Plate Fixation of Fractures of the Distal Aspect of the Radius: Relative Indications

Jupiter, Jesse B.

doi:10.1097/00005131-199911000-00009

Cited by 22 publications

(8 citation statements)

References 38 publications

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“…Prominent dorsal implant, extensor tenosynovitis, and rupture have been reported as complications after dorsal plating plate. Moreover, dorsally placed implants have increased thickness of the plate, raised screw heads, and they lack the ability to contour the plate to fit the bone [15, 16]. Though the advent of low-profile dorsal plates has solved this concern to some extent [11, 16], the very approach often requires dissection of the extensor retinaculum, and sometimes resection of the Lister's tubercle.…”

Section: Discussionmentioning

confidence: 99%

Dorsally Comminuted Fractures of the Distal End of the Radius: Osteosynthesis with Volar Fixed Angle Locking Plates

et al. 2013

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Background. Dorsally comminuted distal radius fractures are unstable fractures and represent a treatment challenge. The objective of this study was to evaluate the functional and radiological outcome of dorsally comminuted fractures of the distal radius fixed with a volar locking plate. Patients and Methods. Thirty-three consecutive patients with dorsally comminuted fractures of the distal end of the radius were treated by open reduction and internal fixation with AO 2.4 mm (n = 19)/3.5 mm (n = 14) volar locking distal radius plate (Synthes, Switzerland, marketed by Synthes India Pvt. Ltd.). There were 7 type A3, 8 type C2, and 18 type C3 fractures. The patients were followed up at 6 weeks, 3 months, 6 months, and 1 year postoperatively. Subjective assessment was done as per Disabilities Arm, Shoulder, and Hand (DASH) questionnaire. Functional evaluation was done by measuring grip strength and range of motion around the wrist; the radiological determinants were radial angle, radial length, volar angle, and ulnar variance. The final assessment was done as per Demerit point system of Saito. Results. There were 23 males and 10 females with an average age of 44.12 ± 18.63 years (18–61 years). Clinicoradiological consolidation of the fracture was observed in all cases at a mean of 9.6 weeks (range 7–12 weeks). The average final extension was 58.15° ± 7.83°, flexion was 54.62° ± 11.23°, supination was 84.23° ± 6.02°, and pronation was 80.92° ± 5.54°. Demerit point system of Saito yielded excellent results in 79% (n = 26), good in 18% (n = 6), and fair in 3% (n = 1) patients. Three patients had loss of reduction but none of the patients had tendon irritation or ruptures, implant failure, or nonunion at the end of an one-year followup. Conclusion. Volar locking plate fixation for dorsally comminuted distal radius fractures results in good to excellent functional outcomes despite a high incidence of loss of reduction and fracture collapse.

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Section: Discussionmentioning

confidence: 99%

Dorsally Comminuted Fractures of the Distal End of the Radius: Osteosynthesis with Volar Fixed Angle Locking Plates

et al. 2013

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“…74 The advantages of plate osteosynthesis are direct fracture reduction, stable rigid fixation, and the possibility of immediate postoperative motion. 26,75,76 The disadvantages are the added complexity of the surgery, cost of the implants, and trauma of surgical exposure.…”

Section: Discussionmentioning

confidence: 99%

A Meta-Analysis of Outcomes of External Fixation Versus Plate Osteosynthesis for Unstable Distal Radius Fractures

Margaliot

Haase

Kotsis

et al. 2005

The Journal of Hand Surgery

208

133

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“…T here has been a marked trend toward internal plateand-screw fixation for the management of fractures of the distal part of the radius [1][2][3][4][5][6][7][8][9][10][11] . This has been influenced, in part, by the development of anatomically shaped implants with angular stable screw fixation that provided more predictable fixation of osteoporotic cancellous bone 1,[12][13][14][15] .…”

mentioning

confidence: 99%

Operative Management of Distal Radial Fractures with 2.4-Millimeter Locking Plates

Jupiter

Marent-Huber

2009

The Journal of Bone and Joint Surgery-American Volume

146

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Plate Fixation of Fractures of the Distal Aspect of the Radius: Relative Indications

Cited by 22 publications

References 38 publications

Dorsally Comminuted Fractures of the Distal End of the Radius: Osteosynthesis with Volar Fixed Angle Locking Plates

Dorsally Comminuted Fractures of the Distal End of the Radius: Osteosynthesis with Volar Fixed Angle Locking Plates

A Meta-Analysis of Outcomes of External Fixation Versus Plate Osteosynthesis for Unstable Distal Radius Fractures

Operative Management of Distal Radial Fractures with 2.4-Millimeter Locking Plates

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