Prospective continuous study comparing intrafocal cross-pinning HK2® with a locking plate in distal radius fracture fixation

Maire, N.; Lebailly, F.; Zemirline, A.; Hariri, Amir H; Facca, S.; Liverneaux, Philippe

doi:10.1016/j.main.2012.11.001

Cited by 19 publications

(17 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The exclusion of studies of elderly patients exclusively with different functional demands enables meaningful and accurate results to be determined for an adult population. Studies of less than 12 months were also excluded . DRFs can cause joint abnormalities, instabilities, bone remodelling and articular surface incongruity.…”

Section: Discussionmentioning

confidence: 99%

“…Studies of less than 12 months were also excluded. 8,17,26 DRFs can cause joint abnormalities, instabilities, bone remodelling and articular surface incongruity. The time from injury to onset of post-traumatic arthritis varies from less than a year for severe injuries to decades for less severe injuries.…”

Section: Discussionmentioning

confidence: 99%

“…A recent DRF guideline published by the American Academy of Orthopaedic Surgeons (AAOS) provided an ‘inconclusive’ recommendation regarding optimal surgical management . There have been several trials comparing the two fixation methods with variable results regarding functional outcomes, range of motion (ROM), radiological outcomes and complications . Recently published meta‐analyses have identified equivocal results .…”

Section: Introductionmentioning

confidence: 99%

“…10 There have been several trials comparing the two fixation methods with variable results regarding functional outcomes, range of motion (ROM), radiological outcomes and complications. 4,7,8,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Recently published meta-analyses have identified equivocal results. [27][28][29][30][31][32] The selection criteria of this analysis differ from the aforementioned studies by excluding studies of elderly patients exclusively (>65), as well as those with a follow-up period of less than 12 months.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Volar locking plating versus percutaneous Kirschner wires for distal radius fractures in an adult population: a meta‐analysis

Youlden

Sundaraj

Smithers

2018

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background This paper compares volar locking plates (VLPs) and percutaneous Kirschner wire (K‐wire) fixation for distal radius fractures in an adult population up to and beyond 12 months. The aim of this review is to compare functional and radiological outcomes along with complication rates. A meta‐analysis was performed to investigate this. Methods A systematic review and meta‐analysis was performed using the PRISMA guidelines. A search of major databases (MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL) and CINAHL) was performed up to November 2017. Prospective and retrospective studies were included. Studies were assessed for quality using the Cochrane Risk of Bias tool. Meta‐analysis was performed using the ‘metafor’ package with R. Results A total of 14 studies (five randomized controlled trials and nine comparative studies) (n = 1535) were identified. Disabilities of the Arm, Shoulder and Hand (DASH) scores were statistically significant for VLP at all follow‐up intervals up to and beyond 12 months. Wrist movements were statistically significant for VLP at 6 weeks. Grip strength was significantly different favouring VLP at 12 months and final follow‐up. VLP provided better restoration of ulnar variance at 6 weeks, but overall radiological outcomes were similar. These results were not clinically significant. K‐wires were associated with an 18% higher risk of complication but the reoperation rate was higher for VLP (4.6% versus 3.2%). Conclusions This study demonstrates similar clinical functional and radiological outcomes for VLP and K‐wire fixation in the short and intermediate term. There is a higher rate of overall complication with K‐wires, but the increased risk of reoperation must be considered when planning surgical fixation of these fractures.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Volar locking plating versus percutaneous Kirschner wires for distal radius fractures in an adult population: a meta‐analysis

Youlden

Sundaraj

Smithers

2018

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…12 Nevertheless, possible complications are secondary displacement, malunion, nonunion, posttraumatic arthritis, superficial and deep infections, as well as stiffness of which first web retraction is the most serious. 16,17 The aim of this study was to evaluate the results of a series of 14 basal thumb fractures fixed using the modified double K-wire technique of Iselin using an external connector to avoid wire migration. To avoid this problem, which is frequent in distal radius fracture fixation, some authors have suggested keeping the wires connected by a device resembling an external fixator.…”

Section: Historical Perspectivementioning

confidence: 99%

Percutaneous Fixation of First Metacarpal Base Fractures Using Locked K-Wires

Adi

Miyamoto

Taleb

et al. 2014

Techniques in Hand &Amp; Upper Extremity Surgery

View full text Add to dashboard Cite

The treatment of choice for first metacarpal base fractures is surgical. Open fixation is stable but causes tendinous adhesions. Percutaneous fixation is minimally invasive but is often followed by secondary displacement. Herein, we describe an alternative approach that combines advantages of both techniques through increasing stability of the Iselin technique by externally connecting the K-wires. Our series included 13 men of mean age 28 years. There were 13 fractures, 6 of which were extra-articular; there were 7 Bennett fractures, 5 of which had a large fracture fragment. After reduction, two 18 mm K-wires were driven medially crossing the 3 cortices of the first and second metacarpals. After bending them at 90-degree angles, the K-wires were connected externally in a construction allowing adaptation of the gap between the K-wires. Gentle immediate mobilization was allowed and the K-wires were removed 6 weeks later in clinic. At 16-month follow-up, mean pain score was 0.2/10 and Quick DASH was 2.9/100. Pinch grip was 81.8% of the contralateral side and grip strength 91.2%. The first web space opening was 79.1%. There was 1 secondary displacement with a good final result and 2 malunions. No arthritis was noted, but the follow-up was short. Our results show that the Iselin technique using locked K-wires is minimally invasive, stable, allows immediate mobilization, and K-wire removal in the office. Its indications may be extended to all fractures of the base of the first metacarpal whether articular or extra-articular.

show abstract

Treatment options in extra-articular distal radius fractures: a systematic review and meta-analysis

Oijen

Lieshout

Reijnders

et al. 2021

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Purpose This systematic literature review aimed to make a detailed overview on the clinical and functional outcomes and to get insight into the possible superiority of a treatment method for extra-articular distal radius fractures. Methods Embase, Medline, Cochrane Library, Web of Science, and Google Scholar were searched for studies describing treatment results. Five treatment modalities were compared: plaster cast immobilization, K-wire fixation, volar plating, external fixation, and intramedullary fixation. Results Out of 7,054 screened studies, 109 were included in the analysis. Overall complication rate ranged from 9% after plaster cast treatment to 18.5% after K-wire fixation. For radiographic outcomes, only volar tilt in the plaster cast group was lower than in the other groups. Apart from better grip strength after volar plating, no clear functional differences were found across treatment groups. Conclusion Current literature does not provide uniform evidence to prove superiority of a particular treatment method when looking at complications, re-interventions, and long-term functional outcomes.

show abstract

Prospective continuous study comparing intrafocal cross-pinning HK2® with a locking plate in distal radius fracture fixation

Cited by 19 publications

References 33 publications

Volar locking plating versus percutaneous Kirschner wires for distal radius fractures in an adult population: a meta‐analysis

Volar locking plating versus percutaneous Kirschner wires for distal radius fractures in an adult population: a meta‐analysis

Percutaneous Fixation of First Metacarpal Base Fractures Using Locked K-Wires

Treatment options in extra-articular distal radius fractures: a systematic review and meta-analysis

Contact Info

Product

Resources

About