and minimizes chances of delayed/malunion.

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Section: Discussionsupporting

confidence: 87%

Intra articular distal radius fractures and volar plate fixation: a prospective study

et al. 2017

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“…While in Anakwe RE, et al average time of bony union was 12 weeks. 25 Overall mean time to fracture union was 8.4 weeks (6-28 weeks) in the study of Phadnis J et al 32 Excessive distraction of the hardware to obtain satisfactory reduction can result in delayed union nonunion complex regional pain syndrome or digital stiffness. 33,34 Avoidance of malunion is important, since a poor anatomical result adversely affects recovery of function as was reflected in the difficulties patients with malunion had with activities of daily living.…”

Section: Discussionmentioning

confidence: 98%

Functional and radiological outcome in distal radius fractures treated with locking compression plate

et al. 2017

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Background: Fractures of distal end of radius are one of the most common skeletal injuries encountered in orthopaedics. There are various modalities for treatment like close reduction and cast application, external fixators, ORIF with plate etc. CR and cast application or K-wire fixation, external fixation is associated with immobilisation, wrist stiffness, loss of reduction postoperatively. So we performed volar plating for distal end radius fractures and calculated its results.Methods: We performed ORIF with plating (Volar approach) in 35 patients (22 male and 13 female) of distal end radius fractures depending on inclusion and exclusion criteria. Fractures were classified according to AO classification. All patients were operated under tourniquet. Results were analysed using Mayo score.Results: Out of 35 patients, 14 had type A, 16 had type B and 5 had type C fractures (AO classification). Average operative time was 45 minutes and blood loss of 50 ml. Average time to clinico-radiological union was 7 weeks. Average follow up time was 8 months. Average time to wrist mobilisation was 8 days. According to Mayo score, 16 patients had excellent results, 15 had well and 4 had satisfactory results.Conclusions: Volar plating for fracture distal end radius reduces chances of wrist joint stiffness and loss of reduction and good results can be obtained. So in our opinion, volar plating for treatment of fracture distal end radius is good method with excellent outcomes.

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“…Joideep Phadnis et al [11] 133 patients (74%) had post-operative radiographs available for analysis. Overall mean time to fracture union was 8.4 weeks (6-28 weeks) shows time to union by fracture type.…”

Section: Time Of Unionmentioning

confidence: 99%

Volar locking plate fixation (Ellis plate) of intra-articular distal radius fractures: Prospective randomized study

Bhinde¹,

Koushal²,

Bairagi³

2018

Int. J. Orthop. Sci.

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Background: Intra-articular fractures of the distal radius represent a therapeutic challenge as compared with the unstable extra-articular fractures. With the recent development of specifically designed volar plate for the distal radius, treatment of these fractures by fragment-specific implants using two or more incisions has been advocated. Purpose: The purpose of this study was to investigate the efficacy of a fixed-angle locking plate applied through a single volar approach in maintaining the radiographic alignment of unstable intra-articular fractures as well as to report the clinical outcomes. We only excluded those with compound fracture of distal radius grade III and above. Patients and Methods: This prospective randomized study comprised 60 patients with displaced intraarticular (Frykman type IV-VIII) distal end radius fractures treated with volar locking plates. The patients were followed up at 2 nd week, 6 th week, 12 week, 6 months and 1 year after surgery. The assessment of pain, range of motion, grip strength and activity were assessed at each follow-up visit and scored according to the Green and O'Brien scoring system. Results: At the end of 1 years, In volar plate group out of 60 patients, excellent result was achieved in 08 patients (13%), good in 48 patients (80%), fair in 04 patients (7%). No poor outcome seen. Conclusions: Irrespective of the direction and amount of initial displacement, a great majority of intra articular fractures of the distal radius can be managed with a fixed angle volar plate through a single volar approach.

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Mid-term functional outcome after the internal fixation of distal radius fractures

Cited by 59 publications

References 36 publications

Intra articular distal radius fractures and volar plate fixation: a prospective study

Intra articular distal radius fractures and volar plate fixation: a prospective study

Functional and radiological outcome in distal radius fractures treated with locking compression plate

Volar locking plate fixation (Ellis plate) of intra-articular distal radius fractures: Prospective randomized study

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