Retrospective Comparison of Percutaneous Fixation and Volar Internal Fixation of Distal Radius Fractures

Lozano-Calderón, Santiago; Doornberg, Job N.; Ring, David

doi:10.1007/s11552-007-9078-7

Cited by 17 publications

(13 citation statements)

References 50 publications

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“…K-wires arer emoved 4-6 weeks postoperatively.m ost common complications of this method arepin track infection and iatrogenic lesion of superficial branch of the radial nerve, which may cause CrPs. in arecent study percutaneous K-wirefixation provided results comparable with volar plate fixation (24).…”

Section: Treatment Options Percutaneous Pinningmentioning

confidence: 82%

Operative Treatment of Distal Radius Fractures

Vasenius¹

2008

Scand J Surg

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the incidence of distal radius fractures is increasing together with the average age of population. intra-articular incongruity is the most probable cause of unsatisfactory outcome of distal radius fractures in younger and more active patients. thus, the main goal in the treatment of distal radius fractures should be restoration of articular congruence. acomputed tomography (ct) is recommended to help surgeon in preoperative planning in the treatment of comminuted intra-articular fractures. new implants have been designed to provide stable enough fixation fore arly mobilisation after surgery and to lower rather high complication rates related to conventional fixation methods such as external fixation and dorsal plating. the most common complications related to volar fixed angle plating such as flexor and extensor tendon problems, median nerve neuropathy,and screw diplacement into the radiocarpal joint are surgeon related and are avoidable with proper education. more randomized prospective studies are needed to prove superiority of any fixation method to another.Key words: Distal radius; fracture; operative treatment; plating; external fixation; malpractice; complications FaCtors aFFeCting outCome therei ss till some controversy about the factors affecting the outcome of distal radius fractures. Persistent intra-articular incongruity has been shown to cause a9,9-fold increased risk of radiological osteoarthritis and restriction of range of motion (rom) (7, 8). seventy-six to 91% of fractures of young adults with residual intra-articular incongruity showed arthritis 7y ears after the injury compared to 11%o f fractures with congruous joint (9, 10). Forwardetal. (7) reported that after 38 years follow up grade 0or1 arthritic changes weref ound in 65% of wrists after intra-articular fractures, grade 2i n3 0% and grade 3 in 5% of fractures. However,o steoarthritic changes do nota lways worsen the functional end result (8,11). Dorsal angulation of radiocarpal joint surface worsens functional outcome considerably when it exceeds 20 degrees (12, 13). thirty-eight years after the injury each ten degrees of dorsal angulation diminishes volar flexion by three degrees (7). Dorsal angulation exceeding 20 degrees caused a6a nd 8 degrees loss of volar flexion 30 and 7years after the injury (14, 15)respectively. radial shortening of more than 4mmassociates with decreased forearm rotation scandinavian Journal of surgery 97:

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Section: Treatment Options Percutaneous Pinningmentioning

confidence: 82%

Operative Treatment of Distal Radius Fractures

Vasenius¹

2008

Scand J Surg

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“…In another clinical study, volar plate was applied in 93 cases in that it can not be successful with conservative method and it has been be encountered after volar plate application. Some authors have argued that scar trace formed by volar incision is often more annoying than wire and pins applied externally 25 . In our study, although scar sensitivity was observed in the early stage in only a case in Group 1, the complaints were observed to decrease without any additional treatment during follow-up in our case.…”

Section: Discussionmentioning

confidence: 99%

Functional and economic analysis of plate-screw and percutaneous pinning in radius distal end fractures

Aşkar¹,

Işıkan²,

Bilge³

et al. 2016

Kafkas J Med Sci

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“…There is not enough evidence in the published literature to suggest or recommend any specific treatment for distal radius fractures. 22,23 Surgical methods have also evolved, with minimally invasive osteosynthesis techniques and approaches toward soft tissues that are more biological. 24 Use of cannulated screw technology is one of such minimally invasive surgical method available for distal radius fractures.…”

Section: Introductionmentioning

confidence: 99%

Functional outcome of distal radius fractures treated with fixation by percutaneous cannulated screw

Kumar¹,

Desai²,

Patkar³

et al. 2019

Int J Res Orthop

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Background: In the present study primary objectives were to evaluate the clinical and functional outcome and union rates, whereas secondary objective was to study complications associated with closed reduction percutaneous fixation of displaced unstable fractures of distal radius in adults by using cannulated cancellous (CC) screw.Methods: Thirty two patients aged more than 18 years, with unstable displaced distal radial fracture were included in this prospective observational study. Patients were treated by closed reduction and percutaneous fixation by CC screw. Radiological parameters like radial inclination, radial height, ulnar variance, volar tilt were measured. Mayo wrist score and range of motion were noted. Patients were followed up for six months. Continuous variables were compared by using paired and unpaired ‘t’ test.Results: Mean Mayo wrist score at six months post-operative follow-up (82.8) was significantly higher compared to six weeks post-operative follow-up (64.4). Mean early post-operative radial height, mean radial inclination, and mean volar tilt were significantly higher compared to mean six months post-operatively. Mean early post-operative ulnar variance was significantly lower compared to mean six months post-operatively. Mean flexion, mean extension, mean supination, mean pronation, mean radial deviation, and mean ulnar deviation was significantly higher six months post-operative follow-up compared to six week post-operative follow-up. Mean grip strength was significantly higher six months post-operative follow-up compared to six week post-operative follow-up.Conclusions: Clinical and functional outcomes associated with closed reduction and percutaneous fixation by cannulated cancellous screw was excellent. Mayo wrist score was increased over six months follow up period.

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Retrospective Comparison of Percutaneous Fixation and Volar Internal Fixation of Distal Radius Fractures

Cited by 17 publications

References 50 publications

Operative Treatment of Distal Radius Fractures

Operative Treatment of Distal Radius Fractures

Functional and economic analysis of plate-screw and percutaneous pinning in radius distal end fractures

Functional outcome of distal radius fractures treated with fixation by percutaneous cannulated screw

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